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Relationship between Decreased Mineral Intake Due to Oral Frailty and Bone Mineral Density: Findings from Shika Study
Authors:Fumihiko Suzuki  Shigefumi Okamoto  Sakae Miyagi  Hiromasa Tsujiguchi  Akinori Hara  Thao Thi Thu Nguyen  Yukari Shimizu  Koichiro Hayashi  Keita Suzuki  Shingo Nakai  Masateru Miyagi  Takayuki Kannon  Atsushi Tajima  Hirohito Tsuboi  Tadashi Konoshita  Hiroyuki Nakamura
Abstract:The relationship between oral frailty (OF) and bone mineral density is unclear. This cross-sectional study analyzed the relationship between mineral intake and bone mineral density in middle-aged and older people with pre-oral and OF. The participants, which included 240 people aged 40 years and older, completed the three oral questions on the Kihon Checklist (KCL), which is a self-reported comprehensive health checklist, the brief-type self-administered diet history questionnaire (BDHQ), and the osteo-sono assessment index (OSI). A two-way analysis of covariance on oral function and OSI indicated that the intake of potassium, magnesium, phosphorus, squid/octopus/shrimp/shellfish, carrots/pumpkins, and mushroom was significantly lower in the OF and low-OSI groups than in the non-OF and high-OSI groups. A multiple logistic regression analysis for OF showed that potassium, magnesium, phosphorous and carrots/pumpkins were significantly associated with OF in the low-OSI group but not in the high-OSI group. These results demonstrated that the decrease in mineral intake due to OF was associated with decreased bone mineral density, suggesting that the maintenance of oral function prevents a decrease in bone mineral density.
Keywords:oral frailty   bone mineral density   mineral intake   osteo-sono assessment index
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