Cited by 17Dysphagia Assessment and ManagementGinger and Zingiberaceae researchMedical Research and Treatments

Ginger Orally Disintegrating Tablets to Improve Swallowing in Older People

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Hirata, Ayumu, Funato, Hiroki, Nakai, Megumi, Iizuka, Michiro, Abe, Noriaki, Yagi, Yusuke, Shiraishi, Hisashi, Jobu, Kohei +4 more·2016·Biological & Pharmaceutical Bulletin

Abstract

We previously prepared and pharmaceutically evaluated ginger orally disintegrating (OD) tablets, optimized the base formulation, and carried out a clinical trial in healthy adults in their 20 s and 50s to measure their effect on salivary substance P (SP) level and improved swallowing function. In this study, we conducted clinical trials using the ginger OD tablets in older people to clinically evaluate the improvements in swallowing function resulting from the functional components of the tablet. The ginger OD tablets were prepared by mixing the excipients with the same amount of mannitol and sucrose to a concentration of 1% ginger. Eighteen healthy older adult volunteers aged 63 to 90 were included in the swallowing function test. Saliva was collected before and 15 min after administration of the placebo and ginger OD tablets. Swallowing endoscopy was performed by an otolaryngologist before administration and 15 min after administration of the ginger OD tablets. A scoring method was used to evaluate the endoscopic swallowing. Fifteen minutes after taking the ginger OD tablets, the salivary SP amount was significantly higher than prior to ingestion or after taking the placebo (p<0.05). Among 10 subjects, one scored 1-3 using the four evaluation criteria. Overall, no aspiration occurred and a significant improvement in the swallowing function score was observed (p<0.05) after taking the ginger OD tablets. Our findings showed that the ginger OD tablets increased the salivary SP amount and improved swallowing function in older people with appreciably reduced swallowing function.

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Research works printed but not linked: 25

