Relationship between dental health and 10-year mortality in a cohort of community-dwelling elderly people

Relationship between dental health and 10-year mortality in a cohort of community-dwelling elderly people
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DOI:
10.1034/j.1600-0722.2003.00055.x
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发表时间:
2003-08-01
影响因子:
1.9
通讯作者:
Heikkinen, E
Heikkinen, E
中科院分区:
医学4区
文献类型:
--
作者:
Hämäläinen, P;Meurman, JH;Heikkinen, E

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牙齿检查是长青项目的一部分,该项目的重点是芬兰中部杰瓦斯基拉市老年居民的功能能力和健康状况。1990年对所有1910年出生的人(n=226)的牙齿状况进行了检查。死亡率数据是在10年内收集的。这项研究的目的是评估牙齿健康作为死亡率预测因子的可能作用。采用Kaplan-Meier方法分析生存曲线和COX回归模型,以慢性病和自评健康状况作为协变量分析死亡风险。结果表明,受试者的牙齿越多或牙齿越饱满,他们死亡的风险就越小。在调整一般健康变量后,牙齿缺失的影响是显著的。因此,我们的结果支持了这样的假设,即牙齿健康状况不佳与老年人死亡率增加有关。
Dental examinations were carried out as part of the Evergreen project, which focuses on functional capacity and health among the elderly residents of the city of Jyvaskyla, central Finland. Dental status was examined in 1990 for the whole population born in 1910 (n = 226). Mortality data were collected over 10 yr. The aim of the study was to assess the possible role of dental health as a predictor of mortality. The Kaplan-Meier method was used to analyse survival curves and Cox regression models, with the number of chronic conditions and self-rated health used as covariates in analysing the risks of death. The results showed that the more teeth or filled teeth a subject had, the smaller was their risk for death. The effect of missing teeth was significant after adjusting for the general health variables. Thus, our results support the hypothesis that poor dental health is linked to increased mortality among elderly people.