Publications by authors named "Hagino H"

Purpose: Although the association between oral health and physical frailty is well established, psychological frailty has not been investigated. Therefore, this prospective cohort study was conducted to examine the association between masticatory performance and psychological frailty in older community-dwelling Japanese individuals.

Methods: The participants included 498 older adults who completed baseline and 3- and 6-year follow-up surveys.

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Article Synopsis
  • The study investigated the link between oral function and mental health among older adults in Japan, focusing on the roles of fruit and vegetable consumption and social interactions.
  • Involving 478 participants aged 75 and older, the research used structural equation modeling to show that better oral function positively impacts mental health status, while fruit and vegetable intake and social interactions serve as mediators in this relationship.
  • Results indicated a direct association between oral function and mental health, but the mediation analysis showed that the relationship was primarily indirect, driven by dietary habits and social engagement.
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Unlabelled: The association of renal function with fracture incidence during teriparatide or alendronate treatment in elderly Japanese women was examined. Fracture incidence differed by fracture type, renal function, and treatment protocol. The results provide important information on pharmacotherapy in clinical practice for osteoporosis.

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Introduction: To identify predictors of discontinuing treatment with teriparatide (TPTD) and alendronate (ALN), data from a randomized, controlled trial (JOINT-05) involving postmenopausal Japanese women at high risk of fracture were re-analyzed.

Materials And Methods: Participants received sequential therapy with once-weekly TPTD for 72 weeks followed by ALN for 48 weeks (TPTD-ALN group) or monotherapy with ALN for 120 weeks (ALN group). Background data including comorbidities, fracture prevalence, cognitive function, quality of life, activities of daily living, bone metabolism parameters, and nutrient intake were collected.

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Introduction: The purpose of this study was to evaluate whether bone mineral density (BMD) ≥ -2.5 SD could be used as the treat-to-target (T2T) goal when treating osteoporosis with teriparatide (TPTD) and alendronate (ALN), and to investigate the relationship with incident vertebral fracture by re-analyzing data from a randomized, controlled trial (JOINT-05) involving postmenopausal Japanese women at high fracture risk.

Materials And Methods: Participants received sequential therapy with once-weekly TPTD for 72 weeks, followed by ALN for 48 weeks (TPTD-ALN group) or ALN monotherapy for 120 weeks (ALN group).

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Objectives: This study aimed to investigate the association between the number of teeth, food intake, and cognitive function in Japanese community-dwelling older adults.

Methods: This 9-year longitudinal study included a total of 293 analyzable participants who participated in baseline and follow-up surveys. Dental status (number of teeth and periodontal pocket depth), dietary assessment using the brief-type self-administered diet history questionnaire, cognitive function, and the following confounding factors were evaluated: educational level, financial satisfaction, living situation, smoking and drinking habits, history of chronic diseases, apolipoprotein E-ε4 carrier, body mass index, handgrip strength, instrumental activities of daily living, and depressive symptomatology.

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No reports of longitudinal studies on phase angle (PhA) in lumbar spinal stenosis (LSS) exist, and its association with postoperative clinical outcomes is unclear. We longitudinally investigated PhA in patients with LSS preoperatively to 12 months postoperatively and determined the association between PhA and the Japanese Orthopedic Association (JOA) score. This prospective observational study included patients who underwent consecutive surgical treatments for clinically and radiologically defined LSS.

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Article Synopsis
  • Japan faces a rising challenge with hip fractures due to an aging population, prompting the health ministry to implement a new reimbursement scheme in April 2022 to improve care.
  • The Japan National Hip Fracture Database (JNHFD), launched by Fragility Fracture Network-Japan in 2017, aimed to gather data on hip fracture care across hospitals, revealing delays in surgery and inadequate post-fracture treatment.
  • The new reimbursement scheme emphasizes timely surgery and effective secondary fracture prevention, which is expected to enhance both immediate and follow-up care for hip fracture patients in Japan.
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Objective: To investigate the clinical characteristics of patients who presented with concomitant carpal tunnel syndrome (CTS) at the initial diagnosis with rheumatoid arthritis (RA).

Methods: We analyzed patients with newly diagnosed RA at a single institution between 2012 and 2021. Patient demographic and laboratory data, the 2010 ACR/EULAR classification criteria, and the duration from the initial visit to RA diagnosis were compared between RA patients with concomitant CTS (RA with CTS group) and those without CTS (RA without CTS group).

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Study Design: Cross-sectional cohort study.

Purpose: This study investigated the relationship among osteoporosis, sarcopenia, locomotive syndrome, and spinal kyphosis in older individuals living in a mountain area.

Overview Of Literature: Kyphosis greatly reduces the quality of life of older individuals.

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Introduction: To investigate the differences in the incidence rates of suspected stage 0/1 osteonecrosis of the jaw (ONJ) and incidence risk of relevant clinical findings of suspected stage 0 ONJ between patients treated with sequential therapy comprising weekly teriparatide for 72 weeks followed by alendronate for 48 weeks vs. those who received monotherapy with alendronate for 120 weeks.

