Ayako Edahiro

Factors affecting independence in eating among elderly with Alzheimer's disease

Aim:  In elderly patients with dementia, disturbed eating behavior is understood to be a core symptom or a behavioral and psychological symptom of dementia (BPSD). The purpose of the present study was to investigate the factors affecting self‐feeding in elderly patients with Alzheimers disease (AD).

Sarcopenia: Prevalence and associated factors based on different suggested definitions in community-dwelling older adults.

The age‐related loss of muscle mass and/or strength and performance, sarcopenia, has been associated with geriatric syndromes, morbidity and mortality. Although sarcopenia has been researched for many years, currently there is a lack of consensus on its definition. Some studies define sarcopenia as low muscle mass alone, whereas other studies have recently combined low muscle mass, strength and physical performance suggested by the European Working Group on Sarcopenia in Older People, as well as the Asian Working Group for Sarcopenia. The arbitrary use of various available sarcopenia definitions within the literature can cause discrepancies in the prevalence and associated risk factors. The application of population‐specific cut‐off values in any sample population can be problematic, particularly among different ethnicities. Using commonly used cut‐off points to define sarcopenia, including solely muscle mass and combined definitions, on a community‐dwelling elderly Japanese population, the prevalence of sarcopenia ranged from 2.5 to 28.0% in men and 2.3 to 11.7% in women, with muscle mass measured by dual‐energy X‐ray absorptiometry, and 7.1–98.0% in men and 19.8–88.0% in women measured by bioelectrical impedance analysis. Body mass index was the most prominent related factor for sarcopenia across the definitions in this Japanese sample. However, other associated hematological and chronic condition factors varied depending on the definition. Geriatr Gerontol Int 2016; 16 (Suppl. 1): 110–122.

Relationship Between Frailty and Oral Function in Community‐Dwelling Elderly Adults

To determine the standard values of and age‐related changes in objective oral function of healthy older people; compare oral function of robust, prefrail, and frail older people; and determine the association between oral function and frailty.

Masseter muscle tension and chewing ability in older persons

Aim:  Mastication is an important function to maintain, not only for oral health, but also for quality of life. An easy‐to‐use method to evaluate the chewing ability of elderly people in any environment is necessary. Few studies have discussed the effectiveness of the masseter muscle by palpation. The purpose of this study was to clarify the availability of masseter muscle tension assessment methods by investigating its relationship with oral health status, and comparing it with other methods of assessing chewing ability.

Detecting signs of dysphagia in patients with Alzheimer's disease with oral feeding in daily life

It is important to understand dysphagia in patients with dementia, as it is associated with malnutrition and aspiration pneumonia. Particularly in patients with Alzheimers disease (AD), mortality from pneumonia is high and accounts for 70% of the causes of death. However, the standard swallowing tests are often difficult to use for patients with dementia, and methods to assess daily swallowing function are required. Therefore, the purpose of the present study was to identify signs of dysphagia in AD patients in daily life.

Relationship between swallowing function and the skeletal muscle mass of older adults requiring long-term care.

The present study investigated the risk factors for dysphagia among older adults who require long‐term care, and also examined their systemic decrease in skeletal muscle mass.

Relationship between Skeletal Muscle Mass and Swallowing Function in Patients with Alzheimer’s Disease.

The present study verified the hypothesis that decreased skeletal muscle in older adults with Alzheimers disease is related to Alzheimers disease progression and decreased oral or swallowing function.

Factors associated with older adults' need for oral hygiene management by dental professionals.

The aim of the present study was to assess the need for oral hygiene management by dental professionals among older adults requiring long‐term care, and to collect basic data for building a dental treatment framework on a regional level. Although healthcare providers are aware of the importance of oral care for older adults requiring long‐term care, reports claim that the provision of oral care is insufficient, and a framework is being built for the provision of oral hygiene management by dental professionals.

Factors affecting the appetites of persons with Alzheimer's disease and mild cognitive impairment

Appetite loss has been associated with Alzheimers disease (AD) and mild cognitive impairment (MCI). Among older people, decreased appetite can result in poor nutrition and subsequent loss of independent living. We examined the factors related to appetite loss in persons with AD and MCI to provide evidence for countermeasures to prevent appetite loss and progression of cognitive impairment.

Relationship between mortality and Council of Nutrition Appetite Questionnaire scores in Japanese nursing home residents

OBJECTIVE This 1-y cohort study examined whether Council of Nutrition Appetite Questionnaire (CNAQ) scores predicted mortality in 316 elderly Japanese residents of five nursing homes (60 men, 256 women; mean age: 84.9 ± 8.3 y). METHODS The baseline survey included participant characteristics (e.g., age, sex, height, weight, and medical history), and Barthel Index (BI), Clinical Dementia Rating (CDR), Mini Nutritional Assessment-Short Form (MNA®-SF), CNAQ, Simplified Nutritional Appetite Questionnaire (SNAQ; simplified CNAQ), and SNAQ for the Japanese elderly (SNAQ-JE) scores. RESULTS Following the baseline survey, mortality data were collected for 1 y; during this time, 62 participants (19.6%) died. The deceased groups CNAQ scores (25.1 ± 4.8) were significantly lower than those of the survival group (28 ± 3.6; P < 0.001). After adjusting for age, sex, medical history, BI, CDR, and MNA®-SF scores in Cox proportional regression, CNAQ (hazard ratio [HR], 0.91; 95% confidence interval [CI], 0.85-0.97; P = 0.004), SNAQ (HR, 0.84; 95% CI, 0.75-0.93; P = 0.001), and SNAQ-JE (HR, 0.84; 95% CI, 0.76-0.92; P < 0.001) scores were related to mortality. CONCLUSIONS This study showed that CNAQ scores were inversely associated with 1-y mortality. Furthermore, appetite assessment using the CNAQ predicted the death of Japanese nursing home residents. Similarly, the SNAQ and SNAQ-JE scores were inversely associated with 1-y mortality.