Does poor oral health status increase the risk of falls?: The JAGES Project Longitudinal Study.
Does poor oral health status increase the risk of falls?: The JAGES Project Longitudinal Study.
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DOI：
10.1371/journal.pone.0192251
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Kondo K
中科院分区：
文献类型：
--
作者：
Mochida Y;Yamamoto T;Fuchida S;Aida J;Kondo K
我们试图检查自我报告的口腔健康状况，如难以进食坚韧的食物、口干、窒息、牙齿数量和假牙使用是否与福尔斯事件相关。我们的研究是基于2010年和2013年使用自填问卷进行的日本老年学评估研究的面板数据。分析了2010年前一年内无福尔斯跌倒史的19，995名男性和20，858名女性年龄≥65岁的社区居住老年人的数据。在调整可能的混杂因素并考虑市政当局的差异后，使用多水平logistic回归模型来确定2010年口腔健康不良与2013年多次发生福尔斯事件之间的关联。2013年报告福尔斯跌倒的男性和女性比例分别为2.4%和2.1%。调整年龄、教育程度、等效收入、抑郁、自测健康、工具性日常生活活动、体重指数、与福尔斯相关的现有疾病、社会参与、步行（分钟/天）、饮酒状况和城市人口密度后，男性口干（比值比[OR] = 1.41; 95%可信区间[CI]：1.12-1.77）和女性窒息（OR = 1.64; 95% CI：1.27-2.11）与福尔斯事件显著相关。男女进食困难和男性窒息与福尔斯事件有轻微相关性（p<0.1）。女性有10-19颗牙齿，无假牙（OR = 1.63; 95%CI：1.14-2.31），≤9颗牙齿有义齿（OR = 1.36; 95% CI：1.03-1.80），且≤9例无义齿（OR = 1.46; 95% CI：1.02-2.08）与福尔斯事件显著相关。这些研究结果表明，口腔功能差，牙齿少，不使用假牙是事件福尔斯的预测因素。需要进一步的研究来确定改善口腔健康是否可以降低福尔斯的风险。
We sought to examine if self-reported oral health conditions regarding difficulty eating tough foods, dry mouth, choking, number of teeth and denture use are associated with incident falls. Our study was based on panel data from the Japan Gerontological Evaluation Study conducted in 2010 and 2013 using self-administered questionnaires. Data from 19,995 male and 20,858 female community-dwelling older people aged ≥65 years without a history of falls within the previous year in 2010 were analyzed. Multilevel logistic regression models were used to determine the association between poor oral health in 2010 and multiple incident falls in 2013 after adjusting for possible confounders and considering differences in municipalities. The percentage of males and females who reported falls in 2013 were 2.4% and 2.1%, respectively. After adjusting for age, educational attainment, equivalized income, depression, self-rated health, instrumental activities of daily living, body mass index, present illness related to falls, social participation, walking in min/day, alcohol drinking status, and municipality population density, dry mouth in males (odds ratio [OR] = 1.41; 95% confidence interval [CI]: 1.12–1.77) and choking in females (OR = 1.64; 95% CI: 1.27–2.11) were significantly associated with incident falls. Difficulty eating tough foods in both sexes and choking in males were marginally associated with incident falls (p<0.1). Females having 10–19 teeth without dentures (OR = 1.63; 95% CI: 1.14–2.31), ≤9 teeth with dentures (OR = 1.36; 95% CI: 1.03–1.80), and ≤9 without dentures (OR = 1.46; 95% CI: 1.02–2.08) were significantly associated with incident falls compared with those having ≥20 teeth, respectively. These findings suggest that poor oral function, having fewer teeth, and not using dentures are predictors of incident falls. Further studies are needed to determine whether improving oral health can reduce the risk of falls.
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通讯作者：
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