Influences of Masticatory Function Recovery Combined with Health Guidance on Body Composition and Metabolic Parameters
Influences of Masticatory Function Recovery Combined with Health Guidance on Body Composition and Metabolic Parameters
复制标题
DOI：
10.2174/1874210601913010124
复制
发表时间：
2019-01-01
影响因子：
1.3
通讯作者：
Hanada, Nobuhiro
中科院分区：
文献类型：
--
作者：
Takeuchi, Hiroaki;Terada, Mika;Hanada, Nobuhiro
背景：牙齿脱落会降低咀嚼功能。咀嚼功能不足会导致碳水化合物摄入量增加，同时减少低血糖指数（GI）和富含蛋白质、抗氧化剂、膳食纤维、维生素和矿物质的食物的摄入量。蛋白质能量营养不良可能导致代谢综合征、虚弱和非传染性疾病（NCDs）的快速发病。牙齿脱落导致的饮食习惯问题需要行为矫正和健康指导。目的：评价义齿结合健康指导对机体成分和代谢参数的影响。方法：收集3例患者的资料：2例臼齿脱落，1例全牙症。所有受试者均通过修复治疗恢复了咀嚼功能。通过让受试者咀嚼软糖并测量葡萄糖提取量来评估修复前后的咀嚼性能。调查问卷用于评估食物摄入量和生活习惯。基于问卷结果的健康指导与修复干预同时进行。在基线和第一次健康指导会后90天左右，我们测量了身体成分和血压，并进行了血液检查。结果：咀嚼能力、体质指数、基础代谢标准值、体脂率、某些营养素的摄入均有改善。两例患者血压和血红蛋白均有改善。结论：咀嚼功能恢复结合健康指导可有效预防咀嚼功能障碍患者非传染性疾病的发生或恶化。
Background:Tooth loss reduces masticatory function. Insufficient masticatory function causes an increase in carbohydrate intake while decreasing the intake of foods with a low Glycemic Index (GI) and high in protein, antioxidants, dietary fiber, vitamins, and minerals. Protein-energy malnutrition may lead to metabolic syndrome, frailty, and faster onset of Non-Communicable Diseases (NCDs). Individuals with tooth loss resulting in problematic eating habits require behavior modification and health guidance.Objective:This report aims to evaluate the influence of dental prostheses combined with health guidance on body composition and metabolic parameters.Methods:Data were collected from three subjects: Two with molar loss and one with edentulism. Masticatory function was restored in each subject through prosthodontic treatment. Masticatory performance was evaluated before and after the prosthodontic treatment by having the subjects chew a gummy jelly and measuring the glucose extraction. Questionnaires were used to assess food intake and lifestyle habits. Health guidance based on the results of the questionnaires was conducted simultaneously with the prosthodontic intervention. Body composition and blood pressure w e re measured and blood tests were performed at baseline and around 90 days after the first health guidance session.Results:Masticatory ability, body-mass index, basal metabolism standard value, body-fat percentage, and intake of certain nutrients improved in all cases. Blood pressure and hemoglobin Alc improved in two cases.Conclusion:Masticatory function recovery combined with health guidance was effective in preventing the onset or deterioration of NCDs in patients with masticatory dysfunction.