Division of Developmental Stomatognathic Function Science, Department of Health Promotion, Kyushu Dental University, Kitakyushu 803-8580, Japan.
Nutrients. 2022 Jun 24;14(13):2614. doi: 10.3390/nu14132614.
Background: The aim of the present study was to identify factors related to developmental failure of swallowing threshold in children aged 5−15 years. Methods: A total of 83 children aged 5−15 years were included in this study. A self-administered lifestyle questionnaire was completed, along with hand grip strength and oral function tests. Swallowing threshold was determined based on the concentration of dissolved glucose obtained from gummy jellies when the participants signaled that they wanted to swallow the chewed gummy jellies. Developmental failure of swallowing threshold was defined as glucose concentrations in the lowest 20th percentile. After univariate analysis, multivariate binary logistic regression analysis was used to identify factors associated with developmental failure of swallowing threshold. Results: Hand grip strength was significantly correlated with masticatory performance (r = 0.611, p < 0.01). Logistic regression analysis revealed factors related to developmental failure of swallowing threshold, i.e., overweight/obesity (Odds ratio) (OR) = 5.343, p = 0.031, 95% CI = 1.168−24.437) and eating between meals at least once a day (OR = 4.934, p = 0.049, 95% CI = 1.004−24.244). Conclusions: Developmental failure of swallowing threshold was closely associated with childhood obesity in 5- to 15-year-old children.
本研究旨在确定 5-15 岁儿童吞咽阈发育失败的相关因素。
本研究共纳入 83 名 5-15 岁儿童。完成了一份自我管理的生活方式问卷，以及手部握力和口腔功能测试。吞咽阈根据参与者咀嚼 gummy jellies 时表示想要吞咽时溶解葡萄糖的浓度来确定。吞咽阈发育失败定义为葡萄糖浓度处于最低 20 百分位数以下。在单因素分析后，使用多变量二项逻辑回归分析来确定与吞咽阈发育失败相关的因素。
手部握力与咀嚼性能显著相关（r = 0.611，p < 0.01）。逻辑回归分析显示与吞咽阈发育失败相关的因素包括超重/肥胖（比值比）（OR）= 5.343，p = 0.031，95%可信区间（CI）= 1.168-24.437）和每天至少吃一次零食（OR = 4.934，p = 0.049，95% CI = 1.004-24.244）。
5-15 岁儿童吞咽阈发育失败与儿童肥胖密切相关。
