{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T14:47:44Z","timestamp":1782917264439,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,1,26]],"date-time":"2018-01-26T00:00:00Z","timestamp":1516924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["26861827"],"award-info":[{"award-number":["26861827"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["16KT0120"],"award-info":[{"award-number":["16KT0120"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Limited data are available on the association between oral function and frailty, especially in developing countries. Additionally, the association between objectively assessed chewing function and frailty has not been well studied. The present cross\u2010sectional study tested the hypothesis that objectively measured poor chewing ability is associated with frailty in community\u2010dwelling older Thai adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study population comprised 141 people in Nakhon Pathom, Thailand (median age 72\u2009years). Demographic and clinical data were collected at a community center. Participants were asked to chew a gum designed for assessing chewing ability. The differences in gum color before and after chewing (\u0394E*ab) were calculated and used as the exposure variable, where a lower \u0394E*ab indicates lower chewing ability. Frailty phenotypes were defined by weakness, slowness, weight loss, low physical activity level and exhaustion components, and used as the outcome variable. Participants with three or more components were considered frail, and those with one or two components were considered pre\u2010frail. Ordinal logistic regression analyses were carried out to assess the association of objective chewing ability with frailty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 141 participants, 32 (22.7%) were categorized as frail and 78 (55.3%) as pre\u2010frail. In the analysis adjusted for demographic and health characteristics, the adjusted odds ratio of the presence and severity of frailty was significantly higher in participants with lower \u0394E*ab (adjusted odds ratio for one decrease in \u0394E*ab 1.05, 95% confidence interval 1.01\u20131.10, <jats:italic>P<\/jats:italic>\u2009=\u20090.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Objectively measured chewing ability was significantly associated with frailty in community\u2010dwelling older Thai adults. <jats:bold>Geriatr Gerontol Int 2018; 18: 860\u2013866<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13264","type":"journal-article","created":{"date-parts":[[2018,1,26]],"date-time":"2018-01-26T08:03:01Z","timestamp":1516953781000},"page":"860-866","source":"Crossref","is-referenced-by-count":42,"title":["Association between objectively measured chewing ability and frailty: A cross\u2010sectional study in central Thailand"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5739-2936","authenticated-orcid":false,"given":"Masanori","family":"Iwasaki","sequence":"first","affiliation":[{"name":"Division of Community Oral Health Development Kyushu Dental University  Kitakyushu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumi","family":"Kimura","sequence":"additional","affiliation":[{"name":"Graduate School of Human Sciences Osaka University  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwanchit","family":"Sasiwongsaroj","sequence":"additional","affiliation":[{"name":"Research Institute for Languages and Cultures of Asia Mahidol University  Nakhon Pathom Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matana","family":"Kettratad\u2010Pruksapong","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Thammasat University  Patumthani Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sutee","family":"Suksudaj","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Thammasat University  Patumthani Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuko","family":"Ishimoto","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine Mie University  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nai\u2010Yuan","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition Nara Women's University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryota","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Center for Southeast Asian Studies Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kozo","family":"Matsubayashi","sequence":"additional","affiliation":[{"name":"Center for Southeast Asian Studies Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yupin","family":"Songpaisan","sequence":"additional","affiliation":[{"name":"Institute of Dentistry Suranaree University of Technology  Nakhon Ratchasima Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideo","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Graduate School of Medical and Dental Sciences Niigata University  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2004.00219.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2010.00412.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/154411130201300306"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_7_6_1","first-page":"951","article-title":"Oral disease and 3\u2010year incidence of frailty in Mexican older adults","volume":"72","author":"Castrejon\u2010Perez RC","year":"2017","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12221"},{"key":"e_1_2_7_8_1","first-page":"25","volume-title":"Measuring Oral Health and Quality of Life","author":"Gift HC","year":"1997"},{"key":"e_1_2_7_9_1","first-page":"39","article-title":"Factors associated with self\u2010assessed masticatory ability among community\u2010dwelling elderly Japanese","volume":"29","author":"Moriya S","year":"2012","journal-title":"Community Dent Hlth"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13826"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv133"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03153.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2013.00065"},{"key":"e_1_2_7_14_1","first-page":"183","article-title":"Association between the use of complete dentures and frailty in edentulous Mexican elders","volume":"1","author":"Castrejon\u2010Perez RC","year":"2012","journal-title":"J Frailty Aging"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-773"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14355"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afv196"},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.37757\/MR2014.V16.N1.6","article-title":"Frailty, dependency and mortality predictors in a cohort of Cuban older adults, 2003\u20132011","volume":"16","author":"Llibre Jde J","year":"2014","journal-title":"MEDICC Rev"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.18356\/4cf94e3a-en"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12421"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2011.02204.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0064113"},{"key":"e_1_2_7_23_1","volume-title":"Oral Health Surveys: Basic Methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_7_24_1","volume-title":"Statistical Yearbook Thailand 2013","author":"National Statistical Office","year":"2013"},{"key":"e_1_2_7_25_1","first-page":"101","article-title":"The use of GDS\u201015 in detecting MDD: a comparison between residents in a Thai long\u2010term care home and geriatric outpatients","volume":"5","author":"Wongpakaran N","year":"2013","journal-title":"J Clin Med Res"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12006"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12115"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0594.2009.00560.x"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10266-003-0025-y"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(05)80381-6"},{"key":"e_1_2_7_31_1","first-page":"248","article-title":"Oral health\u2010related quality of life in the elderly: a review and future challenges in Thailand","volume":"67","author":"Naorungroj S","year":"2015","journal-title":"SMJ"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fggi.13264","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.13264","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T19:46:48Z","timestamp":1694288808000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.13264"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,26]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/ggi.13264"],"URL":"https:\/\/doi.org\/10.1111\/ggi.13264","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,26]]}}}