{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T11:40:47Z","timestamp":1789126847703,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T00:00:00Z","timestamp":1577145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate which domains of frailty are associated with dysphagia in community\u2010dwelling elderly persons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Dysphagia is a common cause of aspiration pneumonia in frail elderly persons in Japan. Although frailty is considered to be multidimensional, it is unclear which domains of frailty affect dysphagia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The participants were 3475 independent Japanese elderly persons (\u226565\u00a0years; 1555 men and 1920 women). A self\u2010report questionnaire with a frailty checklist consisting of several domains (lifestyle, physical function, nutrition, oral function, homebound status, cognitive function and depressive mood) was used to determine the participants\u2019 characteristics. Dysphagia was defined as impaired swallowing in the oral function domain. To determine the associations between dysphagia and age, sex and the other domains on the frailty checklist, adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) were calculated using multiple logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The multiple logistic regression analysis showed that dysphagia was independently associated with female sex (AOR\u00a0=\u00a01.35; 95% CI\u00a0=\u00a01.08\u20101.68), chewing ability (AOR\u00a0=\u00a01.70; 95% CI\u00a0=\u00a01.32\u20102.18), oral dryness (AOR\u00a0=\u00a01.94; 95% CI\u00a0=\u00a01.48\u20102.54), physical function (AOR\u00a0=\u00a02.19; 95% CI\u00a0=\u00a01.66\u20102.90), cognitive function (AOR\u00a0=\u00a01.68; 95% CI\u00a0=\u00a01.34\u20102.12) and depressive mood (AOR\u00a0=\u00a01.82; 95% CI\u00a0=\u00a01.41\u20102.35).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Dysphagia was independently associated with oral, physical, cognitive and psychological frailty. These results suggest that frailty prevention strategy including swallowing training might be useful for community\u2010dwelling independent elderly persons aged \u226565\u00a0years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12455","type":"journal-article","created":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T17:48:54Z","timestamp":1577209734000},"page":"185-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Dysphagia is associated with oral, physical, cognitive and psychological frailty in Japanese community\u2010dwelling elderly persons"],"prefix":"10.1111","volume":"37","author":[{"given":"Takahiro","family":"Nishida","sequence":"first","affiliation":[{"name":"Sasebo\u2010Yoshii Community Comprehensive Support Center Sasebo Japan"},{"name":"Yamabe Dental Clinic Sasebo Japan"},{"name":"Department of Public Health Nursing Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazumi","family":"Yamabe","sequence":"additional","affiliation":[{"name":"Yamabe Dental Clinic Sasebo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumihisa","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0122247"},{"issue":"3","key":"e_1_2_8_3_1","first-page":"371","article-title":"Swallowing impairment and feeding dependency in the hospitalised elderly","volume":"28","author":"Lee A","year":"1999","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00009517"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00608.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.36.851"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs006"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2012.04.001"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05896.x"},{"issue":"1","key":"e_1_2_8_10_1","first-page":"3","article-title":"Validation of the Kihon Checklist for predicting the risk of 1\u2010year incident long\u2010term care insurance certification: the Ohsaki Cohort 2006 Study","volume":"58","author":"Tomata Y","year":"2011","journal-title":"Jpn J Public Health"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12833"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12543"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008462"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9290-4"},{"issue":"2","key":"e_1_2_8_16_1","first-page":"97","article-title":"Presbyphagia and sarcopenic dysphagia: association between aging, sarcopenia, and deglutition disorders","volume":"3","author":"Wakabayashi H","year":"2014","journal-title":"J Frailty Aging"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.12.002"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.02.60"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.219.263"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.26.1279"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2005.09.002"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12301"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2010.04.006"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2009.01223.x"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glt182"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9715-9"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-004-0013-6"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.12.022"},{"key":"e_1_2_8_29_1","unstructured":"Ministry of Health Labour and Welfare.The cause of Japanese death. 2009. 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