The association between dentition status and sarcopenia in Japanese adults aged 75years
The association between dentition status and sarcopenia in Japanese adults aged 75years
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DOI：
10.1111/joor.12460
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发表时间：
2017-01-01
影响因子：
2.9
通讯作者：
Matsubayashi, K.
中科院分区：
文献类型：
--
作者：
Iwasaki, M.;Kimura, Y.;Matsubayashi, K.
肌肉减少症是一种与年龄相关的肌肉质量和肌肉力量或身体表现的损失。关于口腔健康和肌肉减少症之间的关联的数据有限。为了检验牙列受损与肌肉减少症相关的假设，我们进行了一项横断面研究。本研究共纳入了272名75岁的社区居住日本成年人，他们的数据来自2015年进行的全面健康检查。在牙科检查期间，对天然牙和天然牙咬合对的数量进行计数。在义齿佩戴者中，还评价了可摘义齿的适合性。采用亚洲肌肉减少症工作组提出的标准定义肌肉减少症。多变量逻辑回归模型被用来评估牙列状态和肌肉减少症的存在之间的关联。肌肉减少症的患病率为257%（70/272）。在调整可能的混杂因素后，与有10对天然牙齿咬合的个体相比，没有天然牙齿咬合的个体患肌肉减少症的风险显著更高（调整后的比值比为337; 95%置信区间为107-1061）。此外，与佩戴合适假牙的人相比，佩戴不合适假牙的人患肌肉减少症的风险明显更高（调整后的比值比，507; 95%置信区间，159-1619）。我们的研究结果表明，受损的牙列状态是显着相关的肌肉减少症在社区居住的日本75岁的成年人。未来的纵向研究更大，更多样化的人群是必要的，以验证我们的研究结果。
Sarcopenia is an age-related loss of muscle mass and muscle strength or physical performance. There are limited data on the association between oral health and sarcopenia. To test the hypothesis that impaired dentition status was associated with sarcopenia, we conducted a cross-sectional study. A total of 272 community-dwelling Japanese adults aged 75years for whom data were available from comprehensive health examinations conducted in 2015 were included in this study. During dental examination, the number of natural teeth and occluding pairs of natural teeth was counted. In denture wearers, the fit of the removable dentures was also evaluated. The criteria proposed by the Asian Working Group for Sarcopenia were used to define sarcopenia. A multivariable logistic regression model was used to evaluate the association between dentition status and the presence of sarcopenia. The prevalence of sarcopenia was 257% (70/272). Compared to individuals with 10 occluding pairs of natural teeth, those with no occluding pairs of natural teeth had significantly higher risk of having sarcopenia (adjusted odds ratio, 337; 95% confidence interval, 107-1061), after adjusting for possible confounders. In addition, compared to individuals with well-fitting dentures, those with ill-fitting dentures had significantly higher risk of having sarcopenia (adjusted odds ratio, 507; 95% confidence interval, 159-1619). Our findings suggest that impaired dentition status is significantly associated with sarcopenia among community-dwelling Japanese adults aged 75years. Future longitudinal studies with larger, more diverse populations are necessary to validate our findings.