Kosuge Yasushi, Fujita Shinoe, Kamiyama Asami, Saijo Kayoko, Matsumoto Rieko, Ogawa Tomomi, Wakabayashi Hisanori, Watanabe Hiroyuki
Watanabe Clinic, Kawasaki, Japan.
Prog Rehabil Med. 2025 May 14;10:20250012. doi: 10.2490/prm.20250012. eCollection 2025.
This study aimed to investigate tongue pressure in patients undergoing maintenance hemodialysis (MHD) and identify factors associated with tongue pressure, such as nutritional status and sarcopenia components.
This cross-sectional study included 80 outpatients undergoing MHD at our hospital between February and August 2024. Tongue pressure was measured using a tongue pressure measuring device. Patients were divided into groups of low tongue pressure (<30 kPa) and high tongue pressure (≥30 kPa). The geriatric nutritional risk index (GNRI) and the nutritional risk index for Japanese hemodialysis patients (NRI-JH) were used as nutritional indicators. To identify factors strongly associated with tongue pressure in MHD, a multiple regression analysis was performed, with tongue pressure as the dependent variable.
The median age of the participants was 81.0 years. The mean tongue pressure was 29.0 kPa, and 58.8% of the patients had tongue pressure less than 30 kPa. Tongue pressure was significantly lower in the oldest age group (≥85 years) than in the younger groups (≤64 years and 65-74 years). Significant correlations were noted between tongue pressure and age, serum albumin, skeletal muscle mass index, phase angle, and handgrip strength. In the multivariate analysis, age, GNRI, and handgrip strength were independent predictors of tongue pressure.
This study revealed that age, handgrip strength, and GNRI were independently associated with tongue pressure in patients undergoing MHD. These factors may be used as indicators of tongue pressure in patients undergoing MHD.
本研究旨在调查维持性血液透析（MHD）患者的舌压，并确定与舌压相关的因素，如营养状况和肌肉减少症的组成部分。
这项横断面研究纳入了2024年2月至8月期间在我院接受MHD治疗的80名门诊患者。使用舌压测量装置测量舌压。患者被分为低舌压组（<30 kPa）和高舌压组（≥30 kPa）。老年营养风险指数（GNRI）和日本血液透析患者营养风险指数（NRI-JH）被用作营养指标。为了确定与MHD患者舌压密切相关的因素，以舌压为因变量进行了多元回归分析。
参与者的年龄中位数为81.0岁。平均舌压为29.0 kPa，58.8%的患者舌压低于30 kPa。年龄最大的组（≥85岁）的舌压显著低于年龄较小的组（≤64岁和65-74岁）。舌压与年龄、血清白蛋白、骨骼肌质量指数、相位角和握力之间存在显著相关性。在多变量分析中，年龄、GNRI和握力是舌压的独立预测因素。
本研究表明，年龄、握力和GNRI与MHD患者的舌压独立相关。这些因素可作为MHD患者舌压的指标。
