{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:31:42Z","timestamp":1787164302875,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP19K10438"],"award-info":[{"award-number":["JP19K10438"]}],"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":["JP22K10306"],"award-info":[{"award-number":["JP22K10306"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004398","name":"Mitsubishi Foundation","doi-asserted-by":"publisher","award":["202220008"],"award-info":[{"award-number":["202220008"]}],"id":[{"id":"10.13039\/501100004398","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the feasibility and preliminary effects of a community\u2010based health program incorporating sutra chanting on mental well\u2010being and respiratory and swallowing\u2010related functions in community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This pilot study employed a single\u2010group pre\u2013post design. Community\u2010dwelling older adults participated in a 7\u2010week sutra chanting program held weekly at Buddhist temples in Tokyo. Mental well\u2010being was assessed using the WHO\u20105 Well\u2010being Index. Respiratory and swallowing\u2010related functions were evaluated using forced expiratory volume in 1\u2009s (FEV\n                      <jats:sub>1<\/jats:sub>\n                      .\n                      <jats:sub>0<\/jats:sub>\n                      ), maximum phonation time (MPT), and hyoid displacement during swallowing (\u0394HD). Changes from pre\u2010 to post\u2010intervention were analyzed using mixed models for repeated measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 44 participants (mean age 70.3\u2009\u00b1\u20099.1\u2009years) completed the program without adverse events. Mixed\u2010model analyses revealed significant improvements in WHO\u20105 well\u2010being scores, MPT, FEV\n                      <jats:sub>1<\/jats:sub>\n                      .\n                      <jats:sub>0<\/jats:sub>\n                      , and \u0394HD following the intervention. No significant changes were observed in tongue pressure or repetitive saliva swallowing test scores. Qualitative feedback indicated perceived calmness, emotional comfort, and motivation to continue chanting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participation in a community\u2010based sutra chanting program was feasible and safe and was associated with significant pre\u2013post changes in mental well\u2010being and selected respiratory and swallowing\u2010related measures in older adults. Traditional cultural practices such as sutra chanting may represent promising complementary resources for community\u2010based health promotion in aging societies. Further controlled studies are warranted to confirm these preliminary findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70563","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T01:49:39Z","timestamp":1779932979000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility and Preliminary Effects of a Community\u2010Based Sutra Chanting Program on Mental\u00a0Well\u2010Being and Respiratory and Swallowing Functions in Older Adults: A\u00a0Pilot Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6055-211X","authenticated-orcid":false,"given":"Ayako","family":"Edahiro","sequence":"first","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7228-6632","authenticated-orcid":false,"given":"Chiaki","family":"Ura","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiko","family":"Motohashi","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayumi","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiaki","family":"Ando\u2010Ohmura","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2478-8202","authenticated-orcid":false,"given":"Maki","family":"Shirobe","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misato","family":"Hayakawa","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryosho","family":"Shoji","sequence":"additional","affiliation":[{"name":"Jodo Shu Research Institute  Minatoku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reisai","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Shingon Shu Buzan\u2010ha Jizouin  Funabashi Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukan","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Institute of Regional Development Taisho University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akinori","family":"Takase","sequence":"additional","affiliation":[{"name":"Faculty of Socio\u2010Symbiosis Taisho University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5879-6051","authenticated-orcid":false,"given":"Tsuyoshi","family":"Okamura","sequence":"additional","affiliation":[{"name":"Research Team for Promoting Independence and Mental Health Tokyo Metropolitan Institute for Geriatrics and Gerontology  Itabashiku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13979"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fragi.2025.1632997"},{"key":"e_1_2_13_4_1","first-page":"179","article-title":"Prevention and Control of Aspiration Pneumonia From the Viewpoint of Swallowing","volume":"28","author":"Nohara K.","year":"2019","journal-title":"Journal of the Japanese Society of Respiratory Care and 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