A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults.
A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults.
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DOI：
10.3390/ijerph18010213
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发表时间：
2020-12-30
影响因子：
--
通讯作者：
Awata S
中科院分区：
文献类型：
--
作者：
Iwasaki M;Motokawa K;Watanabe Y;Shirobe M;Inagaki H;Edahiro A;Ohara Y;Hirano H;Shinkai S;Awata S
背景资料：有限的纵向研究存在，以评估是否口腔健康和功能差影响营养状况恶化的发生率。我们调查了口腔脆弱（定义为口腔健康的累积缺陷）与社区老年人营养状况恶化之间是否存在纵向关联。方法：研究人群包括来自高岛平研究的191名男性和275名女性（平均年龄76.4岁）。在基线时进行多面口腔健康评估，口腔脆弱定义为具有以下6个组成部分中的≥3个：牙齿较少、咀嚼能力低、发音口腔运动技能低、舌压低以及咀嚼和吞咽困难。在基线和2年随访时使用Mini Nutritional Assessment®-Short Form（MNA®-SF）进行营养状况评估。营养状况恶化定义为研究期间基于MNA®-SF评分的营养状况类别下降。口腔脆弱和营养状况恶化之间的关联进行了评估，采用逻辑回归分析。结果：在基线时观察到67例（14.4%）参与者口腔脆弱。在研究期间，58名（12.4%）参与者表现出营养状况恶化。校正潜在混杂因素后，口腔脆弱与营养状况恶化显著相关（校正比值比，2.24; 95%置信区间，1.08-4.63）。结论：社区居住的老年人口腔脆弱的营养状况恶化的风险增加。
Background: Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were longitudinal associations between oral frailty, defined as accumulated deficits in oral health, and deteriorating nutritional status among community-dwelling older adults. Methods: The study population consisted of 191 men and 275 women (mean age, 76.4 years) from the Takashimadaira Study. Multifaced oral health assessment was performed at baseline, and oral frailty was defined as having ≥3 of the following six components: fewer teeth, low masticatory performance, low articulatory oral motor skill, low tongue pressure, and difficulties in chewing and swallowing. Nutritional status assessment was performed at baseline and two-year follow-up using the Mini Nutritional Assessment®-Short Form (MNA®-SF). Deteriorating nutritional status was defined as a decline in the nutritional status categories based on the MNA®-SF score during the study period. The association between oral frailty and deteriorating nutritional status was assessed using logistic regression analyses. Results: Oral frailty was observed in 67 (14.4%) participants at baseline. During the study, 58 (12.4%) participants exhibited deteriorating nutritional status. After adjusting for potential confounders, oral frailty was significantly associated with deteriorating nutritional status (adjusted odds ratio, 2.24; 95% confidence interval, 1.08–4.63). Conclusion: Community-dwelling older adults with oral frailty had an increased risk of deteriorating nutritional status.
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影响因子：
5.4
作者：
Oliveira MR;Fogaça KC;Leandro-Merhi VA
通讯作者：
Leandro-Merhi VA
影响因子：
2.8
作者：
Chavarro-Carvajal, Diego;Reyes-Ortiz, Carlos;Cano Gutierrez, Carlos
通讯作者：
Cano Gutierrez, Carlos
影响因子：
3.6
作者：
Lee, Li-Chin;Tsai, Alan C.
通讯作者：
Tsai, Alan C.
影响因子：
5.4
作者：
Hernán, MA;Hernández-Díaz, S;Robins, JM
通讯作者：
Robins, JM
影响因子：
2.3
作者：
Iwasaki, Masanori;Taylor, George W.;Miyazaki, Hideo
通讯作者：
Miyazaki, Hideo