Sains Malaysiana 51(11)(2022): 3857-3864
http://doi.org/10.17576/jsm-2022-5111-28
Ageing is Correlated to Salt Taste
Threshold among Elderly
(Penuaan Berkolerasi dengan Ambang Rasa Garam dalam Kalangan Warga Tua)
FARAPTI
FARAPTI1,2, CHUSNUL FADILLA2, NURINA HASANATULUDHHIYAH1,3,
PURWO SRI REZEKI4 & MUHAMMAD MIFTAHUSSURUR5,*
1Doctoral Program
of Medical Science, Faculty of Medicine, Universitas Airlangga, Indonesia
2Department of
Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3Department of Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
4Department of Physiology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
5Gastroentero-Hepatology
Division, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya,
Indonesia
Diserahkan: 30 Ogos 2021/Diterima: 24 Oktober 2022
Abstract
Ageing may
coincide with an increasing taste loss that can affect intake and consequently produce
negative health impact. This study was conducted to analyze salt taste
threshold (STT) in older people and investigate the correlation between ageing
and STT among elderly in the nursing home. Recognition threshold of salty was
measured using sodium chloride in liquid with the 3 ascending concentration
series method. This study showed 18.5% of subjects had poor salt sensitivity.
Overall, there was correlation between ageing and STT, it means the older an
elderly was, the higher the STT would be (r=0.401, p=0.003). Further analysis
based on gender showed the significant increase in STT was only found in male
subjects. The increasing age among elderly was associated significantly with
declining salt taste sensitivity. Understanding the decline of salt taste
sensitivity among ageing population in the nursing home is useful for
formulating food recipes for especially hypertensive elderly.
Keywords: Ageing; elderly; nursing home; salt taste
sensitivity; salt taste threshold
Abstrak
Penuaan mungkin berkait rapat dengan peningkatan kehilangan rasa yang boleh mempengaruhi pengambilan dan seterusnya menghasilkan kesan negatif terhadap kesihatan. Kajian ini dilakukan untuk menganalisis ambang rasa garam (STT) pada warga tua dan mengkaji hubungan antara penuaan dan STT dalam kalangan warga tua di rumah jagaan. Ambang pengiktirafan masin diukur menggunakan natrium klorida dalam cecair dengan kaedah siri kepekatan 3 menaik. Kajian ini menunjukkan 18.5% subjek mempunyai kepekaan garam yang lemah. Secara keseluruhan, terdapat korelasi antara penuaan dan STT, ini bermakna semakin tua seorang itu, semakin tinggi STT (r = 0.401, p = 0.003). Analisis lebih lanjut berdasarkan jantina menunjukkan peningkatan ketara dalam STT hanya terdapat pada subjek lelaki. Peningkatan usia dalam kalangan warga tua dikaitkan dengan penurunan kepekaan rasa garam. Memahami penurunan kepekaan rasa garam dalam kalangan populasi tua di pusat jagaan berfaedah untuk merumuskan resipi makanan untuk warga tua terutama yang mengalami hipertensi.
Kata kunci: Ambang rasa garam; kepekaan rasa garam; penuaan; rumah jagaan; tua
RUJUKAN
American Society
of Testing and Materials (ASTM). 2011. ASTM E679-04: Standard Practice for
Determinant of Odor and Taste Thresholds by a Forced-Choice Ascending
Concentration Series Method of Limit. West Conshohocken (US): ASTM
International.
Barragán,
R., Coltell, O., Portolés, O., Asensio, E.M., Sorlí, J.V., Ortega-Azorín, C.,
González, J.I., Sáiz, C., Fernández-Carrión, R., Ordovas, J.M. & Corella,
D. 2018. Bitter, sweet, salty, sour and umami taste perception decreases with
age: Sex-specific analysis, modulation by genetic variants and taste-preference
associations in 18 to 80 year-old subjects. Nutrients 10(10): 1539.
Bibbins-Domingo,
K., Chertow, G.M., Coxson, P.G., Moran, A., Lightwood, J.M., Pletcher, M.J.
& Goldman, L. 2010. Projected Effect of dietary salt reductions on future
cardiovascular disease. New England Journal of Medicine 362(7): 590-599.
Chen,
J. 2010. Sodium sensitivity of blood pressure in Chinese populations. Current
Hypertension Reports 12(2): 127-134.
da
Silva, L.A., Lin, S.M., Teixeira, M.J., de Siqueira, J.T.T., Filho, W.J. &
de Siqueira, S.R.D.T. 2014. Sensorial differences according to sex and ages. Oral
Diseases 20(3): e103-e110.
de
Deco, C.P., Silva Reis, M.R.V., da Silva Marchini, A.M.P., da Rocha, R.F., dos
Santos, M.B.F. & Marchini, L. 2014. Taste Alteration, mouth dryness and
teeth staining as side effects of medications taken by elderly. Brazilian
Journal of Oral Sciences 13: 257-260.
