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The Mass of Geniohyoid Muscle Is Associated with Maximum Tongue Pressure and Tongue Area in Patients with Sarcopenic Dysphagia

  • Published:
The journal of nutrition, health & aging

Abstract

Objectives

We investigated the associations about the mass of geniohyoid and tongue muscle and the maximum tongue pressure in patients with sarcopenic dysphagia using ultrasonography.

Design

Cross sectional study.

Setting

5 hospitals including 3 acute and 2 rehabilitation hospitals and 1 older facility.

Participants

36 inpatients with sarcopenic dysphagia.

Measurements

Ultrasonography was performed for geniohyoid muscle and tongue. The area for geniohyoid and tongue muscles in sagittal plane and the mean brightness level (0–255) in the muscle area were calculated. Maximum tongue pressure as strength of swallowing muscle were investigated. Partial correlation coefficient and multiple regression analysis adjusting for age and sex were performed.

Results

The mean age was 81.1 ± 7.9. Men were 23. The mean BMI was 19.0 ± 4.1. The mean maximum tongue pressure was 21.3 ± 9.3 kPa. The mean cross sectional area for geniohyoid muscles was 140 ± 47 mm2. The mean brightness for geniohyoid muscle was 18.6 ± 9.0. The mean cross sectional area for tongue muscles was 1664.1 ± 386.0 mm2. The mean brightness for tongue muscles was 34.1 ± 10.6. There was a significant positive correlation between area of geniohyoid muscle and maximum tongue pressure (r = 0.38, p = 0.04). Geniohyoid muscle area was an explanatory factor for maximum tongue pressure (p = 0.012) and tongue muscle area (p = 0.031) in multivariate analysis.

Conclusions

Geniohyoid muscle mass was an independent explanatory factor for maximum tongue pressure and tongue muscle mass.

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Acknowledgments

This work was supported by a grant from JSPS KAKENHI Grant Number 19H03979 (Hidetaka Wakabayashi). Takashi Mori, Nami Ogawa, Ichiro Fujishima, Fumiko Oshima, Masataka Itoda, Kenjiro Kunieda, Takashi Shigematsu, Shinta Nishioka, Haruka Tohara, Minora Yamada, Sumito Ogawa have nothing to disclose. This study has been performed in accordance with the ethical standards established in the 1964 Declaration of Helsinki and later amendments.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Southern Tohoku General Hospital, Koriyama-shi, Fukushima, Japan

    T. Mori

  2. Department of Rehabilitation Medicine, Tokyo Women’s Medical University Hospital, Japan, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, Japan, Code; 162-0054

    Hidetaka Wakabayashi

  3. Dysphagia Rehabilitation, Department of Gerontology and Gerodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan

    N. Ogawa & H. Tohara

  4. Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Naka-ku Hamamatsu-shi, Shizuoka, Japan

    I. Fujishima, K. Kunieda & T. Shigematsu

  5. Department of Rehabilitation Medicine, Suwa Red Cross Hospital, Suwa-shi, Nagano, Japan

    F. Oshima

  6. Department of Oral Rehabilitation, Osaka Dental University Hospital, Chuo-ku, Osaka, Japan

    M. Itoda

  7. Department of Neurology, Gifu University Graduate School of Medicine, Gifu-shi, Gifu, Japan

    K. Kunieda

  8. Department of Rehabilitation Medicine, Seirei Awaji Hospital, Awaji-shi, Hyogo, Japan

    T. Shigematsu

  9. Department of Clinical Nutrition and Food Services, Nagasaki Rehabilitation Hospital, Nagasaki-shi, Nagasaki, Japan

    S. Nishioka

  10. Graduate School of Comprehensive Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan

    M. Yamada

  11. Department of Geriatric Medicine, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan

    S. Ogawa

Authors
  1. T. Mori
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  4. I. Fujishima
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  12. S. Ogawa
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Corresponding author

Correspondence to Hidetaka Wakabayashi.

Ethics declarations

Disclosure statement: Hidetaka Wakabayashi reports grants from JSPS KAKENHI Grant Number 19H03979, during the conduct of the study. Takashi Mori, Nami Ogawa, Ichiro Fujishima, Fumiko Oshima, Masataka Itoda, Kenjiro Kunieda, Takashi Shigematsu, Shinta Nishioka, Haruka Tohara, Minora Yamada, Sumito Ogawa have nothing to disclose.

Ethical standards: Ethical committee of Hamamatsu city Rehabilitation Hospital was approved this study. All patients were informed by documents and provided written informed consent prior to enrollment.

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Mori, T., Wakabayashi, H., Ogawa, N. et al. The Mass of Geniohyoid Muscle Is Associated with Maximum Tongue Pressure and Tongue Area in Patients with Sarcopenic Dysphagia. J Nutr Health Aging 25, 356–360 (2021). https://doi.org/10.1007/s12603-020-1528-8

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  • DOI: https://doi.org/10.1007/s12603-020-1528-8

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