Association Between Dental Status and Incident Disability in an Older Japanese Population
Association Between Dental Status and Incident Disability in an Older Japanese Population
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DOI：
10.1111/j.1532-5415.2011.03791.x
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发表时间：
2012-02-01
影响因子：
6.3
通讯作者：
Watt, Richard G.
中科院分区：
文献类型：
--
作者：
Aida, Jun;Kondo, Katsunori;Watt, Richard G.
目的：确定日本老年人牙齿健康状况与功能性残疾发病之间的关系。设计：前瞻性队列研究。地点：日本6个城市。参与者：4425名65岁及以上的社区居民。测量：结果指标是基于接受长期护理保险福利的人的公共记录的功能性残疾的开始，通过功能和认知障碍的标准化多步骤评估确定，包括个人访谈和医生检查。在2003年至2007年期间，对4 425名受访者的残疾数据进行了分析。自我报告的剩余牙齿数量和进食能力被用作牙齿健康状况的衡量标准。年龄，性别，身体质量指数，自我评价的健康，目前的疾病，吸烟，饮酒，运动，和等效income被用作covariations.Results：在年龄和性别调整的考克斯比例风险模型，有显着的剩余牙齿，进食能力和残疾的发病之间的关联。在调整了社会人口统计学、行为和健康状况变量后，牙齿不超过19颗的受访者发生功能性残疾的风险比显著高出1.21倍（95%置信区间= 1.06-1.40）。与此相反，饮食能力并没有显着相关的发病disability.CONCLUSION：不良的牙齿状况与较高的风险发病的功能残疾的老年日本人。社会人口统计学、行为和健康状况协变量解释了进食能力和残疾发生之间的关联。J Am Geriatr Soc 60：338343，2012.
OBJECTIVES: To determine the association between dental health status and onset of functional disability in older Japanese people.DESIGN: Prospective cohort study.SETTING: Six Japanese municipalities.PARTICIPANTS: Four thousand four hundred twenty-five community-dwelling individuals aged 65 and over.MEASUREMENTS: The outcome measure was the onset of functional disability based on public records of people receiving long-term care insurance benefits, determined through a standardized multistep assessment of functional and cognitive impairment including a personal interview and an examination by a physician. Disability data were analyzed for 4,425 respondents during 2003 to 2007. Self-reported number of remaining teeth and eating ability were used as measures of dental health status. Age, sex, body mass index, self-rated health, present illness, smoking, alcohol, exercise, and equivalent income were used as covariates.RESULTS: In the age-and sex-adjusted Cox proportional hazard models, there were significant associations between number of remaining teeth, eating ability, and onset of disability. After adjusting for sociodemographic, behavioral, and health status variables, respondents with 19 or fewer teeth had a significant 1.21 (95% confidence interval = 1.06-1.40) times higher hazard ratio for the onset of functional disability. In contrast, eating ability was not significantly associated with the onset of disability.CONCLUSION: Poor dental status was associated with a higher risk of onset of functional disability in older Japanese people. Sociodemographic, behavioral, and health status covariates explained the association between eating ability and onset of disability. J Am Geriatr Soc 60: 338343, 2012.