Loss of occlusal support affects the decline in activities of daily living in elderly people receiving home care
Loss of occlusal support affects the decline in activities of daily living in elderly people receiving home care
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DOI：
10.1016/j.jpor.2015.06.003
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发表时间：
2015-10-01
影响因子：
3.6
通讯作者：
Yoshida, Mitsuyoshi
中科院分区：
文献类型：
--
作者：
Genkai, Sae;Kikutani, Takeshi;Yoshida, Mitsuyoshi
目的：本研究的目的是澄清咬合支持的情况下是否会导致日常生活活动（ADL）在老年人接受家庭care.Methods的下降：本研究的对象是322名老年人，年龄65岁及以上谁正在接受家庭护理在为期一年的观察期。根据前瞻性队列研究期间Barthel指数（BI）总分的变化（因变量）将受试者分为两组：日常生活活动能力维持/改善组，其中评分不变或改善;日常生活活动能力恶化组，其中评分下降。在轻度，中度和完全依赖ADL subgroup.Results：在维持/改善和恶化ADL组的受试者的数量分别为152和170，在基线测量和每个BI评分变化的咬合状态（存在或不存在的咬合支持）之间的关系进行了评估。ADL维持/改善组和恶化组的认知功能和咬合支持基线特征差异有统计学意义（p < 0.05）。在ADL各亚组中，仅轻度依赖组的活动性和如厕能力显著降低（p < 0.05）。结论：咬合支持的丧失可能是居家养老老人ADL下降的重要因素，尤其是轻度依赖组。(C)2015日本口腔修复学会。由Elsevier爱尔兰出版。All rights reserved.
Purpose: This study aimed to clarify whether the absence of occlusal support would lead to a decline in the activities of daily living (ADL) in elderly people receiving home care.Methods: The subjects of this study were 322 elderly individual aged 65 and older who were receiving home care during a one-year observation period. The subjects were divided into two groups according to the change in the total score of the Barthel Index (BI) during the prospective cohort study period (the dependent variable): the maintained/improved activities of daily living group, in which the score was unchanged or improved, and the worsened activities of daily living group, in which the score decreased. The relationship between occlusal status (the presence or absence of occlusal support) at the baseline measurement and each BI score change was evaluated in the slightly, moderately and totally dependent ADL subgroups.Results: The number of subjects in the maintained/improved and the worsened ADL groups was 152 and 170, respectively. The baseline characteristics of cognitive function and occlusal support were significantly different between the maintained/improved and the worsened ADL groups (p < 0.05). Among the ADL subgroups, significantly reduced scores in mobility and toilet use were observed only in the slightly dependent group (p < 0.05).Conclusions: Our results suggest that the loss of occlusal support may be an important factor in the decline of ADL in elderly people receiving home care, especially slightly dependent people. (C) 2015 Japan Prosthodontic Society. Published by Elsevier Ireland. All rights reserved.