Adherence to the food-based Japanese dietary guidelines and prevalence of poor oral health-related quality of life among older Japanese adults in the Kyoto-Kameoka study.
Adherence to the food-based Japanese dietary guidelines and prevalence of poor oral health-related quality of life among older Japanese adults in the Kyoto-Kameoka study.
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DOI：
10.1017/s0007114521003329
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发表时间：
2022-08-14
影响因子：
3.6
通讯作者：
Kimura, Misaka
中科院分区：
文献类型：
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作者：
Watanabe, Daiki;Kurotani, Kayo;Yoshida, Tsukasa;Nanri, Hinako;Watanabe, Yuya;Date, Heiwa;Itoi, Aya;Goto, Chiho;Ishikawa-Takata, Kazuko;Kikutani, Takeshi;Yoshida, Mitsuyoshi;Fujita, Hiroyuki;Yamada, Yosuke;Kimura, Misaka
关键词：
虽然更好的饮食质量与老年疾病的风险呈负相关，但饮食指南的依从性与口腔健康相关生活质量（OHRQoL）的相关性尚不清楚。我们的目的是在日本老年人中调查这种关联。这项横断面研究纳入了来自基于人群的Kyoto-Kameoka研究的7984名年龄≥ 65岁的日本受试者。使用经验证的自我管理FFQ估计膳食摄入量。计算日本食品指南旋转陀螺的依从性评分（范围：0（最差）至80（最佳））。将这些评分分层为四分位数（Qs）艾德。OHRQoL较差定义为使用12项老年口腔健康评估指数评分≤ 50。采用多变量Logistic回归和样条模型计算OR和95%CI。依从性评分越高，OHRQoL较差的患病率越低（Q1-Q4：分别为36.0%、32.1%、27.9%和25.1%）。在所有参与者中，发现遵守以食物为基础的日本饮食指南的评分与OHRQoL较差的OR之间存在负相关（Q1：参考; Q2：OR，0.87（95%CI：0.75，1.00）; Q3：OR，0.77（95%CI：0.66，0.90）; Q4：OR，0.72（95%CI：0.62，0.85）;趋势P <0.001）。这些关系与样条模型的结果相似。更高的依从性，以食物为基础的日本饮食指南是负相关的流行病的OHRQoL在老年人。我们的研究结果可能为改善和保持口腔健康提供有用的见解。
Although better diet quality is inversely related to the risk of geriatric disorders, the association of adherence to dietary guidelines with oral health-related quality of life (OHRQoL) is unclear. We aimed to investigate this association in older Japanese adults. This cross-sectional study included 7984 Japanese participants aged ≥ 65 years from the population-based Kyoto–Kameoka study. Dietary intake was estimated using a validated self-administered FFQ. The scores for adherence to the Japanese Food Guide Spinning Top (range: 0 (worst) to 80 (best)) were calculated. These scores were stratified into quartiles (Qs). Poor OHRQoL was defined as a score ≤ 50 using a 12-item Geriatric Oral Health Assessment Index. The OR and 95 % CI were calculated using multivariable logistic regression and the spline model. Higher adherence score was associated with a lower prevalence of poor OHRQoL (Q1–Q4:36·0 %, 32·1 %, 27·9 % and 25·1 %, respectively). An inverse association was found between the score for adherence to the food-based Japanese dietary guidelines and the OR of poor OHRQoL among all the participants (Q1: reference; Q2: OR, 0·87 (95 % CI: 0·75, 1·00); Q3: OR, 0·77 (95 % CI: 0·66, 0·90); Q4: OR, 0·72 (95 % CI: 0·62, 0·85); P for trend < 0·001). These relationships were similar to the results in the spline model. Higher adherence to the food-based Japanese dietary guidelines is inversely associated with the prevalence of poor OHRQoL in older adults. Our results may provide useful insights to improve and maintain oral health.