Association between declines in objective masticatory performance and salivary stress markers: The Suita study.

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Abstrakt

Tytuł:: Association between declines in objective masticatory performance and salivary stress markers: The Suita study.
Autorzy:: Kosaka T; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan.
Ono T; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan.; Division of Comprehensive Prosthodontics, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Kida M; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan.
Fushida S; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan.
Nokubi T; Osaka University, Suita, Japan.
Kokubo Y; Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Watanabe M; Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Higashiyama A; Department of Hygiene, Wakayama Medical University, Wakayama, Japan.
Miyamoto Y; Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.; Open Innovation Center, National Cerebral and Cardiovascular Center, Suita, Japan.
Ikebe K; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan.
Źródło:: Journal of oral rehabilitation [J Oral Rehabil] 2021 May; Vol. 48 (5), pp. 575-581. Date of Electronic Publication: 2021 Jan 26.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford, Blackwell Scientific Publications.
MeSH Terms:: Hydrocortisone*
Mastication*
Aged ; Biomarkers ; Humans ; Odds Ratio ; Saliva ; Urban Population
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Grant Information:: 22-4-5 National Cerebral and Cardiovascular Center; 27-4-3 National Cerebral and Cardiovascular Center; 20390489 Ministry of Education, Science, and Culture of Japan; 23390441 Ministry of Education, Science, and Culture of Japan; 26293411 Ministry of Education, Science, and Culture of Japan
Contributed Indexing:: Keywords: cortisol; geriatric dentistry; interleukin-6; mastication; saliva; stress
Substance Nomenclature:: 0 (Biomarkers)
WI4X0X7BPJ (Hydrocortisone)
Entry Date(s):: Date Created: 20210112 Date Completed: 20210414 Latest Revision: 20210414
Update Code:: 20240105
DOI:: 10.1111/joor.13146
PMID:: 33432636
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Dentists often encounter patients suffering from psychological and social stress due to declines in masticatory performance, making this a critical issue to manage. We aimed to clarify the relationships between salivary stress markers as objective indices of chronic stress and objective masticatory performance in a general urban Japanese population. Data from 880 participants (mean age, 65.8 years) in the Suita study were used. Salivary interleukin (IL)-6 and cortisol concentrations were measured by enzyme-linked immunosorbent assay. Objective masticatory performance was determined by measuring the increase in surface area test gummy jelly after 30 times chewing. Participants were divided into two groups based on masticatory performance: a decreased group (lowest quartile) and a non-decreased group (second to fourth quartiles). Odds ratios (ORs) of higher salivary levels of stress markers (highest quartile) according to masticatory performance were estimated using logistic regression analysis adjusting for age, sex, periodontal status, salivary flow rate and smoking habit. Salivary IL-6 level was significantly higher in the decreased group than in the non-decreased group. Logistic regression analysis showed the adjusted OR for higher salivary IL-6 was significantly higher in the decreased group than in the non-decreased group (OR = 1.92; 95% confidence interval = 1.33-2.76; P < .001). No significant associations were found between salivary cortisol and decreased masticatory performance in any analyses. Declines in objective masticatory performance may correlate with higher salivary IL-6 level as an objective index of chronic stress.
(© 2021 John Wiley & Sons Ltd.)

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