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The significance of the repetition saliva swallow test for predicting pneumonia death

Research Project

Project/Area Number 17K12017
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social dentistry
Research InstitutionKyushu Dental College

Principal Investigator

Fukuhara Masayo  九州歯科大学, 歯学部, 教授 (90360057)

Co-Investigator(Kenkyū-buntansha) 安細 敏弘  九州歯科大学, 歯学部, 教授 (80244789)
岩崎 正則  九州歯科大学, 歯学部, 准教授 (80584614)
中道 郁夫  九州歯科大学, 歯学部, 准教授 (60419570)
藤澤 律子  九州歯科大学, 歯学部, 助教 (50419587)
井手 均  九州歯科大学, 歯学部, 特別研修員 (10795537)
園木 一男  九州歯科大学, 歯学部, 教授 (50316155)
粟野 秀慈  九州歯科大学, 歯学部, 教授 (20301442)
秋房 住郎  九州歯科大学, 歯学部, 教授 (40295861)
邵 仁浩  九州歯科大学, 歯学部, 教授 (10285463)
Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords高齢者 / コホート研究 / 嚥下障害 / 反復唾液嚥下テスト / 肺炎 / 呼吸器感染症 / 死亡
Outline of Final Research Achievements

In 1998,827 80-year-01d residents of Fukuoka Prefecture participated the dental and  medical examination, which included the repetitive saliva swallowing test (RSST). The RSST is a safe and simple screening method for the swallowing function and evaluates how many times people can swallow in 30 seconds. Less than 3 cycles is considered as abnormal. We followed up 822, who completed the RSST, and investigated the association between dysphagia and mortality rate from pneumonia. For 12 years 504 died. Eighty-one died of pneumonia. Kaplan-Meier method showed the mortality rate from pneumonia was significantly higher in the subjects with dysphagia compared to the subjects without dysphagia (p<0.05).In Cox proportional hazard model,dysphagia is a significant and independent risk factor for death of respiratory disease(hazard ratio 1.6). The mortality rate from pneumonia was significantly higher in the subjects with dysphagia evaluated by RSST.

Academic Significance and Societal Importance of the Research Achievements

嚥下機能検査としては、様々あるが、侵襲的なものが多い。非侵襲的な嚥下機能スクリーニング検査として、反復唾液嚥下テスト(RSST)がある(Kubota T et al, General Rehabilitaiton, 1982)。反復唾液嚥下テストが、肺炎の発症あるいは死亡を予測するかの検討が行われているが、多くは脳卒中患者や施設入所者での検討である。
本研究は、福岡県8020追跡コホートを用いて、反復唾液嚥下テストで評価した嚥下障害と死亡との関連を検討し、肺炎の死亡の予測因子としての反復唾液嚥下テストの意義を示した。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (29 results)

All 2023 2022 2021 2020 2019 2018 2017

All Journal Article (15 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 15 results,  Open Access: 9 results) Presentation (14 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] A Cross-sectional Study of the Association between Kasanetabe and Periodontal Disease among Male Japanese Workers2023

    • Author(s)
      岩崎 正則, 福原 正代, 大田 祐子, 藤澤 律子, 角田 聡子, 片岡 正太, 茂山 博代, 正木 千尋, 安細 敏弘, 細川 隆司
    • Journal Title

      JOURNAL OF DENTAL HEALTH

      Volume: 73 Issue: 1 Pages: 42-50

    • DOI

      10.5834/jdh.73.1_42

    • ISSN
      0023-2831, 2189-7379
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 日本女性科学者の会 第14回学術大会「多様性~研究の多様性、異文化交流~」2023

    • Author(s)
      小川由起子、福原正代、城崎由紀.
    • Journal Title

      日本女性科学者の会雑誌

      Volume: 23 Pages: 43-52

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Relationship between casual serum triglyceride levels and the development of hypertension in Japanese.2021

    • Author(s)
      Tomita Y, Sakata S, Arima H, Yamato I, Ibaraki A, Ohtsubo T, Matsumura K, Fukuhara M, Goto K, Kitazono T.
    • Journal Title

      J Hypertens.

      Volume: 39 Issue: 4 Pages: 677-682

    • DOI

      10.1097/hjh.0000000000002693

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Tongue cleaning maintains respiratory function in older individuals: A 1-year randomised controlled trial.2021

    • Author(s)
      Izumi M, Sonoki K, Ohta Y, Fukuhara M, Nagata M, Akifusa S.
    • Journal Title

      J Oral Rehabil.

      Volume: 48 Issue: 6 Pages: 730-737

    • DOI

      10.1111/joor.13165

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relationship between salt intake and sleep disordered breathing in dialysis patients2021

    • Author(s)
      Ohta Y, Yamaguchi M, Yoshimoto M, Kanesaki M, Nosaka H, Tsuruta H, Nakamura H, Fukuhara M, Kawano Y.
    • Journal Title

      Clin Exp Nephrol.

