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
Journal article, 2023

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.

frailty

Oral frailty

textured lunch

nutrition

oral frailty prevention program

Author

R. Hidaka

Tokyo Medical and Dental University

Y. Masuda

Matsumoto Dental University

K. Ogawa

Food Care Co. Ltd.

T. Tanaka

University of Tokyo

M. Kanazawa

Tokyo Medical and Dental University

K. Suzuki

University of Tsukuba

Mats Stading

RISE Research Institutes of Sweden

Chalmers, Industrial and Materials Science, Engineering Materials

K. Iijima

University of Tokyo

Koichiro Matsuo

Tokyo Medical and Dental University

Journal of Nutrition, Health and Aging

1279-7707 (ISSN) 17604788 (eISSN)

Vol. 27 5 340-347

Subject Categories

Geriatrics

Dentistry

DOI

10.1007/s12603-023-1913-1

PubMed

37248757

More information

Latest update

3/15/2024