Oral health status and change in handgrip strength over a 5-year period in 80-year-old people.
Oral health status and change in handgrip strength over a 5-year period in 80-year-old people.
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DOI：
10.1111/j.1741-2358.2004.00022.x
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发表时间：
2004-09-01
期刊：
影响因子：
2
通讯作者：
Meurman, Jukka H
中科院分区：
文献类型：
--
作者：
Hamalainen, Piia;Rantanen, Taina;Meurman, Jukka H
目的：剩余牙齿的数量可能表明终身暴露于炎症的程度，这是肌肉损失和随之而来的残疾的已知风险因素。目的是研究牙齿健康状况作为一个危险因素的肌肉力量损失在非常老people.Design：横断面和前瞻性队列研究超过5年following.SETTING：研究实验室。五年后，79名幸存者进行了重新tested.Main观察指标：剩余牙齿的数量，牙周炎和hand grip strength.Results：在基线，男性的握力与牙齿的数量呈正相关，但不存在牙周炎。在女性中，横截面关联没有统计学意义。在前瞻性分析中，基线时牙周炎的存在与5年随访中两种性别的握力下降明显相关。经性别、身高、体重、慢性疾病数量和体力活动调整后的值在牙周炎患者中为-28.3%（SE 5.7），而在牙龈健康的患者中为-11.9%（SE 3.1，p = 0.015）。基线时的牙齿数量和握力变化之间没有关联超过5 years was observed.CONCLUSIONS：口腔炎症的存在可能会导致肌肉力量的损失，增加残疾的风险。因此，一生中良好的牙齿护理可以降低老年残疾的风险。
OBJECTIVE: The number of remaining teeth may indicate the extent of life-long exposure to inflammation, a known risk factor for muscle loss and consequent disability. The aim was to study dental health status as a risk factor for muscle strength loss in very old people.DESIGN: Cross-sectional and prospective cohort study over a 5-year follow-up.SETTING: Research laboratory.PARTICIPANTS: One hundred and ninety-three 80-year-old people participated in the baseline examinations. Five years later, 79 survivors were retested.MAIN OUTCOME MEASURES: Number of remaining teeth, presence of periodontitis and handgrip strength.RESULTS: At baseline, grip strength of men correlated positively with number of teeth but not with the presence of periodontitis. In women, the cross-sectional associations were not statistically significant. In the prospective analyses, the presence of periodontitis at baseline showed a clear association with a steeper decline in handgrip over the 5-year follow-up in both sexes. The values adjusted for gender, height, weight, number of chronic conditions and physical activity were -28.3% (SE 5.7) among those with periodontitis vs. -11.9% (SE 3.1, p = 0.015) among those with healthy gingiva. No association between the number of teeth at baseline and change in grip strength over 5 years was observed.CONCLUSIONS: The presence of oral inflammation may lead to loss in muscle strength increasing the risk of disability. Therefore, good dental care throughout the life span may decrease risk of disability in old age.