Doty,
R.L. 2018. Age-related deficits in taste and smell. Otolaryngologic Clinics
of North America 51(4): 815-825.
Fernandes,
M.S., Castelo, P.M., Chaves, G.N., Fernandes, J.P.S., Fonseca, F.L.A., Zanato,
L.E. & Gavião, M.B.D. 2021. Relationship between polypharmacy, xerostomia,
gustatory sensitivity, and swallowing complaints in the elderly: A
multidisciplinary approach. Journal of Texture Studies 52(2): 187-196.
Fryar,
C.D., Ostchega, Y., Hales, C.M., Zhang, G. & Kruszon-Moran, D. 2017.
Hypertension prevalence and control among adults: United States, 2015-2016.
https://www.cdc.gov/nchs/products/databriefs/db289.htm.
Fukunaga,
A., Uematsu, H. & Sugimoto, K. 2005. Influences of aging on taste
perception and oral somatic sensation. The Journals of Gerontology: Series A 60(1): 109-113.
General
Assembly United Nations. 2020. United
Nations Decade of Healthy Ageing (2021-2030), Seventy-Fifth Session Agenda Item
131 Global Health and Foreign Policy. A/RES/75/131.
Govindaraju,
T., Sahle, B.W., McCaffrey, T.A., McNeil, J.J. & Owen, A.J. 2018. Dietary
patterns and quality of life in older adults: A systematic review. Nutrients 10(8): 1-18.
He,
F.J. & MacGregor, G.A. 2009. A comprehensive review on salt and health and
current experience of worldwide salt reduction programmes. Journal of Human
Hypertension 23(6): 363-384.
He,
J., Gu, D., Chen, J., Jaquish, C.E., Rao, D.C., Hixson, J.E., Chen, J-C., Duan,
X., Huang, J-F., Chen, C.S., Kelly, T.N., Bazzano, L.A., Whelton, P.K. &
GenSalt Collaborative Research Group. 2009. Gender difference in blood pressure
responses to dietary sodium intervention in the GenSalt study. Journal of
Hypertension 27(1): 48-54.
Jeon,
S., Kim, Y., Min, S., Song, M., Son, S. & Lee, S. 2021. Taste sensitivity
of elderly people is associated with quality of life and inadequate dietary
intake. Nutrients 13(5): 1693.
Kim,
H.H., Jung, Y.Y. & Lee, Y.K. 2012. A comparison of salty taste assessments
and dietary attitudes and dietary behaviors associated with high-salt diets in
four regions in Korea. Korean Journal of Community Nutrition 17(1):
38-48.
Kinugasa,
Y., Nakayama, N., Sugihara, S., Mizuta, E., Nakamura, K., Kamitani, H., Hirai,
M., Yanagihara, K., Kato, M. & Yamamoto, K. 2020. Polypharmacy and taste
disorders in heart failure patients. European Journal of Preventive
Cardiology 27(1): 110-111.
Lawless,
H.T. 2010. A simple alternative analysis for threshold data determined by
ascending forced-choice methods of limits. Journal of Sensory Studies 25(3): 332-346.
Lee,
H., Cho, H.J., Bae, E., Kim, Y.C., Kim, S. & Chin, H.J. 2014. Not salt
taste perception but self-reported salt eating habit predicts actual salt
intake. J. Korean Med. Sci. 29(Suppl 2): S91-S96.
Lee,
S-H., Kim, D-H., Park, J-H., Kim, S., Choi, M., Kim, H., Seul, D.E., Park,
S.G., Jung, J-H., Han, K. & Park, Y-G. 2018. Association between body mass
index and mortality in the Korean elderly: A nationwide cohort study. PloS
ONE 13(11): e0207508.
Marsman,
D., Belsky, D.W., Gregori, D., Johnson, M.A., Low Dog, T., Meydani, S., Pigat,
S., Sadana, R., Shao, A. & Griffiths, J.C. 2018. Healthy ageing: The
natural consequences of good nutrition - A conference report. European
Journal of Nutrition 57(S2): S15-34.
Martinelli,
J., Conde, S.R., de Araújo, A.R. & Marcadenti, A. 2020. Association between
salt taste sensitivity threshold and blood pressure in healthy individuals: A
cross-sectional study. Sao Paulo Medical Journal 138(1): 4-10.
Masnoon,
N., Shakib, S., Kalisch-Ellett, L. & Caughey, G.E. 2017. What is
polypharmacy? A systematic review of definitions. BMC Geriatrics 17:
230.
