Association between oral health, cognitive impairment and oral health-related quality of life
Association between oral health, cognitive impairment and oral health-related quality of life
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DOI：
10.1111/j.1741-2358.2011.00542.x
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发表时间：
2012-06-01
期刊：
影响因子：
2
通讯作者：
Rubio Herrera, Ramona
中科院分区：
文献类型：
--
作者：
Marin Zuluaga, Dairo Javier;Gil Montoya, Jose Antonio;Rubio Herrera, Ramona
目的：探讨口腔健康相关生活质量与认知状态的关系。背景：口腔健康影响口腔健康生活质量，在机构和认知受损人群中较差。材料和方法：这是一项横断面研究，涉及215名机构老年人(平均年龄82.9岁)，采用Pfeiffer测验进行访谈、检查和认知筛查。结果：GOHAI平均得分为53.1分；只有43.7%的参与者报告口腔健康生活质量良好。在双变量分析中，需要帮助穿衣或洗牙(OR2.14；p=0.004)、有一到九颗牙齿(OR4.65；p>；=0.001)、八对或更少的咬合(OR2.74；p=0.002)、一到三颗龋齿(OR1.85；p=0.005)和认知障碍(OR0.54；p=0.034)与生活质量改变显著相关。Logistic回归分析显示，无牙(OR3.18；p=0.0046)、有1~9颗牙齿(OR2.62；p=0.056)和轻度认知障碍(OR0.32；p=0.016)是OH-QOL改变的预测变量。在应用任何OH-QOL工具的同时进行认知筛查将使结果更可靠，并将使认知受损的人受益。
Objective: Investigating oral health-related quality of life's (OH-QoL) relationship with cognitive state.Background: Oral health affects OH-QoL and is poor in institutionalised and cognitively impaired people.Material and Methods: This was a cross-sectional study involving 215 institutionalised elderly (82.9 mean age), who were interviewed, examined and cognitively screened using the Pfeiffer test.Results: Mean GOHAI score was 53.1; only 43.7% of the participants reported having a good OH-QoL. Needing help with dressing or washing (OR 2.14; p = 0.004), having one to nine teeth (OR 4.65; p >= 0.001), eight or less occluding pairs (OR 2.74; p = 0.002), one to three caries (OR 1.85; p = 0.005) and being cognitive impaired (OR 0.54; p = 0.034) were significantly associated with altered OH-QoL in bivariate analysis. Being edentulous (OR 3.18; p = 0.0046), having 1-9 teeth (OR 2.62; p = 0.056) and presenting mild cognitive impairment (MCI) (OR 0.32; p = 0.016) appeared as predictive variables in logistic regression for having an altered OH-QoL.Conclusions: Participants having MCI had significantly better GOHAI score than cognitively normal residents. Performing cognitive screening parallel to applying any OH-QoL instrument would make the results more reliable and would benefit cognitively impaired people.