ASSOCIATION BETWEEN ORAL FRAILTY AND DIETARY VARIETY AMONG COMMUNITY-DWELLING OLDER PERSONS: A CROSS-SECTIONAL STUDY
ASSOCIATION BETWEEN ORAL FRAILTY AND DIETARY VARIETY AMONG COMMUNITY-DWELLING OLDER PERSONS: A CROSS-SECTIONAL STUDY
复制标题
DOI：
10.1007/s12603-020-1538-6
复制
发表时间：
2021-03-01
影响因子：
5.8
通讯作者：
Kitamura, A.
中科院分区：
文献类型：
--
作者：
Hoshino, D.;Hirano, H.;Kitamura, A.
目的：探讨社区老年人口腔功能综合评价指标之一的口腔虚弱（of）严重程度与饮食变化的关系。设计：横断面研究。设置:以社区为基础的。参与者：共有769名65岁及以上的社区长者。干预措施：我们检查了参与者的基本人口统计信息、功能状态、认知状态、抑郁症状、病史和口腔功能。测量方法：在口腔前虚弱组和口腔虚弱组中，分别通过6项口腔功能评估中的1-2项和3项或更多项来定义OF。采用饲料品种评分法（DVS）评价饲料品种。参与者被分为3组进行评估：低得分（0-2），中得分（3-5）和高得分（=6）。顺序逻辑回归分析检验OF和DVS之间的关系。结果：受试者中of的发生率为21.6%，在调整潜在混杂因素后，其严重程度与DVS显著相关（Pre-OF；调整优势比[OR] = 1.687, 95%可信区间[CI] = 1.219-2.335, of；调整OR = 2.857, 95% CI = 1.489-5.484）。结论：在社区居住的老年人中，of的严重程度与DVS显著相关。这表明，DVS可能有助于了解of对营养状况的影响。需要进一步的纵向研究来阐明OF和DVS之间的关系。
Objective: To examine the association between the severity of oral frailty (OF), which is one of the comprehensive oral functions evaluated, and dietary variety in community-dwelling older persons. Design: Cross-sectional study. Setting: Community-based. Participants: A total of 769 community-dwelling older persons aged 65 and over. Interventions: We examined basic demographic information, functional status, cognitive status, depressive symptoms, medical history, and oral functions of the participants. Measurements: OF was defined by 1-2 and 3 or more of 6 items of oral function evaluation in the pre-oral frailty and oral frailty groups, respectively. Dietary variety was assessed using the dietary variety score (DVS). The participants were categorized into 3 groups for evaluation: those with a low score (0-2), medium score (3-5), and high score (=6). Ordinal logistic regression analysis was performed to examine the association between OF and DVS. Results: The rate of OF in the participants was 21.6%, and its severity was significantly associated with DVS after adjusting for potential confounders (Pre-OF; adjusted odds ratio [OR] = 1.687, 95% confidence interval [CI] = 1.219-2.335, OF; adjusted OR = 2.857, 95% CI = 1.489-5.484). Conclusion: The severity of OF was significantly associated with DVS in community-dwelling older persons. This suggests that DVS may be useful in understanding the effects of OF on the nutritional status. Further longitudinal studies are needed to elucidate the association between OF and DVS.