Impact of periodontal disease and chewing ability on the quality of life of the elderly in an affluent community
Impact of periodontal disease and chewing ability on the quality of life of the elderly in an affluent community
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DOI：
10.1016/j.jfma.2020.01.002
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发表时间：
2020-11-01
影响因子：
3.2
通讯作者：
Wang, Tze-Fang
中科院分区：
文献类型：
--
作者：
Liang, Ya-Hong;Chou, Chyuan;Wang, Tze-Fang
背景/目的：改善医疗和社会环境是政府确保老年人生活质量政策的一个重要方面。然而，很少有研究评估的影响和关系的生活质量与临床因素之间的老年人在富裕的住宅areas.Methods：共166名老年人长庚健康文化村入选。使用老年口腔健康评估指数测量口腔健康相关的生活质量。采用问卷调查的方法收集咀嚼能力和人口学特征的自我评估。采用日常生活活动能力（ADL）和工具性ADL对患者的身体健康状况进行评分。采用简易营养评价问卷对营养摄入进行评价。结果：咀嚼能力差与年龄（76-85岁OR = 1.82，86-95岁OR = 3.58）、经济状况（OR = 5.55）和戴活动义齿（OR = 7.52）有关。而咀嚼能力差（OR = 0.11）、戴活动义齿（OR = 0.48）、有牙周病（OR = 0.38）者的口腔健康相关生活质量较低。中介分析表明，咀嚼能力是口腔健康相关的生活质量和经济状况或可摘义齿佩戴或有超过20颗牙齿之间的关联的中介。牙周病是一个独立的因素，口腔健康相关的QoL.Conclusion：在老年人在富裕的社区，牙周病是一个独立的危险因素，直接与口腔健康相关的QoL，而咀嚼能力是一个中介QoL和可移动义齿佩戴。版权所有（C）2020，台湾医学会.出版社：Elsevier Taiwan LLC
Background/Purpose: Improvement of the medical and social environment is an important aspect of government policies in assuring the quality of life (QoL) of older adults. However, few studies have appraised the impact and relationship of QoL with clinical factors among elderly individuals in affluent residential areas.Methods: A total of 166 older adults from Chang Gung Health and Culture Village were enrolled. Oral health-related QoL was measured using the Geriatric Oral Health Assessment Index. Self-assessed chewing abilities and demographic characteristics were collected by questionnaire. Physical health was scored by activities of daily living (ADL) and instrumental ADL. Mini nutrition assessment questionnaire was used to evaluate the nutritional intake. Multiple linear regression was used to predict risk factors affecting QoL and to examine whether chewing ability was a mediator of oral health-related QoL.Results: Poor chewing ability was associated with older age (OR = 1.82 for 76-85 years and 3.58 for 86-95 years), sufficient economic status (OR = 5.55) and removable denture-wearing (OR = 7.52). On the other hand, poor chewing ability (OR = 0.11), removable denture-wearing (OR = 0.48), periodontal disease (OR = 0.38) had lower likelihood of good oral health-related QoL. Mediator analyses showed that chewing ability was a mediator for the association between oral health-related QoL and economic status or removable denture-wearing or having more than 20 teeth. Periodontal disease was an independent factor for oral health-related QoL.Conclusion: Among older adults in an affluent community, periodontal disease is an independent risk factor directly related to oral health-related QoL, whereas chewing ability is a mediator between QoL and removable denture-wearing. Copyright (C) 2020, Formosan Medical Association. Published by Elsevier Taiwan LLC.