Relationship between Mortality and Oral Function of Older People Requiring Long-Term Care in Rural Areas of Japan: A Four-Year Prospective Cohort Study.
Relationship between Mortality and Oral Function of Older People Requiring Long-Term Care in Rural Areas of Japan: A Four-Year Prospective Cohort Study.
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DOI：
10.3390/ijerph18041723
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发表时间：
2021-02-10
影响因子：
--
通讯作者：
Hirano H
中科院分区：
文献类型：
--
作者：
Morishita S;Ohara Y;Iwasaki M;Edahiro A;Motokawa K;Shirobe M;Furuya J;Watanabe Y;Suga T;Kanehisa Y;Ohuchi A;Hirano H
口服会影响老年人的生活维持、生活质量和尊严。因此，这是老年人医疗保健和福利方面的一个重要问题。这项为期4年的前瞻性队列研究的目的是调查日本农村地区需要长期护理并生活在不同环境中的老年人死亡率与口腔功能之间的关系。本研究包括289名年龄在65岁及以上需要长期护理的参与者，他们居住在位于日本北方的秋田县横手市的前大森町地区。在基线调查之后，收集了四年的死亡率数据; 102名参与者（35.3%）在此期间死亡。根据对数秩检验结果，口腔功能（如口腔干燥、冲洗能力、吞咽功能和发音）良好和恶化的组之间的总生存率存在显著差异。在使用考克斯比例风险回归调整各种潜在混杂因素后，口腔干燥（HR：1.83，95%置信区间：1.12 - 3.00）与4年内的死亡率显著相关。这项研究表明，口腔干燥会影响在不同环境中接受长期护理的老年人的生活预后。
Oral ingestion influences the life sustenance, quality of life, and dignity of older adults. Thus, it is an important issue in medical care and the welfare of older adults. The purpose of this four-year prospective cohort study was to investigate the relationship between mortality and oral function among older adults who required long-term care and were living in different settings in a rural area of Japan. This study included 289 participants aged 65 and older who required long-term care and lived in the former Omorimachi area in Yokote City, Akita Prefecture, located in northern Japan. Following the baseline survey, mortality data were collected over four years; 102 participants (35.3%) died during that time. A significant difference was noted in the overall survival rates between the groups with good and deterioration of oral function such as oral dryness, rinsing ability, swallowing function, and articulation, based on Log-rank test results. After adjusting for various potential confounders using Cox proportional-hazards regression, oral dryness (HR: 1.83, 95% confidence interval: 1.12−3.00) was significantly associated with mortality within four years. This study revealed that oral dryness influences the life prognosis of older adults who receive long-term care in different settings.
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影响因子：
5.8
作者：
Kim, J.;Lee, Y.;Chon, D.
通讯作者：
Chon, D.
影响因子：
2.8
作者：
Luppa, Melanie;Luck, Tobias;Riedel-Heller, Steffi G.
通讯作者：
Riedel-Heller, Steffi G.
影响因子：
1
作者：
Hartelius, L;Lillvik, M
通讯作者：
Lillvik, M
吞咽困难和咀嚼性表现是对老年人群中生活质量关系的小心脏的介体。
影响因子：
4.1
作者：
Lu TY;Chen JH;Du JK;Lin YC;Ho PS;Lee CH;Hu CY;Huang HL
通讯作者：
Huang HL
影响因子：
3.6
作者：
Barbe AG;Schmidt P;Bussmann M;Kunter H;Noack MJ;Röhrig G
通讯作者：
Röhrig G