Journal List > J Korean Acad Oral Health > v.42(4) > 1110920

Jung, Min, Kim, Lee, Lee, Kim, and Ahn: Factors affecting objective and subjective masticatory ability assessment of Korean elderly people

Abstract

Objectives

The purpose of the study was to investigate factors affecting the assessment of objective and subjective masticatory ability in the elderly, and to evaluate masticatory ability assessment more accurately.

Methods

A total of 112 participants were recruited after oral examination in senior citizen welfare facilities. The participants' masticatory ability was evaluated objectively (Mixing ability index; MAI), and subjectively (Key food intake ability; KFIA). Participants' general characteristics and oral health-related variables were also recorded. Based on masticatory ability assessment, participants were classified as either high or low. IBM SPSS Statistics Ver.23.0 was used for all analyses, including descriptive statistics, Chi-square test, Mann-Whitney U test, Spearman rank correlation, and Logistic regression analysis.

Results

Higher masticatory ability was positively correlated with higher scores on MAI and KFIA. Additionally, there was a significant positive correlation between MAI and KFIA. When analyzing factors affecting objective and subjective masticatory ability assessments, Functional tooth units (FTUs) were revealed as a related factor. In subjective masticatory ability assessment, oral moisture, difficulty in chewing, and the Geriatric Oral Health Assessment Index (GOHAI) were also influential factors.

Conclusions

In order to accurately assess masticatory ability, it is necessary to use both objective and subjective measures. Additionally, to improve the masticatory ability in the elderly, treatment should be provided to improve overall oral health and satisfaction.

Figures and Tables

Table 1

Differences of masticatory ability according to objective and subjective assessment

jkaoh-42-216-i001

Values are presented as n (%) or mean±standard deviation.

MAI, mixing ability index; KFIA, Key food intake ability; FTUs, functional tooth units; RSST, repetitive saliva swallowing test; GOHAI, geriatric oral health assessment index.

Chi-square test, Mann-Whitney U test.

Table 2

Correlation among the MAI, KFIA and other variables

jkaoh-42-216-i002

MAI, mixing ability index; KFIA, Key food intake ability; FTUs, functional tooth units; RSST, repetitive saliva swallowing test; GOHAI, geriatric oral health assessment index.

Spearman rank correlation, *P<0.05, **P<0.01.

Table 3

Logistic regression analysis of factor associated with MAI

jkaoh-42-216-i003

OR, odds ratio; CI, confidence intervals; FTUs, functional tooth units; RSST, repetitive saliva swallowing test; GOHAI, geriatric oral health assessment index.

Table 4

Logistic regression analysis of factor associated with KFIA

jkaoh-42-216-i004

OR, odds ratio; CI, confidence intervals; FTUs, functional tooth units; RSST, repetitive saliva swallowing test; GOHAI, geriatric oral health assessment index.

Notes

This work was supported by Korea Institute of Planning and Evaluation for Technology in Food, Agriculture and Forestry(IPET) through High Value-added Food Technology Development Program, funded by Ministry of Agriculture, Food and Rural Affairs(MAFRA) (316071031HD020).

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