  1. Teramoto S, Fukuchi Y, Sasaki H, Sato K, Sekizawa K, Matsuse T, Japanese Study Group on Aspiration Pulmonary Disease. Japanese Study Group aspiration pulmonary disease. High incidence of aspi- ration pneumonia in community-and hospital-acquired pneumonia in hospitalized patients: a multicenter, prospective study in Japan. J. Am. Geriatr. Soc., 56, 577-579 (2008). · DOI
  2. Kikuchi R, Watabe N, Konno T, Mishina N, Sekizawa K, Sasaki H. High incidence of silence in elderly patients with community- acquired pneumonia. Am. J. Respir. Crit. Car., 150, 251-253 (1994). · DOI
  3. Ebihara S, Ebihara T, Yamasaki M, Kohzuki M. Stimulating oral and nasal chemoreceptors for preventing aspiration pneumonia in elderly. Yakugaku Zasshi, 131, 1677-1681 (2011). · DOI
  4. Jin Y, Sekizawa K, Fukushima T, Morikawa M, Nakazawa H, Sasaki H. Capsaicin desensitization inhibits swallowing reflex in guinea pigs. Am. J. Respir. Crit. Care Med., 149, 261-263 (1994). · DOI
  5. Sekizawa K, Ujiie Y, Itabashi S, Sasaki H, Takishima T. Lack of cough reflex in aspiration pneumonia. Lancet, 335, 1228-1229 (1990). · DOI
  6. Yasuda H, Okinaga S, Yamaya M, Ohrui T, Higuchi M, Shinkawa M, Itabashi S, Nakayama K, Asada M, Kikuchi A, Shibahara S, Sa- saki H. Association of susceptibility to the development of pneumo- nia in the older Japanese population with haem oxygenase-1 gene promoter polymorphism. J. Med. Genet., 43, e17 (2006). · DOI
  7. Nakagawa T, Sekizawa K, Arai H, Kikuchi R, Manabe K, Sasaki H. High incidence of pneumonia in elderly patients with basal ganglia infarction. Arch. Intern. Med., 157, 321-324 (1997). · DOI
  8. Arai T, Yasuda Y, Toshima S, Yoshimi N, Kashiki Y. ACE in- hibitors and pneumonia in elderly people. Lancet, 352, 1937-1938 (1998). · DOI
  9. Arai T, Sekizawa K, Ohrui T, Fujiwara H, Yoshimi N, Matsuoka H, Sasaki H. ACE inhibitors and protection against pneumonia in elderly patients with stroke. Neurology, 64, 573-574 (2005). · DOI
  10. Teramoto S, Yamamoto H, Yamaguchi Y, Ishii M, Hibi S, Kume H, Ouchi Y. Antiplatelet cilostazol, an inhibitor of typeIII phosphodi- esterase, improves swallowing function in patients with a history of stroke. J. Am. Geriatr. Soc., 56, 1153-1154 (2008). · DOI
  11. Nakagawa T, Wada H, Sekizawa K, Arai H, Sasaki H. Amantadine and pneumonia. Lancet, 353, 1157 (1999). · DOI
  12. Iwasaki K, Tei M, Sasaki H. Effects of Banxia Houpo Tang (Hange- Koboku To) for the treatment of the aspiration pneumonia. Journal of Clinical and Experimental Medicine, 203, 1005-1007 (2002). · DOI
  13. Ebihara T, Takahashi H, Ebihara S, Okazaki T, Sasaki T, Watando A, Nemoto M, Sasaki H. Capsaicin troche for swallowing dysfunc- tion in older people. J. Am. Geriatr. Soc., 53, 824-828 (2005). · DOI
  14. Imoto Y, Kojima A, Osawa Y, Sunaga H, Fujieda S. Cough reflex induced by capsaicin inhalation in patients with dysphagia. Acta Otolaryngol., 131, 96-100 (2011). · DOI
  15. Undem BJ, Carr MJ, Kollarik M. Physiology and plasticity of puta- tive cough fibers in the guinea pig. Pulm. Pharmacol. Ther., 15, 193-198 (2002). · DOI
  16. Widdicombe JG. Neurophysiology of the cough reflex. Eur. Respir. J., 8, 1193-1202 (1995). · DOI
  17. Sekiya K, Ohtani A, Kusano S. Enhancement of insulin sensitivity in adipocytes by ginger. Biofactors, 22, 153-156 (2004). · DOI
  18. Dedov VN, Tran VH, Duke CC, Connor M, Christie MJ, Mandadi S, Roufogalis BD. Gingerols. A novel class of vanilloid receptor (VR1) agonists. Br. J. Pharmacol., 137, 793-798 (2002). · DOI
  19. Iwasaki Y, Morita A, Iwasawa T, Kobata K, Sekiwa Y, Morimi- tsu Y, Kubota K, Watanabe T. A nonpugent component of steamed ginger-[10]-shogaol-increases adrenaline secretion via the activation of TRPV1. Nutr. Neurosci., 9, 169-178 (2006). · DOI
  20. Witte DG, Cassar SC, Masters JN, Esbenshade T, Hancock AA. Use of a fluorescent imaging plate reader-based calcium assay to as- sess pharmacological differences between the human and rat vanil- loid receptor. J. Biomol. Screen., 7, 466-475 (2002). · DOI
  21. Sugiyama N, Watase T, Shida E, Suzuki T, Shingai T. Effect of re- peat stimulation on swallowing by chemical stimulation of the pha- ryngolarygeal region in rats. Jpn. J. Taste Smell Res., 13, 363-366 (2006). · DOI
  22. Abe N, Hirata A, Funato H, Nakai M, Iizuka M, Yagi Y, Shiraishi H, Jobu K, Yokota J, Moriyama H, Ukeda H, Hyodo M, Miyamura M. Swallowing function improvement effect of ginger (Zingber of- ficinale). Food Sci. Technol. Res., 21, 705-714 (2015). · DOI
  23. Wohlmuth H, Leach DN, Smith MK, Myers SP. Gingerol content of diploid and teraploid clones of ginger (Zingber officinale Roscoe). J. Agric. Food Chem., 53, 5772-5778 (2005). · DOI
  24. Oguchi K, Saitoh E, Mizuno M, Baba M, Okui M, Suzuki M. The repetitive saliva swallowing test (RSST) as a screening test of func- tional dysphagia (1) normal values of RSST. The Japanese Journal of Rehabilitation Medicine, 37, 375-382 (2000). · DOI
  25. Hyodo M, Nishikubo K, Hirose K. New scoring proposed for endo- scopic swallowing evaluation and clinical significance. Journal of Otolaryngology of Japan, 113, 670-678 (2010).

Cited by

Sorted by citations

Authors
Hirata, A., Funato, H., Nakai, M., Iizuka, M., Abe, N., Yagi, Y., Shiraishi, H., Jobu, K., Yokota, J., Hirose, K., Hyodo, M., & Miyamura, M.
Affiliations
  • Kochi Medical School Hospital (JP)
  • Department of Pharmacy, Kochi Medical School Hospital
Venue
Biological & Pharmaceutical Bulletin
Published
2016
Volume
39
Issue
7
Pages
1107-1111
ISSN
  • 0918-6158 (ISSN-L)
  • 1347-5215
OpenAlex
W2470542151
Cited by
17
References
1
Citations by year
2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2016: 1
FWCI
3.48
Type
journal article
Language
en
Open access
Locations
  • Biological and Pharmaceutical Bulletin (publishedVersion)
  • PubMed (publishedVersion)
Funders
Japan Society for the Promotion of Science (15K16189)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Ginger and Zingiberaceae research
  • Health Sciences › Medicine › Complementary and alternative medicine › Medical Research and Treatments
Keywords
ginger, orally disintegrating tablets, dysphagia, swallowing function, older adults, mannitol, sucrose, aspiration
MeSH terms
Administration, Oral, Aged, Aged, 80 and over, Catechols, Deglutition, Excipients, Fatty Alcohols, Female, Humans, Male, Mannitol, Middle Aged, Powders, Saliva, Solubility, Substance P, Sucrose, Tablets, Zingiber officinale, Plant Preparations, TRPV Cation Channels

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