Activities of daily living and chewing ability in an 80-year-old population

Activities of daily living and chewing ability in an 80-year-old population
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DOI:
10.1111/j.1601-0825.2004.01047.x
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发表时间:
2004-11-01
期刊:
影响因子:
3.8
通讯作者:
Takehara, T
Takehara, T
中科院分区:
医学3区
文献类型:
--
作者:
Takata, Y;Ansai, T;Takehara, T

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目的:本研究的目的是确定咀嚼能力或完整牙齿的数量是否与80岁奥尔兹的日常生活活动能力有关。设计:这是一项横断面调查,包括牙科检查,咀嚼自我评估和日常功能。共计823人研究对象为居住在日本福冈县的80岁以上老年人(男309人,女514人)。在提供的15种食物中,咀嚼食物的平均次数为11.2 +/- 3.8。713名受试者的功能是独立的,93名受试者的功能是依赖的。调整性别后,我们发现咀嚼的食物数量与独立功能的多元回归分析(β = 0.223,P < 0.0001);完整牙齿的数量只有弱相关(β = 0.077,P = 0.03)。通过逻辑回归分析,与咀嚼所有15种食物的人相比,能够咀嚼4种或更少食物的人的功能依赖性是7.5倍,咀嚼5到9种食物的人的功能依赖性是3.3倍。结论:80岁以上老年人咀嚼能力与功能状态可能存在独立的相关性。
OBJECTIVES: The aim of this study was to determine whether chewing ability or number of intact teeth was related to performance of activities of daily living in 80-year olds.DESIGN: This was a cross-sectional survey including dental examinations, chewing self-assessment, and everyday function.SUBJECTS AND METHODS: A total of 823 people (309 males, 514 females) who were 80 years of age and resident in the Fukuoka Prefecture, Japan participated in this study.RESULTS: The mean number of intact teeth was 7.5 +/- 8.7; of the 15 food items offered, the mean number of foods chewed was 11.2 +/- 3.8. Function was independent in 713 subjects, and dependent in 93. After adjustment for gender, we found the number of foods chewed being linked to independent function by the multiple regression analysis (beta = 0.223, P < 0.0001); the number of intact teeth was only weakly related (beta = 0.077, P = 0.03). By logistic regression analysis, functional dependency was 7.5 times more prevalent in individuals capable of chewing four foods or fewer, and 3.3 times more prevalent in those chewing five to nine, than in those chewing all 15 items. No significant functional difference was related to the number of intact teeth.CONCLUSION: Chewing ability may be independently related with functional status in 80-year olds.