      Volume: 25 Issue: 12 Pages: 1354

    • DOI

      10.1007/s10157-021-02106-8

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of tongue pressure and peak expiratory flow rate on nutritional status of older residents of nursing homes in Japan: a cross-sectional study.2020

    • Author(s)
      Izumi M, Sonoki K, Ohta Y, Fukuhara M, Nagata M, Akifusa S.
    • Journal Title

      J Nutr Health Aging.

      Volume: 24 Issue: 5 Pages: 512-517

    • DOI

      10.1007/s12603-020-1347-y

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 10.1111/joor.130392020

    • Author(s)
      Kawashima Bori F, Fukuhara M, Masaki C, Ohta Y, Nakamichi I, Sakata S, Goto K, Kataoka S, Kakuta S, Iwasaki M, Ansai T, Hosokawa R.
    • Journal Title

      J Oral Rehabil.

      Volume: 47 Issue: 9 Pages: 1142-1149

    • DOI

      10.1111/joor.13039

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Reduced estimated GFR and cardiac remodeling: a population-based autopsy study.2019

    • Author(s)
      Izumaru K, Hata J, Nakano T, Nakashima Y, Nagata M, Fukuhara M, Oda Y, Kitazono T, Ninomiya T.
    • Journal Title

      Am J Kidney Dis

      Volume: 74 Issue: 3 Pages: 373-381

    • DOI

      10.1053/j.ajkd.2019.02.013

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] R educed estimated GFR and cardiac remodeling: a population-based autopsy study.2019

    • Author(s)
      Izumaru K, Hata J, Nakano T, Nakashima Y, Nagata M, Fukuhara M, Oda Y, Kitazono T, Ninomiya T.
    • Journal Title

      Am J Kidney Dis

      Volume: 73

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of Diabetes Mellitus and Osteoporosis on Life Prognosis of 80-Year-Old Subjects in Japanese General Population2018

    • Author(s)
      園木 一男、邵 仁浩、濱嵜 朋子、秋房 住郎、福原 正代、粟野 秀慈、安細 敏弘
    • Journal Title

      Journal of the Japan Diabetes Society

      Volume: 61 Issue: 11 Pages: 757-764

    • DOI

      10.11213/tonyobyo.61.757

    • NAID

      130007538146

    • ISSN
      0021-437X, 1881-588X
    • Year and Date
      2018-11-30
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Day-to-Day Blood Pressure Variability and Risk of Dementia in a General Japanese Elderly Population: The Hisayama Study.2017

    • Author(s)
      Oishi E, Ohara T, Sakata S, Fukuhara M, Hata J, Yoshida D, Shibata M, Ohtsubo T, Kitazono T, Kiyohara Y, Ninomiya T.
    • Journal Title

      Circulation

      Volume: 136 Issue: 6 Pages: 516-525

    • DOI

      10.1161/circulationaha.116.025667

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] White-coat and masked hypertension are associated with albuminuria in a general population: the Hisayama Study.2017

    • Author(s)
      Hata J, Fukuhara M, Sakata S, Arima H, Hirakawa Y, Yonemoto K, Mukai N, Kitazono T, Kiyohara Y, Ninomiya T
    • Journal Title

      Hypertens Res

      Volume: 40 Issue: 11 Pages: 937-943

    • DOI

      10.1038/hr.2017.74

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Morning and Evening Blood Pressures Are Associated With Intima-Media Thickness in a General Population ― The Hisayama Study ―2017

    • Author(s)
      Sakata S, Hata J, Fukuhara, M, Yonemoto, K, Mukai N, Yoshida D, Kishimoto H, Ohtsubo T, Kitazono T, Kiyohara Y, Ninomiya T
    • Journal Title

      Circulation Journal

      Volume: 81 Issue: 11 Pages: 1647-1653

    • DOI

      10.1253/circj.CJ-16-1306

    • NAID

      130006179861

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The Impact of Diabetes Mellitus on Mortality in Japanese Individuals Who Are 80 Years Old in the General Population2017

    • Author(s)
      園木 一男, 秋房 住郎, 福原 正代, 邵 仁浩, 粟野 秀慈, 安細 敏弘
    • Journal Title

      Journal of the Japan Diabetes Society

      Volume: 60 Issue: 8 Pages: 515-523

    • DOI

      10.11213/tonyobyo.60.515

    • NAID

      130006026495

    • ISSN
      0021-437X, 1881-588X
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of periodontal disease and diabetes mellitus on the life prognosis in an 80-year-old community population2017

    • Author(s)
      田上 綾香, 園木 一男, 秋房 住郎, 福原 正代, 粟野 秀慈, 角田 聡子, 邵 仁浩, 岩崎 正則, 安細 敏弘.
    • Journal Title

      Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology)

      Volume: 59 Issue: 1 Pages: 19-27

    • DOI

      10.2329/perio.59.19

    • NAID

      130006825063

    • ISSN
      0385-0110, 1880-408X
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 口腔外科処置時の留意点、内科医の立場から2022

    • Author(s)
      福原正代
    • Organizer
      第33回西日本臨床小児口腔外科学会総会・学術大会
    • Related Report
      2022 Annual Research Report
    • Invited
  • [Presentation] 維持透析患者における透析中の血圧変動が予後に及ぼす影響.2021

