Factors associated with dry mouth in dependent Japanese elderly
Factors associated with dry mouth in dependent Japanese elderly
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DOI：
10.1111/j.1741-2358.2012.00685.x
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发表时间：
2014-03-01
期刊：
影响因子：
2
通讯作者：
Kakinoki, Yasuaki
中科院分区：
文献类型：
--
作者：
Kakudate, Naoki;Muramatsu, Tsukasa;Kakinoki, Yasuaki
目的确定口干的相关因素。背景口干对口咽健康有不利影响，特别是在老年人，并可导致肺炎。因此，更好地了解口干的流行病学对于改善高危老年患者的治疗策略和口腔健康具有重要意义。方法我们在8家长期护理机构和医院进行了一项横断面研究，涉及383名65-84岁和85岁[216岁]的日本依赖老年人。用多元Logistic回归分析了34个与口干相关的潜在因素。结果在85岁以上的高龄人群中，身体质量指数和身体残疾的严重程度被确定为与口腔干燥相关的潜在因素，而身体残疾的严重程度、结果测量时间、每天高耗水量、口腔呼吸、抗抑郁药和利尿剂的使用以及高频率的每日刷牙(每天2次；优势比：5.56；95%可信区间：1.52-20.00)在65-84岁年龄组中与口干有关。结论据我们所知，这是第一次确定日常刷牙频率与口干之间的联系，并建议应该鼓励高危依赖的日本老年人(65-84岁)刷牙，特别是那些服用抗抑郁药物和/或利尿剂的老年人。
ObjectivesTo identify factors associated with dry mouth.BackgroundDry mouth adversely affects oropharyngeal health, particularly in elderly, and can lead to pneumonia. A better understanding of the epidemiology of dry mouth is therefore important in improving treatment strategies and oral health in high-risk elderly patients.MethodsWe conducted a cross-sectional study involving 383 dependent Japanese elderly individuals (65-84 [n=167] and 85 [n=216] years) at eight long-term care facilities and hospitals. Thirty-four potential factors associated with dry mouth were examined by multiple logistic regression analysis. The primary outcome was dry mouth, as diagnosed by tongue dorsum moisture.ResultsWe identified that body mass index and severity of physical disability were identified as a potential factors associated with dry mouth in the super-elderly (85years) group, whereas severity of physical disability, outcome measurement time, high daily water consumption, mouth breathing, use of antidepressants and diuretics, and high frequency of daily brushing (2 times per day; Odds ratio: 5.56; 95% Confidence Interval: 1.52-20.00) were associated with dry mouth in the 65- to 84-year-old group.ConclusionTo our knowledge, this is the first study to identify a link between frequency of daily brushing and dry mouth and suggests that tooth brushing should be encouraged in high-risk dependent Japanese elderly (65-84years), particularly those taking antidepressants and/or diuretics.