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Impact of the Comprehensive Awareness Modification of Mouth, Chewing and Meal (CAMCAM) Program on the Attitude and Behavior Towards Oral Health and Eating Habits as Well as the Condition of Oral Frailty: A Pilot Study
Tokyo Medical and Dental University, Japan.
Matsumoto Dental University, Japan.
Food Care Co Ltd, Japan.
University of Tokyo, Japan.
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2023 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 27, no 5, p. 340-Article in journal (Refereed) Published
Abstract [en]

Objectives: Preserving sufficient oral function and maintaining adequate nutrition are essential for preventing physical frailty and the following long-term care. We recently developed the 6-month Comprehensive Awareness Modification of Mouth, Chewing And Meal (CAMCAM) program, in which participants gather monthly to learn about oral health and nutrition while eating a textured lunch together. This study examined whether the CAMCAM program could improve attitude and behavior towards oral health, mastication, and diet as well as ameliorate oral frailty in community-dwelling older adults. Design: Single-arm pre-post comparison study. Setting and Participants: A total of 271 community-dwelling adults (72.3 ± 5.7 years of age; 159 women [58.7%]) in 4 Japanese municipalities were recruited, of which 249 participants (92%) were assessed at the final evaluation. Intervention: Participants gathered once a month at community centers to learn about oral health and nutrition while eating a “munchy” textured lunch containing proper nutrition. Measurements: Oral frailty, frailty, and eating behavior were evaluated with the Oral Frailty Index-8 (OFI-8), Kihon checklist (KCL), and CAMCAM checklist, respectively. Participants were divided into Oral frailty (OF) and Robust groups according to OFI-8 scores. The differences in KCL and CAMCAM checklist results between the OF and Robust groups were statistically tested along with changes in scores after the program. Results: KCL and CAMCAM checklist scores were significantly lower in the OF group at the initial assessment. OFI-8 and KCL findings were significantly improved in the OF group after completing the program (all P <0.05). Regarding the CAMCAM checklist, awareness of chewing improved significantly in the Robust group (P=0.009), with a similar tendency in the OF group (P=0.080). Conclusion: The findings of this pilot study suggest that the CAMCAM program may improve both oral and systemic frailty in addition to attitudes towards chewing, oral health, and meals, especially in individuals with oral frailty. The CAMCAM program merits expansion as a community-based frailty prevention program. 

Place, publisher, year, edition, pages
Springer-Verlag Italia s.r.l. , 2023. Vol. 27, no 5, p. 340-
Keywords [en]
frailty, nutrition, Oral frailty, oral frailty prevention program, textured lunch
National Category
Dentistry Geriatrics Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:ri:diva-64856DOI: 10.1007/s12603-023-1913-1Scopus ID: 2-s2.0-85158159740OAI: oai:DiVA.org:ri-64856DiVA, id: diva2:1758123
Note

This work was supported by the Japan Science and Technology Agency (JST) program SICORP (grant number JPMJSC1813), Japan.

Available from: 2023-05-22 Created: 2023-05-22 Last updated: 2023-06-09Bibliographically approved

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Stading, Mats

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