{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T08:10:42Z","timestamp":1783930242700,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>N\u2010terminal pro\u2010B\u2010type natriuretic peptide (NT\u2010proBNP) is an established biomarker for cardiac stress and is strongly linked to systemic skeletal muscle wasting. While maximum tongue pressure (MTP) serves as a critical indicator of oral functional reserve, the specific relationship between cardiac dysfunction and lingual motor function remains underexplored. This study aimed to investigate the association between NT\u2010proBNP levels and maximum tongue pressure in patients after cardiac surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, we enrolled 488 patients who had undergone cardiac surgery. Maximum tongue pressure was measured using the TPS\u2010100 device between 8 h and 24\u2009h after endotracheal extubation. The association between log\u2010transformed NT\u2010proBNP and maximum tongue pressure was assessed using multivariable linear regression analysis adjusting for potential confounders, and subgroup analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 56.7\u2009\u00b1\u200914.1\u2009years. Multivariable analysis indicated that higher log\u2010transformed NT\u2010proBNP levels were significantly associated with lower maximum tongue pressure (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22123.091, 95% CI: \u22125.174 to \u22121.008,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). Subgroup analyses revealed significant interactions for age (\n                      <jats:italic>p<\/jats:italic>\n                      for interaction\u2009=\u20090.024) and intubation duration (\n                      <jats:italic>p<\/jats:italic>\n                      for interaction\u2009=\u20090.036); specifically, this inverse association was more pronounced in patients aged \u2265\u200960\u2009years and those with prolonged endotracheal intubation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Elevated postoperative NT\u2010proBNP is independently associated with decreased maximum tongue pressure, particularly in older patients and those subject to prolonged intubation. Postoperative NT\u2010proBNP monitoring may facilitate early identification of patients at risk for reduced tongue muscle strength.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70204","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T12:16:46Z","timestamp":1775823406000},"page":"1457-1465","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Association of\n                    <scp>NT<\/scp>\n                    \u2010\n                    <scp>proBNP<\/scp>\n                    With Maximum Tongue Pressure After Cardiac Surgery: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8085-9484","authenticated-orcid":false,"given":"Aimin","family":"Shao","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yilei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiou","family":"Xia","sequence":"additional","affiliation":[{"name":"Nursing School Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8974-3983","authenticated-orcid":false,"given":"Tingting","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Xinhua Hospital School of Medicine, Shanghai Jiao Tong University  Shanghai 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