Mendis,
S., Puska, P., Norrving, B., World Health Organization, World Heart Federation.
et al. 2011. Global Atlas on
Cardiovascular Disease Prevention and Control / Edited by: Shanthi Mendis
... [et Al.]. Geneva: World Health Organization.
https://apps.who.int/iris/handle/10665/44701
Methven,
L., Allen, V.J., Withers, C.A. & Gosney, M.A. 2012. Ageing and taste. Proceedings
of the Nutrition Society 71(4): 556-565.
Mitchell,
M., Brunton, N.P. & Wilkinson, M.G. 2013. The influence of salt taste
threshold on acceptability and purchase intent of reformulated reduced sodium
vegetable soups. Journal of Food Quality and Preference 28(1): 356-360.
Ng,
K., Woo, J., Kwan, M., Sea, M., Wang, A., Lo, R., Chan, A. & Henry, C.J.K.
2004. Effect of age and disease on taste perception. Journal of Pain and
Symptom Management 28(1): 28-34.
Park,
J.B., Kario, K. & Wang. J-G. 2015. Systolic hypertension: An increasing
clinical challenge in Asia. Hypertension Research 38(4): 227-236.
Saunders,
M.J. & Yeh, C. 2013. Oral health in elderly people. In Geriatric
Nutrition. Burlington, MA: Jones & Bartlett Publishers. pp. 165-210.
Schiffman,
S.S. 2018. Influence of medications on taste and smell. World Journal of
Otorhinolaryngology - Head and Neck Surgery 4(1): 84-91.
Schiffman,
S.S. 2009. Effects of aging on the human taste system. Annals of the New
York Academy of Sciences 1170:
725-729.
Schiffman,
S.S. 1997. Taste and smell losses in normal aging and disease. Journal of
the American Medical Association 278(16): 1357-1362.
https://doi.org/10.1001/jama.278.16.1357.
Schwartz,
C., Vandenberghe-Descamps, M., Sulmont-Rossé, C., Tournier, C. & Feron, G.
2018. Behavioral and physiological determinants of food choice and consumption
at sensitive periods of the life span, a focus on infants and elderly. Innovative
Food Science & Emerging Technologies 46: 91-106.
Sergi,
G., Bano, G., Pizzato, S., Veronese, N. & Manzato, E. 2017. Taste loss in
the elderly: Possible implications for dietary habits. Critical Reviews in
Food Science and Nutrition 57(17): 3684-3689.
Susanto,
T., Rasny, H., Susumaningrum, L.A., Yunanto, R.A. & Nur, K.R.M. 2019.
Prevalence of hypertension and predictive factors of self-efficacy among
elderly people with hypertension in institutional-based rehabilitation in
Indonesia. Kontakt - Journal of
Nursing and Social Sciences Related to Health and Illness 21(1): 14-21.
United
Nations (UN). 2019. World Population Ageing 2019.
Veček,
N.N., Mucalo, L., Dragun, R., Miličević, T., Pribisalić, A.,
Patarčić, I., Hayward, C., Polašek, O. & Kolčić, I.
2020. The association between salt taste perception, mediterranean diet and
metabolic syndrome: A cross-sectional study. Nutrients 12(4): 1164.
Wessler,
J.D., Hummel, S.L. & Maurer, M.S. 2014. Dietary interventions for heart
failure in older adults: Re-emergence of the hedonic shift. Progress in
Cardiovascular Diseases 57(2): 160-167.
Wilujeng,
C.S., Rochmah, W. & Susetyowati, S. 2013. Perbedaan Asupan mikronutrien
pada lansia penderita hipertensi esensial yang overweight dan tidak overweight. Jurnal Gizi Klinik Indonesia 10(1): 25-35.
Xue,
Y., Wen, Q., Xu, C., Zhang, X., Zeng, J., Sha, A.M., Lan, C., Li, L., Wang, H.,
Yang, X. & Zeng, C. 2020. Elevated salt taste threshold is associated with
increased risk of coronary heart disease. Journal of Cardiovascular
Translational Research 13(6): 1016-1023.
Yoshinaka,
M., Ikebe, K., Uota, M., Ogawa, T., Okada, T., Inomata, C., Takeshita, H.,
Mihara, Y., Gondo, Y., Masui, Y., Kamide, K., Arai, Y., Takahashi, R. &
Maeda, Y. 2016. Age and sex differences in the taste sensitivity of young
adult, young-old and old-old Japanese. Geriatrics & Gerontology
International 16(12): 1281-1288.
*Pengarang untuk surat-menyurat; email:
muhammad-m@fk.unair.ac.id
|