Neuromuscular control of masticatory muscles in people with intellectual disability, middle‐aged adults and older adults

Background Motor control issues are common for people with intellectual disabilities (PWID), resulting in difficulties with basic activities of daily living, including eating. Mastication, which is crucial for digestion and overall health, is poorly understood in this population. PWID shows frailty...

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Veröffentlicht in:Journal of intellectual disability research 2024-01, Vol.68 (1), p.84-93
Hauptverfasser: Cruz‐Montecinos, C., Valderrama‐Mejías, J., Martínez‐Arnau, F. M., Carrasco, J. J., Núñez‐Cortés, R., Cortés‐Amador, S.
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container_title Journal of intellectual disability research
container_volume 68
creator Cruz‐Montecinos, C.
Valderrama‐Mejías, J.
Martínez‐Arnau, F. M.
Carrasco, J. J.
Núñez‐Cortés, R.
Cortés‐Amador, S.
description Background Motor control issues are common for people with intellectual disabilities (PWID), resulting in difficulties with basic activities of daily living, including eating. Mastication, which is crucial for digestion and overall health, is poorly understood in this population. PWID shows frailty similar to older people, highlighting the importance of comparing masticatory motor control with older adults. This study compared the neuromuscular control of the masticatory muscles in middle‐aged, PWID and older adults. Methods A cross‐sectional analytical design was used. During the mastication task of a carrot piece (2 cm in diameter and weighing 0.5 g), surface electromyography was used to record muscle activity patterns from the right and left masseter and temporalis muscles. Principal component analysis (PCA) was used to assess neuromuscular control. A z‐score normalisation of the first component's variance from PCA to identify those individuals with altered neuromuscular control. A mixed ANOVA was performed to assess the interaction between principal components, groups and body composition. Results Thirty PWIDs (aged 35–55 years), middle‐aged adults and 32 older adults were recruited. PWID and older adults showed decreased neuromuscular control of the masticatory muscles compared to middle‐aged control adults (P 
doi_str_mv 10.1111/jir.13089
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M. ; Carrasco, J. J. ; Núñez‐Cortés, R. ; Cortés‐Amador, S.</creator><creatorcontrib>Cruz‐Montecinos, C. ; Valderrama‐Mejías, J. ; Martínez‐Arnau, F. M. ; Carrasco, J. J. ; Núñez‐Cortés, R. ; Cortés‐Amador, S.</creatorcontrib><description>Background Motor control issues are common for people with intellectual disabilities (PWID), resulting in difficulties with basic activities of daily living, including eating. Mastication, which is crucial for digestion and overall health, is poorly understood in this population. PWID shows frailty similar to older people, highlighting the importance of comparing masticatory motor control with older adults. This study compared the neuromuscular control of the masticatory muscles in middle‐aged, PWID and older adults. Methods A cross‐sectional analytical design was used. During the mastication task of a carrot piece (2 cm in diameter and weighing 0.5 g), surface electromyography was used to record muscle activity patterns from the right and left masseter and temporalis muscles. Principal component analysis (PCA) was used to assess neuromuscular control. A z‐score normalisation of the first component's variance from PCA to identify those individuals with altered neuromuscular control. A mixed ANOVA was performed to assess the interaction between principal components, groups and body composition. Results Thirty PWIDs (aged 35–55 years), middle‐aged adults and 32 older adults were recruited. PWID and older adults showed decreased neuromuscular control of the masticatory muscles compared to middle‐aged control adults (P &lt; 0.05). PWID had the highest proportion of individuals with altered neuromuscular control of the masticatory muscle (53%) compared to older adults (19%) and middle‐aged adults (0%) (P &lt; 0.05). Conclusions Our results indicate that PWID and older adults have reduced neuromuscular control compared to middle‐aged adults. Notably, a significant proportion of the PWID showed altered masticatory muscle control compared to older adults. Further research is needed to explore the potential benefits of masticatory muscle training for PWID.</description><identifier>ISSN: 0964-2633</identifier><identifier>EISSN: 1365-2788</identifier><identifier>DOI: 10.1111/jir.13089</identifier><identifier>PMID: 37698385</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Activities of Daily Living ; Aged ; Aging (Individuals) ; Body composition ; Cross-Sectional Studies ; Down syndrome ; Electromyography ; Humans ; Intellectual disabilities ; Intellectual Disability ; Learning disabled people ; Masticatory Muscles - physiology ; Methodology in research ; Middle Aged ; Muscles ; Older Adults ; Older people ; People with disabilities ; Principal components analysis ; Principals ; Substance Abuse, Intravenous ; Treatment and services ; Weighing</subject><ispartof>Journal of intellectual disability research, 2024-01, Vol.68 (1), p.84-93</ispartof><rights>2023 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley &amp; Sons Ltd.