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SPRING","award":["JPMJSP2114"],"award-info":[{"award-number":["JPMJSP2114"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Oral health is essential for nutritional status; however, little is known about its association with weight change. This study aimed to investigate whether the risk of weight change differs according to the presence of each important component of oral hypofunction (fewer remaining teeth, low chewing efficiency, swallowing problems, and xerostomia) among independent older adults. This was a three-year follow-up cohort study based on self-reported questionnaires. The participants were independent older adults aged \u226565 from the Japan Gerontological Evaluation Study (JAGES). We used &gt;5% weight loss\/gain during follow-up as the outcome variables, and the number of remaining teeth (\u226520\/10\u201319\/0\u20139), the presence of chewing difficulty, swallowing problems, and xerostomia (yes\/no) as the exposure variables. We fitted the Poisson regression model, including possible confounders to estimate the risk ratios (RRs) and 95% confidence intervals (CIs). For weight loss, RRs were significantly higher among those with 0\u20139 remaining teeth (RR = 1.17; 95% CI = 1.11\u20131.23), chewing difficulty (RR = 1.12; 95% CI = 1.07\u20131.16), and xerostomia (RR = 1.11; 95% CI = 1.06\u20131.16), but there was no significant association with swallowing problems (RR = 1.01; 95% CI = 0.97\u20131.06). For weight gain, we also found similar associations with oral hypofunction. Oral hypofunction among older adults could have non-negligible health impacts on nutritional status.<\/jats:p>","DOI":"10.3390\/nu15204370","type":"journal-article","created":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T10:47:32Z","timestamp":1697366852000},"page":"4370","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Oral Hypofunction and Risk of Weight Change among Independent Older Adults"],"prefix":"10.3390","volume":"15","author":[{"given":"Chihiro","family":"Shiota","sequence":"first","affiliation":[{"name":"Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8683-4484","authenticated-orcid":false,"given":"Taro","family":"Kusama","sequence":"additional","affiliation":[{"name":"Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"},{"name":"Division of Statistics and Data Science, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"},{"name":"Division of Statistics and Data Science, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakura","family":"Kiuchi","sequence":"additional","affiliation":[{"name":"Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"},{"name":"Frontier Research Institute for Interdisciplinary Sciences, Tohoku University, Sendai 980-8578, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Osaka","sequence":"additional","affiliation":[{"name":"Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.maturitas.2019.05.006","article-title":"Prevalence of Protein-Energy Malnutrition Risk in European Older Adults in Community, Residential and Hospital Settings, According to 22 Malnutrition Screening Tools Validated for Use in Adults \u226565 Years: A Systematic Review and Meta-Analysis","volume":"126","author":"Verwijs","year":"2019","journal-title":"Maturitas"},{"key":"ref_2","first-page":"718","article-title":"Unintentional Weight Loss in Older Adults","volume":"89","author":"Gaddey","year":"2014","journal-title":"Am. 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