Maximum occlusal force and physical performance in the oldest old: The Tokyo oldest old survey on total health

Toshimitsu Iinuma, Yasumichi Arai, Motoko Fukumoto, Michiyo Takayama, Yukiko Abe, Keiko Asakura, Yuji Nishiwaki, Toru Takebayashi, Takashi Iwase, Kazuo Komiyama, Nobuhito Gionhaku, Nobuyoshi Hirose

Research output: Contribution to journalArticlepeer-review

85 Citations (Scopus)


Objectives To elucidate the independent relationship between masticatory and physical performance in community-living oldest old people (mean age ± standard deviation 87.8 ± 2.2, range 85-102). Design Cross-sectional analysis. Setting University research center or home-based examination. Participants Four hundred eighty-nine community-living individuals (219 men, 270 women) aged 85 and older. Measurements Maximum occlusal force (MOF) was measured using an occlusal force measuring device. Sociodemographic and functional factors, oral health, comorbidities, blood chemistry, lower extremity performance, and handgrip strength were assessed. Blood chemistry analyses included serum albumin, C-reactive protein, interleukin (IL)-6, and total and free testosterone. Results MOF was significantly associated with age, body mass index, and cognitive impairment in men but not in women. Comorbidities and blood chemistry were not associated with MOF except for a significant association with IL-6 concentration in women. In a multivariate model adjusted for various confounders, lower MOF was associated with greater risk for poor performance on the timed up and go (TUG) test in men and women (men: odds ratio (OR)=2.34, 95% confidence interval (CI)=1.02-5.38; women: OR=2.44, 95% CI=1.12-5.33). MOF was similarly associated with performance in chair standing, one-leg standing, and handgrip strength only in men. These associations remained after adjustment for number of natural teeth. Conclusion MOF was strongly and independently associated with all measures of physical performance in men and with the TUG test in women after adjustment for various confounders, suggesting that age-related declines in masticatory and skeletal muscle functions share common mechanistic pathways in older age, particularly in men.

Original languageEnglish
Pages (from-to)68-76
Number of pages9
JournalJournal of the American Geriatrics Society
Issue number1
Publication statusPublished - 2012 Jan


  • interleukin-6
  • occlusal force
  • oldest old
  • physical performance
  • sarcopenia

ASJC Scopus subject areas

  • Geriatrics and Gerontology


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