</rights><rights>2024 John Wiley &amp; Sons and MENCAP</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3489-9b73969b34c3e3af24139913d73ed55b1da55f46c89de5d0c43275bff2af9f403</cites><orcidid>0000-0002-4068-9338 ; 0000-0002-0740-3772</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjir.13089$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjir.13089$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37698385$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cruz‐Montecinos, C.</creatorcontrib><creatorcontrib>Valderrama‐Mejías, J.</creatorcontrib><creatorcontrib>Martínez‐Arnau, F. M.</creatorcontrib><creatorcontrib>Carrasco, J. J.</creatorcontrib><creatorcontrib>Núñez‐Cortés, R.</creatorcontrib><creatorcontrib>Cortés‐Amador, S.</creatorcontrib><title>Neuromuscular control of masticatory muscles in people with intellectual disability, middle‐aged adults and older adults</title><title>Journal of intellectual disability research</title><addtitle>J Intellect Disabil Res</addtitle><description>Background Motor control issues are common for people with intellectual disabilities (PWID), resulting in difficulties with basic activities of daily living, including eating. Mastication, which is crucial for digestion and overall health, is poorly understood in this population. PWID shows frailty similar to older people, highlighting the importance of comparing masticatory motor control with older adults. This study compared the neuromuscular control of the masticatory muscles in middle‐aged, PWID and older adults. Methods A cross‐sectional analytical design was used. During the mastication task of a carrot piece (2 cm in diameter and weighing 0.5 g), surface electromyography was used to record muscle activity patterns from the right and left masseter and temporalis muscles. Principal component analysis (PCA) was used to assess neuromuscular control. A z‐score normalisation of the first component's variance from PCA to identify those individuals with altered neuromuscular control. A mixed ANOVA was performed to assess the interaction between principal components, groups and body composition. Results Thirty PWIDs (aged 35–55 years), middle‐aged adults and 32 older adults were recruited. PWID and older adults showed decreased neuromuscular control of the masticatory muscles compared to middle‐aged control adults (P &lt; 0.05). PWID had the highest proportion of individuals with altered neuromuscular control of the masticatory muscle (53%) compared to older adults (19%) and middle‐aged adults (0%) (P &lt; 0.05). Conclusions Our results indicate that PWID and older adults have reduced neuromuscular control compared to middle‐aged adults. Notably, a significant proportion of the PWID showed altered masticatory muscle control compared to older adults. Further research is needed to explore the potential benefits of masticatory muscle training for PWID.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aging (Individuals)</subject><subject>Body composition</subject><subject>Cross-Sectional Studies</subject><subject>Down syndrome</subject><subject>Electromyography</subject><subject>Humans</subject><subject>Intellectual disabilities</subject><subject>Intellectual Disability</subject><subject>Learning disabled people</subject><subject>Masticatory Muscles - physiology</subject><subject>Methodology in research</subject><subject>Middle Aged</subject><subject>Muscles</subject><subject>Older Adults</subject><subject>Older people</subject><subject>People with disabilities</subject><subject>Principal components analysis</subject><subject>Principals</subject><subject>Substance Abuse, Intravenous</subject><subject>Treatment and services</subject><subject>Weighing</subject><issn>0964-2633</issn><issn>1365-2788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc1qFTEYhoNY7Gl14Q1IwI2C0yaTn0mWpWhtKQqi6yGTH80hMznmh3JceQm9xl6JOZ6jC8FsQr7v4eElLwDPMTrD7ZyvfTrDBAn5CKww4azrByEegxWSnHY9J-QYnOS8RghxTPkTcEwGLgURbAV-fLA1xblmXYNKUMelpBhgdHBWuXitSkxbuNsHm6Ff4MbGTbDwzpdv7VlsCFaXqgI0PqvJB1-2b-DsjQn24ee9-moNVKaGkqFaDIzB2HQYPAVHToVsnx3uU_Dl3dvPl--7249X15cXt50mVMhOTgORXE6EamKJcj3FREpMzECsYWzCRjHmKNdCGssM0pT0A5uc65WTjiJyCl7tvZsUv1ebyzj7rFtwtdhY89gLTjETnIuGvvwHXcealpauUe0zKSf9Tvh6T-kUc07WjZvkZ5W2I0bjrpCxFTL-LqSxLw7GOs3W_CX_NNCA8z1w54Pd_t803lx_2it_ATh5l7A</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Cruz‐Montecinos, C.</creator><creator>Valderrama‐Mejías, J.</creator><creator>Martínez‐Arnau, F. M.</creator><creator>Carrasco, J. J.</creator><creator>Núñez‐Cortés, R.</creator><creator>Cortés‐Amador, S.