Social networks, leisure activities and maximum tongue pressure: cross-sectional associations in the Nagasaki Islands Study.

Social networks, leisure activities and maximum tongue pressure: cross-sectional associations in the Nagasaki Islands Study.
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DOI:
10.1136/bmjopen-2016-014878
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发表时间:
2017-12-06
期刊:
影响因子:
2.9
通讯作者:
Maeda T
Maeda T
中科院分区:
医学3区
文献类型:
--
作者:
Nagayoshi M;Higashi M;Takamura N;Tamai M;Koyamatsu J;Yamanashi H;Kadota K;Sato S;Kawashiri SY;Koyama Z;Saito T;Maeda T

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社会环境通常与健康结果有关,但关于其对口腔脆弱(误吸的潜在危险因素)的影响的流行病学证据很少。本研究旨在评估社会环境与舌压之间的关系,舌压是口腔功能的重要指标。这项研究的重点是家庭结构、邻居之间和邻居之外的社会网络以及休闲活动的参与情况。一项基于人群的横断面研究。日本农村社区的年度健康检查。共有1982名参与者,年龄均在40岁以上。排除任何缺少主要结局数据的人(n=14)。舌压测量三次,最大舌压用于分析。采用多变量调整回归模型计算舌压参数估计值(B)。有邻居参与的社交网络(B=2.43, P=0.0001)和参加休闲活动(B=1.58, P=0.005)与舌压升高独立相关,但与邻居以外的社交网络没有关联(B=0.23, P=0.77)。性别分析表明,对于男性来说,有伴侣与较高的舌压相关,与家庭人数无关(B=2.26, P=0.01),但在女性中没有关联(B= - 0.24, P=0.72; P-交互作用=0.059)。有邻居的社交网络和参加休闲活动与较高的舌压独立相关。婚姻状况可能是男性舌压偏高的一个重要因素。
Social environment is often associated with health outcomes, but epidemiological evidence for its effect on oral frailty, a potential risk factor for aspiration, is sparse. This study aimed to assess the association between social environment and tongue pressure, as an important measure of oral function. The study focused on family structure, social networks both with and beyond neighbours, and participation in leisure activities. A population-based cross-sectional study. Annual health check-ups in a rural community in Japan. A total of 1982 participants, all over 40 years old. Anyone with missing data for the main outcome (n=14) was excluded. Tongue pressure was measured three times, and the maximum tongue pressure was used for analysis. A multivariable adjusted regression model was used to calculate parameter estimates (B) for tongue pressure. Having a social network involving neighbours (B=2.43, P=0.0001) and taking part in leisure activities (B=1.58, P=0.005) were independently associated with higher tongue pressure, but there was no link with social networks beyond neighbours (B=0.23, P=0.77). Sex-specific analyses showed that for men, having a partner was associated with higher tongue pressure, independent of the number of people in the household (B=2.26, P=0.01), but there was no association among women (B=−0.24, P=0.72; P-interaction=0.059). Having a social network involving neighbours and taking part in leisure activities were independently associated with higher tongue pressure. Marital status may be an important factor in higher tongue pressure in men.
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