Koichiro Matsuo, Department of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan, Phone: +81-3-5803-4545, E-mail:
J Nutr Health Aging. 2023;27(5):340-347. doi: 10.1007/s12603-023-1913-1.
Preserving sufficient oral function and maintaining aadequate nutrition are essential for preventing physical frailty and the following long-term care. We recently developed the 6-month Comprehensive Awareness Modification of Mouth, Chewing And Meal (CAMCAM) program, in which participants gather monthly to learn about oral health and nutrition while eating a textured lunch together. This study examined whether the CAMCAM program could improve attitude and behavior towards oral health, mastication, and diet as well as ameliorate oral frailty in community-dwelling older adults.
Single-arm pre-post comparison study.
A total of 271 community-dwelling adults (72.3 ± 5.7 years of age; 159 women [58.7%]) in 4 Japanese municipalities were recruited, of which 249 participants (92%) were assessed at the final evaluation.
Participants gathered once a month at community centers to learn about oral health and nutrition while eating a "munchy" textured lunch containing proper nutrition.
Oral frailty, frailty, and eating behavior were evaluated with the Oral Frailty Index-8 (OFI-8), Kihon checklist (KCL), and CAMCAM checklist, respectively. Participants were divided into Oral frailty (OF) and Robust groups according to OFI-8 scores. The differences in KCL and CAMCAM checklist results between the OF and Robust groups were statistically tested along with changes in scores after the program.
KCL and CAMCAM checklist scores were significantly lower in the OF group at the initial assessment. OFI-8 and KCL findings were significantly improved in the OF group after completing the program (all P <0.05). Regarding the CAMCAM checklist, awareness of chewing improved significantly in the Robust group (P=0.009), with a similar tendency in the OF group (P=0.080).
The findings of this pilot study suggest that the CAMCAM program may improve both oral and systemic frailty in addition to attitudes towards chewing, oral health, and meals, especially in individuals with oral frailty. The CAMCAM program merits expansion as a community-based frailty prevention program.
保持充足的口腔功能和适当的营养对于预防身体虚弱和随后的长期护理至关重要。我们最近开发了为期 6 个月的综合口腔、咀嚼和膳食意识改善（CAMCAM）计划，参与者每月聚集在一起，了解口腔健康和营养知识，同时一起吃一份质地较硬的午餐。本研究旨在探讨 CAMCAM 计划是否可以改善社区居住的老年人对口腔健康、咀嚼和饮食的态度和行为，并改善口腔虚弱。
单臂前后比较研究。
共招募了 4 个日本市的 271 名社区居住的成年人（72.3±5.7 岁；159 名女性[58.7%]），其中 249 名参与者（92%）在最终评估中进行了评估。
参与者每月在社区中心聚集一次，在那里他们学习口腔健康和营养知识，并吃一顿含有适当营养的“耐嚼”质地的午餐。
使用口腔虚弱指数-8（OFI-8）、健康检查表（KCL）和 CAMCAM 检查表分别评估口腔虚弱、虚弱和饮食行为。根据 OFI-8 评分，参与者分为口腔虚弱（OF）和强壮组。OF 组和强壮组之间 KCL 和 CAMCAM 检查表结果的差异以及在完成该计划后的评分变化均进行了统计学检验。
在初始评估时，OF 组的 KCL 和 CAMCAM 检查表评分明显较低。在完成该计划后，OF 组的 OFI-8 和 KCL 发现明显改善（均 P<0.05）。关于 CAMCAM 检查表，强壮组对咀嚼的认识明显提高（P=0.009），OF 组也有类似的趋势（P=0.080）。
这项试点研究的结果表明，CAMCAM 计划除了改善咀嚼、口腔健康和饮食的态度外，还可能改善口腔和全身虚弱，特别是在口腔虚弱的个体中。CAMCAM 计划值得作为社区为基础的虚弱预防计划进行扩展。