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4068-9338</orcidid><orcidid>https://orcid.org/0000-0002-0740-3772</orcidid></search><sort><creationdate>202401</creationdate><title>Neuromuscular control of masticatory muscles in people with intellectual disability, middle‐aged adults and older adults</title><author>Cruz‐Montecinos, C. ; Valderrama‐Mejías, J. ; Martínez‐Arnau, F. M. ; Carrasco, J. J. ; Núñez‐Cortés, R. ; Cortés‐Amador, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3489-9b73969b34c3e3af24139913d73ed55b1da55f46c89de5d0c43275bff2af9f403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aging (Individuals)</topic><topic>Body composition</topic><topic>Cross-Sectional Studies</topic><topic>Down syndrome</topic><topic>Electromyography</topic><topic>Humans</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability</topic><topic>Learning disabled people</topic><topic>Masticatory Muscles - physiology</topic><topic>Methodology in research</topic><topic>Middle Aged</topic><topic>Muscles</topic><topic>Older Adults</topic><topic>Older people</topic><topic>People with disabilities</topic><topic>Principal components analysis</topic><topic>Principals</topic><topic>Substance Abuse, Intravenous</topic><topic>Treatment and services</topic><topic>Weighing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cruz‐Montecinos, C.</creatorcontrib><creatorcontrib>Valderrama‐Mejías, J.</creatorcontrib><creatorcontrib>Martínez‐Arnau, F. M.</creatorcontrib><creatorcontrib>Carrasco, J. J.</creatorcontrib><creatorcontrib>Núñez‐Cortés, R.</creatorcontrib><creatorcontrib>Cortés‐Amador, S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of intellectual disability research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cruz‐Montecinos, C.</au><au>Valderrama‐Mejías, J.</au><au>Martínez‐Arnau, F. M.</au><au>Carrasco, J. J.</au><au>Núñez‐Cortés, R.</au><au>Cortés‐Amador, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuromuscular control of masticatory muscles in people with intellectual disability, middle‐aged adults and older adults</atitle><jtitle>Journal of intellectual disability research</jtitle><addtitle>J Intellect Disabil Res</addtitle><date>2024-01</date><risdate>2024</risdate><volume>68</volume><issue>1</issue><spage>84</spage><epage>93</epage><pages>84-93</pages><issn>0964-2633</issn><eissn>1365-2788</eissn><abstract>Background Motor control issues are common for people with intellectual disabilities (PWID), resulting in difficulties with basic activities of daily living, including eating. Mastication, which is crucial for digestion and overall health, is poorly understood in this population. PWID shows frailty similar to older people, highlighting the importance of comparing masticatory motor control with older adults. This study compared the neuromuscular control of the masticatory muscles in middle‐aged, PWID and older adults. Methods A cross‐sectional analytical design was used. During the mastication task of a carrot piece (2 cm in diameter and weighing 0.5 g), surface electromyography was used to record muscle activity patterns from the right and left masseter and temporalis muscles. Principal component analysis (PCA) was used to assess neuromuscular control. A z‐score normalisation of the first component's variance from PCA to identify those individuals with altered neuromuscular control. A mixed ANOVA was performed to assess the interaction between principal components, groups and body composition. Results Thirty PWIDs (aged 35–55 years), middle‐aged adults and 32 older adults were recruited. PWID and older adults showed decreased neuromuscular control of the masticatory muscles compared to middle‐aged control adults (P &lt; 0.05). PWID had the highest proportion of individuals with altered neuromuscular control of the masticatory muscle (53%) compared to older adults (19%) and middle‐aged adults (0%) (P &lt; 0.05). Conclusions Our results indicate that PWID and older adults have reduced neuromuscular control compared to middle‐aged adults. Notably, a significant proportion of the PWID showed altered masticatory muscle control compared to older adults. Further research is needed to explore the potential benefits of masticatory muscle training for PWID.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37698385</pmid><doi>10.1111/jir.13089</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4068-9338</orcidid><orcidid>https://orcid.org/0000-0002-0740-3772</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Activities of Daily Living
Aged
Aging (Individuals)
Body composition
Cross-Sectional Studies
Down syndrome
Electromyography
Humans
Intellectual disabilities
Intellectual Disability
Learning disabled people
Masticatory Muscles - physiology
Methodology in research
Middle Aged
Muscles
Older Adults
Older people
People with disabilities
Principal components analysis
Principals
Substance Abuse, Intravenous
Treatment and services
Weighing
title Neuromuscular control of masticatory muscles in people with intellectual disability, middle‐aged adults and older adults
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