Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
Comprehensive Dental Care Unit, The Nippon Dental University Niigata Hospital, Niigata, Japan.
J Oral Rehabil. 2022 Nov;49(11):1087-1105. doi: 10.1111/joor.13362. Epub 2022 Aug 25.
Muscle strength decreases with age, causing a decline in physical and oro-facial function. However, the impact of physiological and pathophysiological factors on tongue pressure (TP) has not been clarified. The purpose of this systematic review and meta-analysis was to compare and analyse TP and handgrip strength (HGS) between individuals aged <60 and ≥60 years, gender and need for care (independent older adults (IC) and older adults receiving nursing care (NC)). Furthermore, the effect of HGS in physical function on TP was examined.
Human clinical studies reporting HGS and TP were searched systematically using PubMed and Ichushi-Web published from 1969 to Nov 2021. Random-effects meta-regressions were performed to compare between subgroups and to examine the association between HGS and TP (α < .05).
Forty-four studies with a total of 10 343 subjects were included. TP and HGS values were significantly higher in people aged <60 years relative to ≥60 years and in IC relative to NC (all p < .001). Regarding gender, there was no significant difference in TP (p = .370). However, a significant gender-dependent difference in TP was observed in people aged <60 years (p < .001), but not in aged ≥60 years in IC group (p = .118) and aged ≥60 years in NC group (p = .895). There was a significant positive correlation of HGS and TP (p < .001).
Similar to decrease in HGS, age-related sarcopaenia seems to have an effect on oro-facial muscles like the tongue. Research on rehabilitation measures for oro-facial muscle strength, similar to HGS might be beneficial to improve the personally acquired oro-facial potential.
肌肉力量随年龄增长而下降,导致身体和口腔功能下降。然而,生理和病理因素对口舌压(TP)的影响尚未阐明。本系统评价和荟萃分析的目的是比较和分析<60 岁和≥60 岁、性别和是否需要护理(独立老年人(IC)和接受护理的老年人(NC))个体之间的 TP 和握力(HGS),并检查 HGS 对 TP 的身体功能的影响。
系统检索了 1969 年至 2021 年 11 月期间在 PubMed 和 Ichushi-Web 上发表的报告 HGS 和 TP 的人体临床研究。采用随机效应荟萃回归比较亚组之间的差异,并检验 HGS 和 TP 之间的相关性(α<0.05)。
共纳入 44 项研究,总计 10343 名受试者。与≥60 岁和 NC 相比,<60 岁的人 TP 和 HGS 值显著更高(均 P<0.001)。关于性别,TP 无显著差异(P=0.370)。然而,<60 岁的人 TP 存在显著的性别依赖性差异(P<0.001),但 IC 组≥60 岁(P=0.118)和 NC 组≥60 岁(P=0.895)中无显著差异。HGS 和 TP 呈显著正相关(P<0.001)。
与 HGS 下降相似,年龄相关的肌肉减少似乎对舌等口腔肌肉有影响。研究针对口腔肌肉力量的康复措施,类似于 HGS,可能有助于提高个人口腔功能。