Materials And Methods: Suspected stage 0/1 ONJ was defined by non-specific symptoms.

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  • The study investigates the relationship between changes in occlusal support (the contact of upper and lower teeth) and masticatory performance (ability to chew) over a 6-year period in older adults.
  • Researchers followed 488 participants aged 72-74, categorizing them based on their occlusal support status (complete, reduced, or collapsed) and found significant factors affecting chewing ability.
  • Results indicate that declining occlusal support is a key contributor to decreased chewing performance, emphasizing the importance of maintaining posterior occlusal support in older adults to enhance their ability to chew effectively.
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A thin patient with a history of eating disorders developed basicervical femoral neck fracture bilaterally and simultaneously due to vitamin D deficiency osteomalacia. A careful evaluation in thin patients with thigh pain, including bone biopsy, is required to avoid overlooking osteomalacia.

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Purpose: Individuals with impaired masticatory function tend to prefer soft foods, which results in decreased masticatory muscle activity. This study examined the association between the oral condition (number of teeth, occlusal force, and occlusal contact area) and dietary hardness using a daily dietary questionnaire.

Methods: This cross-sectional study evaluated 1841 participants aged 69-71 and 79-81 years.

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Sarcopenia and spinal spondylosis (SS) are important health challenges among older individuals; however, data regarding the effect of sarcopenia on SS are lacking. Hence, we aimed to organize the existing knowledge on the impact of sarcopenia on SS and explore potential issues in the available literature. We examined the trends and interventions regarding sarcopenia and SS, searching five databases (PubMed, Embase, CINHAL, Web of Science, and Cochrane Library) from inception to January 2023.

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  • A 2015 survey showed poor cooperation between physicians and dentists regarding medication-related osteonecrosis of the jaw (MRONJ) and revealed that stopping antiresorptive medication before tooth extraction didn’t prevent MRONJ but increased risks.
  • A 2022 follow-up survey involved 1227 responses, finding that a significant majority of physicians complied with dentists' requests to discontinue medications, yet there were still adverse events reported.
  • The study indicated improved cooperation between physicians and dentists since 2015, but highlighted the need for more consistent collaboration across different regions in Japan to effectively manage MRONJ, noting that discontinuation of antiresorptive agents may not be needed due to rising fracture rates.
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Unlabelled: A history of fracture in adulthood and urinary pentosidine levels were independently and significantly associated with fracture occurrence in this prospective observational study of community-dwelling older adults.

Purpose: This prospective observational study aimed to determine the factors associated with fragility fractures in community-dwelling older adults.

Methods: Overall, 254 older adults who were participants of the Good Aging and Intervention Against Nursing Care and Activity Decline study in 2016 were included in this study.

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Squamous cell carcinoma (SCC) is known to have less brain metastasis, but the reasons are not well established. Herein, we report the case of an 82-year-old man with recurrent cerebral hemorrhage of unknown cause ; upon brain biopsy, SCC was diagnosed infiltrating peripheral blood vessels of the brain and that it was state of micro-metastasis. It is possible that the blood-brain barrier blocked the infiltration of SCC into the brain parenchyma, and it did not form a mass in the brain parenchyma.

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Background: There are limited reports on the factors affecting the Forgotten Joint Score-12 (FJS-12) in patients after total hip arthroplasty (THA). Therefore, this study aimed to determine whether the quantity and quality of the preoperative psoas muscle are related to the FJS-12 in post-THA patients.

Methods: This retrospective cohort study used mailed questionnaires and medical records.

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Oxidative stress is an important cause of respiratory diseases associated with exposure to PM. Accordingly, acellular methods for assessing the oxidative potential (OP) of PM have been evaluated extensively for use as indicators of oxidative stress in living organisms. However, OP-based assessments only reflect the physicochemical properties of particles and do not consider particle-cell interactions.

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Fine particulate matter (PM2.5) exposure has a risk of inducing several health problems, especially in the respiratory tract. The skin is the largest organ of the human body and is therefore the primary target of PM2.

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The positive link between osteoporosis and hypercholesterolemia has been documented, and bone resorption inhibitors, such as nitrogen-containing bisphosphonates (N-BP) and selective estrogen receptor modulators (SERMs), are known to reduce serum cholesterol levels. However, the relationship between the baseline cholesterol level and incident fracture rate under the treatment using the bone resorption inhibitors has not been documented. We investigated the relation between vertebral fracture incident and the baseline cholesterol levels and cholesterol-lowering effect of N-BP and SERM in osteoporosis through a prospective randomized open-label study design.

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Article Synopsis
  • - The study investigates the link between oral health and psychological frailty, focusing on how maximal occlusal force (bite strength) relates to psychological wellbeing in older adults living in a community in Japan.
  • - Researchers defined psychological frailty using WHO-5 and MoCA-J scales, analyzing data from 1810 participants and narrowing it down to 344 matched individuals to compare psychological frailty and robustness groups.
  • - Findings indicate that those in the psychological frailty group had significantly lower maximal occlusal force compared to their psychologically robust counterparts, suggesting a potential connection between oral health and mental wellbeing.
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