Decline of oral functions in old‐old adults and their relationship with age and sex: The SONIC study

Decline of oral functions in old‐old adults and their relationship with age and sex: The SONIC study
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老年人口腔功能下降及其与年龄和性别的关系:SONIC 研究

DOI:
10.1111/jgs.17535
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发表时间:
2021
影响因子:
6.3
通讯作者:
Ikebe Kazunori
Ikebe Kazunori
中科院分区:
医学1区
文献类型:
--
作者:
Hatta Kodai;Murotani Yuki;Takahashi Toshihito;Gondo Yasuyuki;Kamide Kei;Masui Yukie;Ishizaki Tatsuro;Ogata Soshiro;Matsuda Ken‐ichi;Mihara Yusuke;Fukutake Motoyoshi;Nishimura Yuichi;Hagino Hiromasa;Higashi Kotaro;Maeda Yoshinobu;Ikebe Kazunori

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研究背景随着年龄的增长,许多身体功能会下降,但口腔功能是否因性别而异,还是像身体功能一样随着年龄的增长而下降,目前尚不清楚。本研究旨在探讨性别,年龄,使用广义线性混合效应模型(GLMM)在日本老年人中进行为期3年的咬合力和舌压的年数和年数。(2014年6月至2017年3月)和3年后的随访调查(2017年7月至2019年12月)(n= 951:70岁组,n= 466; 80岁组,n= 391; 90岁组,n= 94)。进行了包括牙齿数量、咬合力和舌压在内的牙科检查,并使用GLMM估计性别、年龄和使用年限与咬合力和舌压的关系,调整了牙齿数量。(参考;男性,非标准化系数:B= −66.9 [女性],p< 0.001),年龄(参考; 70岁组,B= −81.7 [80岁组],p<0.001,B = −87.2 [90岁组],p< 0.001)和牙齿数量(B= 13.8,p < 0.001),但随着年龄的增长没有显著下降。舌压与性别(参考;男性,B= −0.94 [女性],p= 0.034)和年龄(参考; 70岁组,B= −1.78 [80岁组],p<0.001,B = −5.47 [90岁组],p< 0.001)显著相关。舌压随时间的推移而显著降低(B=-0.82,p < 0.001)。结论这些发现表明舌压随时间显著降低,但咬合力没有。与舌头相关的肌肉可能比咀嚼肌更容易衰老。
BackgroundMany physical functions decline with aging, but it is not known whether oral functions vary according to sex or decline with aging, as it occurs with physical functions. The present study aimed to examine the association of sex, age, and elapsed years with occlusal force and tongue pressure using a generalized linear mixed‐effect model (GLMM) over a 3‐year period among old‐old Japanese adults.MethodsParticipants were community‐dwelling older adults who participated in a survey (June 2014–March 2017) and a follow‐up survey (July 2017–December 2019) after 3 years (n= 951: 70‐year group,n= 466; 80‐year group,n= 391; 90‐year group,n= 94). Dental examinations including the number of teeth, occlusal force, and tongue pressure were conducted, and a GLMM was used to estimate the association of sex, age, and elapsed years with occlusal force and tongue pressure, adjusting for the number of teeth.ResultsThe GLMM showed that occlusal force was significantly associated with sex (reference; male, non‐standardized coefficient:B= −66.9 [female],p< 0.001), age (reference; 70‐year group,B= −81.7 [80‐year group],p< 0.001,B= −87.2 [90‐year group],p< 0.001), and the number of teeth (B= 13.8,p< 0.001), but did not significantly decrease with elapsed years. Tongue pressure was significantly associated with sex (reference; male,B= −0.94 [female],p= 0.034) and age (reference; 70‐year group,B= −1.78 [80‐year group],p< 0.001,B= −5.47 [90‐year group],p< 0.001). Tongue pressure decreased significantly with elapsed years (B= −0.82,p< 0.001).ConclusionsThese findings suggest that tongue pressure significantly decreased over time, but occlusal force did not. Tongue‐related muscles may be more susceptible to aging than masticatory muscles.
DOI: 10.1007/s00455-013-9469-6
发表时间: 2013-12
期刊: DYSPHAGIA
影响因子: 2.6
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期刊: The International journal of prosthodontics
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DOI: 10.1111/j.2041-1626.2011.0088.x
发表时间: 2012-02-01
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DOI: 10.1016/j.jdent.2011.10.007
发表时间: 2012-01-01
影响因子: 4.4
作者:
Ikebe, Kazunori;Matsuda, Ken-ichi;Maeda, Yoshinobu
通讯作者: Maeda, Yoshinobu