Oral Health and Incident Depressive Symptoms: JAGES Project Longitudinal Study in Older Japanese
Oral Health and Incident Depressive Symptoms: JAGES Project Longitudinal Study in Older Japanese
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DOI：
10.1111/jgs.14777
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发表时间：
2017-05-01
影响因子：
6.3
通讯作者：
Sasaki, Yuri
中科院分区：
文献类型：
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作者：
Yamamoto, Tatsuo;Aida, Jun;Sasaki, Yuri
目的探讨口腔健康状况对日本老年人抑郁症状的预测作用。DesignLongitudinal研究。日本有24个自治市。参与者：参与2010年和2013年日本老年学评估研究邮寄调查的65岁及以上社区居民（N = 14,279）。测量方法采用老年抑郁量表（GDS）评估抑郁症状。对缺失数据进行了多重插值处理。在基线排除抑郁症状（GDS 5）的参与者后，使用logistic回归模型估计2013年发生抑郁症状的优势比（ORs）和95%置信区间（CIs）。结果在调整性别、年龄、受教育程度、同等家庭收入、婚姻状况、目前疾病、运动、外出频率、牙科就诊等因素后，在同时增加的口腔健康变量中观察到以下ORs (95% CI): 10-19颗牙（OR 1.16, 95% CI 0.99-1.37，参考值：20颗牙）；1-9齿（1.14,0.94-1.38，参考：20齿）；无齿（1.28,1.03-1.60，参考：20齿）；与6个月前相比，现在咀嚼较硬的食物更困难（1.24,1.04-1.47）；喝茶或喝汤时呛（1.02,0.84-1.23）；口渴感（1.17,0.99-1.40）；进食困难（0.98,0.80-1.21），说话困难（1.19,0.89-1.60）；微笑问题（1.24,0.94-1.65）；情绪稳定性问题（1.32,0.86-2.04）；与家人、朋友或其他人在一起时无法享受生活（0.86,0.42-1.78）。结论无牙和口腔健康问题可能与抑郁症状的发展或恶化有关。
ObjectivesTo determine whether oral health status predicts depressive symptoms in older Japanese people.DesignLongitudinal study.SettingTwenty-four municipalities in Japan.ParticipantsCommunity-dwelling individuals aged 65 years and older who responded to mail surveys performed by the Japan Gerontological Evaluation Study in 2010 and 2013 (N = 14,279).MeasurementsDepressive symptoms were assessed using the Geriatric Depression Scale (GDS). Multiple imputations were used to deal with missing data. After excluding participants with depressive symptoms (GDS 5) at baseline, odds ratios (ORs) and 95% confidence intervals (CIs) for incident depressive symptoms in 2013 were estimated using logistic regression models.ResultsAfter adjusting for sex, age, educational attainment, equivalized household income, marital status, present illness, exercise, frequency of going out, and visits for dental treatment, the following ORs (95% CIs) were observed in simultaneously added oral health variables: 10-19 teeth (OR 1.16, 95% CI 0.99-1.37, reference: 20 teeth); 1-9 teeth (1.14, 0.94-1.38, reference: 20 teeth); no teeth (1.28, 1.03-1.60, reference: 20 teeth); more difficulty chewing tough foods now than 6 months ago (1.24, 1.04-1.47); choking when drinking tea or soup (1.02, 0.84-1.23); feelings of thirst (1.17, 0.99-1.40); difficulty eating food (0.98, 0.80-1.21), difficulty speaking clearly (1.19, 0.89-1.60); problems with smiling (1.24, 0.94-1.65); problems with emotional stability (1.32, 0.86-2.04); and problems enjoying oneself around family, friends, or other people (0.86, 0.42-1.78).ConclusionThese findings suggest that having no teeth and oral health problems may play a role in the development or worsening of depressive symptoms.