Association between swallowing function and oral bacterial flora in independent community-dwelling elderly

Association between swallowing function and oral bacterial flora in independent community-dwelling elderly
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独立社区老年人吞咽功能与口腔菌群的关系

DOI:
10.1007/s40520-020-01521-3
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发表时间:
2021
期刊:
Aging Clinical and Experiment Research
影响因子:
--
通讯作者:
Sakakibara H.
Sakakibara H.
中科院分区:
--
文献类型:
--
作者:
Hida Y;Nishida T;Taniguchi C;Sakakibara H.

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Backgroundincreasingincidence of swelling dysfunction,or dysphagia,a risk factor for aspiration pneumonia,are being reported in ageing populations.AimsTo investigate the relationship between swelling function and oral bacteria in independent,community-dwelling elderly.MethodsThis study reported 139 community-dwelling individuals age ≥ 70 years with poor swelling function.厌氧(Prevotellaspp.)和梭杆菌属)并检测了参与者口腔植物群中的需氧菌。使用30 mL水吞咽试验评价吞咽功能。进行多变量Logistic回归分析,以研究口腔细菌和吞咽function.ResultsSwallowing功能之间的关联被评估为异常的2.9%和异常的47.5%的受试者。Prevotellaspp的菌落形成单位(CFU/ml)。与吞咽功能障碍相关(OR = 3.45,95%可信区间CI = 1.49-8.11)。此外,梭杆菌属的CFU/ml。需氧菌和需氧菌与吞咽功能障碍无关,但与牙齿数量有关(OR分别为2.71; 95%CI为1.28-5.74和0.40; 95%CI为0.18-0.91)。这可能间接增加吸入性肺炎的风险因素。
BackgroundIncreasing incidences of swallowing dysfunction, or dysphagia, a risk factor for aspiration pneumonia, are being reported in aging populations.AimsTo investigate the relationship between swallowing function and oral bacteria in independent, community-dwelling elderly.MethodsThis study recruited 139 community-dwelling individuals aged ≥ 70 years with poor swallowing function. The presence of anaerobic (Prevotellaspp. andFusobacteriumspp.) and aerobic bacteria was examined in the participants’ oral cavity flora. Swallowing function was evaluated using a 30 mL water swallowing test. Multivariate logistic regression analyses were performed to examine the association between oral bacteria and swallowing function.ResultsSwallowing function was assessed as abnormal in 2.9% and as abnormal in 47.5% of the subjects. The colony-forming units (CFUs/ml) ofPrevotellaspp. were associated with the swallowing dysfunction (odds ratio [OR] 3.45, 95% confidence interval [CI] 1.49–8.11). Further, CFUs/ml ofFusobacteriumspp. and aerobes did not correlate with the swallowing dysfunction but were related with the number of teeth (OR 2.71; 95% CI 1.28–5.74, and OR 0.40; 95% CI, 0.18–0.91, respectively)ConclusionsSwallowing dysfunction in community-dwelling elderly is associated with increased abundance ofPrevotellaspp., which indirectly may be an increased risk factor for aspiration pneumonia.
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