Evidence map›Paper›PMID 37993856›Full record

ArticleBMC oral health2023

Associations of oral health status and swallowing function with cognitive impairment in the aging population: a cross-sectional study.

Yong Chen, Canyang Li, Yongmei Fan, Lili Jiao, Matthew Silverman, Masashi Ishimaru, Jing Wang, Alice J Van Pelt, Rumi Wang

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Association between swallowing function, activities of daily living, and eating posture in patients with terminal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 3 countries.

Yong Chen *Laboratory of Food Oral Processing, School of Food Science & Biotechnology, Zhejiang Gongshang University, Hangzhou, Zhejiang, China.
Canyang Li *Rehabilitation Medicine Department, Speech and Language Pathology Therapy Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Yongmei FanRehabilitation Medicine Department, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Lili JiaoClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, of Central South University, Changsha, Hunan, China.
Matthew SilvermanDepartment of Surgery, School of Medicine and Public Health, University of Wisconsin - Madison, Madison, Wisconsin, USA.
Masashi IshimaruPanasonicElectric Works Co, Ltd, Osaka, Japan.
Jing WangCollege of Biosystems Engineering and Food Science, Zhejiang University, Hangzhou, Zhejiang, China.
Alice J Van PeltSection of Gastroenterology, Jr. VA Hospital, Edward Hines, Hines, IL, USA.
Rumi WangRehabilitation Medicine Department, Speech and Language Pathology Therapy Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China. kimwang922@126.com.
Second Xiangya Hospital of Central South University · CNCentral South University · CNEdward Hines, Jr. VA Hospital · USPanasonic (Japan) · JPWisconsin Division of Public Health · USZhejiang Gongshang University · CNZhejiang University · CN

Funding

Natural Science Foundation of Hunan Province 2020JJ5803
6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate the relationships of oral health status and swallowing function with cognitive impairment in community-dwelling older adults from Changsha, Hunan Province, China.

methodsIn this cross-sectional study, we analyzed the data of 215 participants aged ≥ 50 years which were retrieved from the Xiangya and Panasonic mild cognitive impairment (MCI) Study, a community-based study conducted among the residents of the urban areas of Hunan province in China. Demographic information of all participants was collected. We determined oral function by evaluating oral hygiene, oral dryness, occlusal force, tongue pressure, chewing function, swallowing function, remaining teeth number, and other indicators. The mini-mental state examination (MMSE) was used to screen for cognitive function. The relationship between each oral function evaluation item and cognitive function was investigated using correlation analysis. The associations between oral health status and swallowing function with cognitive impairment were inferred using multiple regression analysis.

resultsThe general characteristics of participants showed statistically significant correlation coefficients in number of teeth remaining (p = 0.003) and number of teeth lost (p < 0.0001). Almost half of the 25 participants (48%) were aged from 70-80 years. Only 25 older adults (11.6% of the participants) were determined to have cognitive impairment by MMSE sores less than 24. Tongue pressure in male participants was the only significant independent variable that was associated with cognitive impairment (p = 0.01971). The results indicate that male participants with lower MMSE scores had a relative deficiency in tongue pressure.

conclusionsIn this cross-sectional study, the oral health status and swallowing function of participants were in relatively good condition and showed low correlations with cognitive impairment. However, lower tongue pressures were associated with lower MMSE scores in males, indicating it could serve as a novel oral function index for evaluating cognitive impairment.

Indexed as

Cognitive DysfunctionDeglutitionAgedAged, 80 and overAgingCross-Sectional StudiesFemaleHumansMaleMiddle AgedOral HealthPressureTongueCognitive impairmentCross-sectional studyOlder adultsOral healthSwallowing function

Identifiers

PMID37993856
PMCPMC10666324
OpenAlexW4388931435

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.