Iguchi Hiroko, Magara Jin, Nakamura Yuki, Tsujimura Takanori, Ito Kayoko, Inoue Makoto
Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Chuo-ku, Niigata 951-8514, Japan.
Oral Rehabilitation, Niigata University Medical and Dental Hospital, 1-754 Asahimachi-dori, Chuo-ku, Niigata 951-8520, Japan.
Physiol Behav. 2015 Dec 1;152(Pt A):217-24. doi: 10.1016/j.physbeh.2015.10.004. Epub 2015 Oct 9.
This study aimed to investigate how the activity of the masseter (Mas) and suprahyoid (Hyoid) muscles is influenced by the physical properties of food, how changes in the rheological properties of food differ between different foods during the process of food reduction, and how different salivary flow rates affect bolus-making capability during masticatory behavior in healthy humans. Ten healthy adults participated in this study. Electromyographic (EMG) recordings were obtained from the Mas and Hyoid muscles, and 15 g of steamed rice and rice cake was prepared as test foods. In the ingestion test, the subjects were asked to eat each food in their usual manner. The chewing duration, number of chewing cycles before the first swallow, Mas and Hyoid EMG activity, and chewing cycle time were compared between the foods. Total chewing duration was divided into three substages: early, middle, and late; chewing cycle time and EMG activity per chewing cycle of each substage were compared between the foods and among the substages. In the spitting test, the rheological properties of the bolus at the end of each substage were compared between the foods and among the substages. Finally, stimulated salivary flow rates were measured and the relationships between salivary flow rate and chewing duration, EMG activity, and changes in physical food characteristics were investigated. There were significant differences in total chewing duration and the number of chewing cycles, but not in chewing cycle time, between the foods, which had similar hardness values. The EMG activity levels of the Mas and Hyoid per chewing cycle for the rice cake were significantly greater than for the steamed rice throughout the recording periods. While Mas activity did not change among the substages during chewing, Hyoid EMG activity decreased as chewing progressed. Chewing cycle time also gradually decreased as chewing progressed. The hardness of both foods initially increased, then gradually decreased back to baseline. The adhesiveness of the rice cake initially increased, and did not fall throughout the recording period; the adhesiveness of the steamed rice did not significantly change. Cohesiveness barely changed in either of the two foods during chewing, but was significantly greater for the rice cake than for the steamed rice. Finally, a correlation between the stimulated salivary flow rate and chewing performance was evident only in a change in Mas EMG activity. The current results demonstrate that the activities of the Mas and Hyoid muscles changed as chewing progressed, and were affected by hardness, adhesiveness, and cohesiveness. Salivary flow rate may affect the changes in Mas activity during the process of bolus formation.
本研究旨在探讨咬肌(Mas)和舌骨上肌(Hyoid)的活动如何受到食物物理特性的影响,在食物咀嚼过程中不同食物的流变学特性变化有何差异,以及不同唾液流速如何影响健康人群咀嚼行为中食团形成能力。10名健康成年人参与了本研究。从咬肌和舌骨上肌获取肌电图(EMG)记录,并准备15克蒸米饭和米糕作为测试食物。在摄入测试中,要求受试者以平常方式食用每种食物。比较了两种食物之间的咀嚼持续时间、首次吞咽前的咀嚼周期数、咬肌和舌骨上肌的EMG活动以及咀嚼周期时间。总咀嚼持续时间分为三个子阶段:早期、中期和晚期;比较了两种食物之间以及各子阶段之间每个子阶段的咀嚼周期时间和每个咀嚼周期的EMG活动。在吐出口中食物的测试中,比较了两种食物之间以及各子阶段之间每个子阶段末期食团的流变学特性。最后,测量了刺激唾液流速,并研究了唾液流速与咀嚼持续时间、EMG活动以及食物物理特性变化之间的关系。硬度值相似的两种食物之间,总咀嚼持续时间和咀嚼周期数存在显著差异,但咀嚼周期时间无显著差异。在整个记录期间,米糕每个咀嚼周期的咬肌和舌骨上肌的EMG活动水平均显著高于蒸米饭。咀嚼过程中咬肌活动在各子阶段之间没有变化,而舌骨上肌的EMG活动随着咀嚼的进行而降低。咀嚼周期时间也随着咀嚼的进行而逐渐缩短。两种食物的硬度最初均增加,然后逐渐降至基线水平。米糕的黏性最初增加,在整个记录期间没有下降;蒸米饭的黏性没有显著变化。两种食物在咀嚼过程中的内聚性几乎没有变化,但米糕的内聚性显著高于蒸米饭。最后,仅在咬肌EMG活动变化方面,刺激唾液流速与咀嚼性能之间存在明显的相关性。当前结果表明,咬肌和舌骨上肌的活动随着咀嚼的进行而变化,并受到硬度、黏性和内聚性的影响。唾液流速可能会影响食团形成过程中咬肌活动的变化。