{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T04:55:39Z","timestamp":1782708939938,"version":"3.54.5"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"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":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oral and social problems can exacerbate long\u2010term care. Understanding the relationship between social aspects and oral hypofunction can help identify high\u2010risk factors for long\u2010term care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate the social aspects of oral hypofunction among medical outpatients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cross\u2010sectional study included patients who visited an outpatient clinic for frailty. The oral function was assessed using seven items: oral hygiene, occlusal force, masticatory function, tongue\u2010lip motor function, tongue pressure, oral dryness and swallowing function. Participants with three or more functional declines were classified as having \u2018oral hypofunction\u2019. Social aspects were assessed using 21 items in four categories: general resources, basic social needs, social resources and social behaviours\/activities. We analysed the relationship between oral hypofunction and each social aspect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 316 participants (age 78.5\u2009\u00b1\u20096.4\u2009years) were included, and 128 (41%) had oral hypofunction. Participants with oral hypofunction were significantly more likely to have limited education, require long\u2010term care, not use transportation, depend on others for shopping, not participate in events, lack association membership and not engage in charity or volunteer work. After logistic regression analysis, \u2018long\u2010term care\u2019 and \u2018no association membership\u2019 remained significantly associated with oral hypofunction (odds ratios 2.3, 2.3; 95% CI 1.1\u20135.0, 1.1\u20134.7, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants with oral hypofunction faced challenges in \u2018general resources\u2019 and \u2018social behaviour\/activities\u2019, which were linked to oral function issues. Future longitudinal studies are necessary to further investigate this relationship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13803","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T23:49:45Z","timestamp":1721778585000},"page":"2150-2157","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Oral hypofunction and social aspects in older adults visiting frailty outpatient clinic"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5089-1951","authenticated-orcid":false,"given":"Koki","family":"Kawamura","sequence":"first","affiliation":[{"name":"Department of Rehabilitation National Center for Geriatrics and Gerontology  Obu Aichi Japan"},{"name":"Department of Palliative and Supportive Medicine, Graduate School of Medicine Aichi Medical University  Nagakute Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7132-7818","authenticated-orcid":false,"given":"Keisuke","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Medicine, Graduate School of Medicine Aichi Medical University  Nagakute Aichi Japan"},{"name":"Nutrition Therapy Support Center Aichi Medical University Hospital  Nagakute Aichi Japan"},{"name":"Department of Geriatric Medicine, Hospital National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuzo","family":"Miyahara","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Hospital National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0244-1953","authenticated-orcid":false,"given":"Akio","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Medicine, Graduate School of Medicine Aichi Medical University  Nagakute Aichi Japan"},{"name":"Department of Health Science, Faculty of Health and Human Development Nagano University  Nagano\u2010shi Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuma","family":"Sakaguchi","sequence":"additional","affiliation":[{"name":"Palliative Care Center Aichi Medical University  Nagakute Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuria","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Medicine, Graduate School of Medicine Aichi Medical University  Nagakute Aichi Japan"},{"name":"Department of Nutrition Aichi Medical University Hospital  Nagakute Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Kagaya","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasumoto","family":"Matsui","sequence":"additional","affiliation":[{"name":"Center for Frailty and Locomotive Syndrome, National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidenori","family":"Arai","sequence":"additional","affiliation":[{"name":"National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoharu","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Medicine, Graduate School of Medicine Aichi Medical University  Nagakute Aichi Japan"},{"name":"Palliative Care Center Aichi Medical University  Nagakute Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization.Integrated Care for Older People (ICOPE): Guidance for Person\u2010Centred Assessment and Pathways in Primary Care.2019. 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