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Airflow limitation and tongue microbiota in community-dwelling elderly individuals

Toru Takeshita, Koichiro Matsumoto, Michiko Furuta, Satoru Fukuyama, Kenji Takeuchi, Hiroaki Ogata, Mikari Asakawa, Shinya Kageyama, Jun Hata, Toshiharu Ninomiya, Hiromasa Inoue, Yoshihisa Yamashita
ERJ Open Research 2021 7: 00616-2020; DOI: 10.1183/23120541.00616-2020
Toru Takeshita
1Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
2OBT Research Center, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
9These authors contributed equally to this work
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Koichiro Matsumoto
3Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
9These authors contributed equally to this work
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Michiko Furuta
1Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
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Satoru Fukuyama
3Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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Kenji Takeuchi
1Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
4Dept of Preventive medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
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Hiroaki Ogata
3Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
5Dept of Respiratory Medicine, National Hospital Organization Fukuoka National Hospital, Fukuoka, Japan
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Mikari Asakawa
1Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
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Shinya Kageyama
1Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
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Jun Hata
6Dept of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
7Center for Cohort Studies, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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Toshiharu Ninomiya
6Dept of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
7Center for Cohort Studies, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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Hiromasa Inoue
8Dept of Pulmonary Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
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Yoshihisa Yamashita
1Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
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  • For correspondence: yoshi@dent.kyushu-u.ac.jp
  • Article
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  • FIGURE 1
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    FIGURE 1

    Flow diagram of study participant selection.

  • FIGURE 2
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    FIGURE 2

    A principal coordinate analysis plot showing similarity relationships between bacterial composition of the tongue microbiota from 484 participants using unweighted (a) and weighted (b) UniFrac metric. The points corresponding to the participants with and without airflow limitation are depicted in different colours. The ellipses cover 67% of the samples belonging to each group.

  • FIGURE 3
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    FIGURE 3

    Adjusted odds ratio of bacterial amounts of three predominant operational taxonomic units (OTUs) for airflow limitation in logistic regression models. The bacterial amounts of each taxon were calculated by multiplying total bacterial density and the relative abundance of each OTU, and were classified into four categories based on quartile values (quartile 1 to quartile 4). A logistic regression model was constructed for each OTU for adjusting the effects of age, sex, body mass index, smoking intensity, alcohol intake, presence of decayed teeth and periodontal condition.

Tables

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  • Supplementary Materials
  • TABLE 1

    General and oral conditions of participants with and without airflow limitation

    Normal airflowAirflow limitationp-value
    Subjects n384100
    Age years74.8±2.975.8±3.00.002#
    Female226 (58.9)40 (40.0)<0.001¶
    Body mass index23.4±3.522.4±2.60.002#
    Smoking intensity<0.001¶
     Nonsmokers249 (64.8)41 (41.0)
     Moderate smokers54 (14.1)16 (16.0)
     Heavy smokers81 (21.1)43 (43.0)
    Current smokers16 (4.2)16 (16.0)<0.001¶
    Never drinkers148 (38.5)31 (31.0)0.164¶
    Physically active224 (58.3)60 (60.0)0.763¶
    Dental conditions
     Teeth n21.0±7.321.6±7.10.460#
     Subjects with decayed teeth69 (18.0)26 (26.0)0.071¶
     Caries-experienced teeth %66.7±26.164.7±24.70.486#
     Max plaque index1.2±0.71.1±0.70.616#
     Periodontal conditions+0.159¶
      No/mild264 (71.0)61 (61.0)
      Moderate/severe108 (29.0)35 (35.0)
     Edentulous individuals12 (3.1)4 (4.0)0.753§
    Tongue microbiota conditions
     Total bacterial density log copies8.3±0.58.4±0.40.015#
     Total bacterial densityƒ0.043¶
      Low201 (52.3)41 (41.0)
      High183 (47.7)59 (59.0)
     Total fungal density log copies4.0±0.63.9±0.60.727#

    Data are presented as mean±sd or n (%), unless otherwise stated. #: Student's t-test; ¶: Chi-squared test; +: only 468 dentulous individuals were included; §: Fisher's exact test; ƒ: stratified by median value.

    • TABLE 2

      Odds ratio for airflow limitation in logistic regression analysis

      Odds ratio
      Crude (95% CI)Adjusted (95% CI)#
      Age1.13 (1.05–1.22)**1.12 (1.04–1.21)**
      Male2.15 (1.38–3.38)***0.98 (0.45–2.10)
      Body mass index0.91 (0.84–0.97)**0.87 (0.80–0.94)***
      Smoking intensity
       Nonsmokers11
       Moderate smokers1.80 (0.92–3.39)+2.15 (0.91–5.05)
       Heavy smokers3.22 (1.97–5.31)***3.81 (1.73–8.80)**
      Never drinkers0.72 (0.44–1.13)+1.10 (0.62–1.95)
      Physically active1.07 (0.69–1.69)
      Teeth n1.01 (0.98–1.04)
      Presence of decayed teeth1.60 (0.95–2.67)+1.32 (0.74–2.30)
      Periodontal condition
       No/mild11
       Moderate/severe1.40 (0.87–2.24)+1.04 (0.62–1.73)
       Edentulous1.44 (0.39–4.30)1.31 (0.34–4.27)
      Total bacterial density on the tongue¶
       Low11
       High1.58 (1.02–2.48)*1.61 (1.01–2.60)*

      #: each odds ratio was adjusted by age, sex, body mass index, smoking intensity, alcohol intake, presence of decayed teeth and periodontal condition with p-values <0.2 in a bivariate analysis; ¶: stratified by median value; +: p<0.2; *: p<0.05; **: p<0.01; ***: p<0.001.

      Supplementary Materials

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        Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

        Supplementary material 00616-2020.SUPPLEMENT

        Figure S1 00616-2020.figureS1

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      Airflow limitation and tongue microbiota in community-dwelling elderly individuals
      Toru Takeshita, Koichiro Matsumoto, Michiko Furuta, Satoru Fukuyama, Kenji Takeuchi, Hiroaki Ogata, Mikari Asakawa, Shinya Kageyama, Jun Hata, Toshiharu Ninomiya, Hiromasa Inoue, Yoshihisa Yamashita
      ERJ Open Research Apr 2021, 7 (2) 00616-2020; DOI: 10.1183/23120541.00616-2020

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      Airflow limitation and tongue microbiota in community-dwelling elderly individuals
      Toru Takeshita, Koichiro Matsumoto, Michiko Furuta, Satoru Fukuyama, Kenji Takeuchi, Hiroaki Ogata, Mikari Asakawa, Shinya Kageyama, Jun Hata, Toshiharu Ninomiya, Hiromasa Inoue, Yoshihisa Yamashita
      ERJ Open Research Apr 2021, 7 (2) 00616-2020; DOI: 10.1183/23120541.00616-2020
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