    • Author(s)
      大田祐子,福原正代、金崎麻紀、鶴田宏、野坂秀行、中村秀敏、河野雄平.
    • Organizer
      第43回日本高血圧学会
    • Related Report
      2021 Research-status Report
  • [Presentation] バス運転手における糖尿病, 不眠度, 食習慣および歯周病との関連(第一報).2019

    • Author(s)
      芹田 千穂, 片岡 正太, 正木 千尋, 廣島屋 貴俊, 角田 聡子, 福原 正代, 正木 千尋, 岩崎 正則, 安細 敏弘.
    • Organizer
      第68回日本口腔衛生学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] バス運転手を対象とした咀嚼機能と栄養摂取に関する横断研究.2019

    • Author(s)
      川島 芙蓉子, 正木 千尋, 福原 正代, 角田 聡子, 片岡 正太, 岩崎 正則, 安細 敏弘, 細川 隆司.
    • Organizer
      第41回九州口腔衛生学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 喫煙習慣が高血圧発症に及ぼす影響:職域集団での検討.2019

    • Author(s)
      寒水 康雄, 松村 潔, 茨木 愛,富田 祐亮, 大和 いくみ, 清原 嘉奈子, 大石 絵美, 坂田 智子,大田 祐子, 後藤 健一, 有馬 久富, 福原 正代, 大星 博明, 北園 孝成.
    • Organizer
      第42回日本高血圧学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 日本人職域集団におけるBMIと高血圧発症の関連について.2019

    • Author(s)
      大和 いくみ, 坂田 智子, 大石 年訓, 富田 祐亮, 茨木 愛, 後藤 健一, 大坪 俊夫, 松村 潔, 有馬 久富, 福原 正代, 北園 孝成.
    • Organizer
      第42回日本高血圧学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 日本人職域集団において随時血中トリグリセライド高値は高血圧発症を増加させた.2019

    • Author(s)
      富田 祐亮, 坂田 智子, 大石 年訓, 大和 いくみ, 茨木 愛, 後藤 健一, 大坪 俊夫, 松村 潔, 有馬 久富, 福原 正代, 北園 孝成.
    • Organizer
      第42回日本高血圧学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] Relationship between salt intake and sleep djsordered breathing in dialysis patients.2018

    • Author(s)
      Ohta Y, Yamaguchi M, Honda Y, Yoshimoto M, Kanesaki M,Nosaka H,Tsuruta H,Nakamura H,Fukuhara M,Kawano Y. Barcelona, Spain, 2018/6/8-11
    • Organizer
      28th European meeting on hypertension and cardiovascular protection,
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 高感度CRPが高血圧発症に及ぼす影響 職域集団での検討.2018

    • Author(s)
      寒水 康雄, 松村 潔, 守永 友希, 清原 嘉奈子, 坂田 智子, 富田 祐亮, 大田 祐子, 後藤 健一, 福原 正代, 大坪 俊夫, 大星 博明, 北園 孝成.
    • Organizer
      第7回臨床高血圧フォーラム
    • Related Report
      2018 Research-status Report
  • [Presentation] 80歳地域住民における糖尿病と骨密度の生命予後への影響.2018

    • Author(s)
      園木 一男, 邵 仁浩, 秋房 住郎, 福原 正代, 粟野 秀慈, 安細 敏弘.
    • Organizer
      第61回日本糖尿病学会年次学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 血圧変動評価と臓器障害 家庭血圧の日間変動と認知症との関連 久山町研究.2018

    • Author(s)
      大石 絵美, 小原 知之, 坂田 智子, 福原 正代, 秦 淳, 吉田 大悟, 柴田 舞欧, 大坪 俊夫, 北園 孝成, 清原 裕, 二宮 利治.
    • Organizer
      第41回日本高血圧学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 家庭血圧の日間変動と認知症との関連 久山町研究(Day-to-day blood pressure variability and risk of dementia in a general Japanese elderly population: the Hisayama Study).2018

    • Author(s)
      大石 絵美, 小原 知之, 坂田 智子, 福原 正代, 秦 淳, 吉田 大悟, 柴田 舞欧, 大坪 俊夫, 北園 孝成, 清原 裕, 二宮 利治.
    • Organizer
      第41回日本高血圧学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 維持透析外来患者における食塩摂取量と睡眠呼吸障害との関連性.2017

    • Author(s)
      大田 祐子、山口 未樹、本田 友里恵、吉本 美紀子、金崎 麻紀、野坂 秀行、鶴田 宏、中村 秀敏、福原 正代、河野 雄平
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 長期的血圧変動に及ぼす睡眠時無呼吸症候群の影響: 職域集団における検討.2017

    • Author(s)
      寒水 康雄、松村 潔、守永 友希、井上 美奈子、坂田 智子、大石 絵美、後藤 健一、福原 正代、大坪 俊夫、大星 博明、北園 孝成.
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2024-01-30  

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