Tooth loss, chewing ability and quality of life
Tooth loss, chewing ability and quality of life
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DOI：
10.1007/s11136-007-9293-2
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发表时间：
2008-03-01
影响因子：
3.5
通讯作者：
Roberts-Thomson, Kaye F.
中科院分区：
文献类型：
--
作者：
Brennan, David S.;Spencer, A. John;Roberts-Thomson, Kaye F.
目标 中老年人正在保留牙齿并避免戴假牙，这会影响生活质量。我们研究的目的是调查牙齿脱落和咀嚼能力及其与口腔和一般健康相关的生活质量和生活满意度的关系。方法2004年至2005年，通过自填问卷对来自南澳大利亚州阿德莱德的45至54岁的随机样本进行了调查（n = 879，回应率= 43.8%）。与健康相关的生活质量通过口腔健康影响概况 14 项版本和 EuroQol 视觉模拟量表仪器进行测量，生活满意度通过生活满意度量表进行测量。由经过校准的牙医对 709 人进行口腔检查，记录功能性牙齿单位（完成率 = 80.7%）。结果 功能性牙齿数量与咀嚼能力呈正相关（β = 0.31，P < 0.01）。在多变量分析中，控制功能牙齿的数量和其他涵盖牙科就诊模式、牙科行为、社会人口统计和社会经济状况的解释变量，咀嚼能力与口腔健康相关影响呈负相关（β = -0.37，P < 0.01），与总体健康（β = 0.10，P < 0.05）和幸福感（β = 0.16，P < 0.05）呈正相关。 P < 0.01）。结论 咀嚼能力与口腔健康相关的生活质量和总体健康状况相关，可能反映了咀嚼对食物选择以及膳食和饮食享受的影响，也表明了口腔健康对总体健康的重要性。
Objectives Middle-aged and older adults are retaining teeth and avoiding dentures, which should impact quality of life. The aims of our study were to investigate tooth loss and chewing ability and their association with oral- and general-health-related quality of life and life satisfaction.Methods A random sample of 45- to 54-year-olds from Adelaide, South Australia, was surveyed by self-complete questionnaire in 2004-2005 (n = 879, response rate = 43.8%). Health-related quality of life was measured with the Oral Health Impact Profile 14-item version and EuroQol Visual Analogue Scale instruments and life satisfaction by the Satisfaction with Life Scale. Functional tooth units were recorded at oral examinations performed by calibrated dentists on 709 persons (completion rate = 80.7%).Results Number of functional teeth was positively associated with chewing ability (beta = 0.31, P < 0.01). In multivariate analyses, controlling for number of functional teeth and other explanatory variables spanning dental visit pattern, dental behaviour, socio-demographics and socio-economic status, chewing ability was negatively associated with oral-health-related impacts (beta = -0.37, P < 0.01) and positively associated with general health (beta = 0.10, P < 0.05) and well-being (beta = 0.16, P < 0.01).Conclusions Chewing ability was related to oral-health-related quality of life and general health, possibly reflecting the impact of chewing on food choice and enjoyment of meals and diet, and also indicated the importance of oral health to general well-being.