Low Tongue Strength and the Number of Teeth Present Are Associated with Cognitive Decline in Older Japanese Dental Outpatients: A Cross-Sectional Study.
Low Tongue Strength and the Number of Teeth Present Are Associated with Cognitive Decline in Older Japanese Dental Outpatients: A Cross-Sectional Study.
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DOI：
10.3390/ijerph17228700
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发表时间：
2020-11-23
影响因子：
--
通讯作者：
Naito T
中科院分区：
文献类型：
--
作者：
Egashira R;Mizutani S;Yamaguchi M;Kato T;Umezaki Y;Oku S;Tamai K;Obata T;Naito T
为了减轻痴呆症的影响，早期干预非常重要。本研究旨在探讨口腔健康在牙科诊所维持的老年门诊患者的口腔功能恶化和认知能力下降之间的关系。本研究纳入了50例年龄≥65岁的门诊患者。我们使用日本版的蒙特利尔认知评估（MoCA-J）来评估认知能力下降。通过舌压、咀嚼能力和吞咽能力评价口腔功能。进行全口牙周检查，并记录咬合支持和牙齿数量。使用逻辑回归模型计算认知下降（MoCA-J评分≤25分）的比值比（OR）和95%置信区间（CI）。年龄、牙数、舌压、咀嚼效能与认知功能下降显著相关（p < 0.05）。Logistic回归分析显示，认知能力下降与年龄独立相关（OR：1.25; 95% CI：1.03-1.52; p = 0.024），牙齿数量（OR = 0.83; 95%CI：0.76-1.00; p = 0.047），舌压较低（OR：0.87; 95%CI：0.77-0.98; p = 0.022）。较低的舌压和少量剩余牙齿可能与日本门诊患者的认知能力下降有关。
To mitigate the impact of dementia, initiating early intervention is important. This study aims to investigate the associations between deterioration in oral function and cognitive decline in older outpatients whose oral health was maintained in the dental clinic. This study included 50 outpatients aged ≥65 years. We used the Japanese version of the Montreal Cognitive Assessment (MoCA-J) to assess cognitive decline. Oral function was evaluated by tongue pressure, masticatory performance, and swallowing ability. A full-mouth periodontal examination was conducted, and the occlusal support and number of teeth were recorded. Odds ratios (ORs) and 95% confidence intervals (CIs) for cognitive decline (MoCA-J score ≤25 points) were calculated using logistic regression models. The age, number of teeth, tongue pressure, and masticatory performance were significantly correlated with cognitive decline (p < 0.05). Logistic regression analyses revealed that cognitive decline was independently associated with age (OR: 1.25; 95% CI: 1.03–1.52; p = 0.024), number of teeth (OR = 0.83; 95% CI: 0.76–1.00; p = 0.047), and lower tongue pressure (OR: 0.87; 95% CI: 0.77–0.98; p = 0.022). Lower tongue pressure and a small number of remaining teeth may be associated with cognitive decline in Japanese outpatients.
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影响因子：
2.9
作者：
Nagayoshi M;Higashi M;Takamura N;Tamai M;Koyamatsu J;Yamanashi H;Kadota K;Sato S;Kawashiri SY;Koyama Z;Saito T;Maeda T
通讯作者：
Maeda T
影响因子：
3.7
作者：
Ikebe K;Gondo Y;Kamide K;Masui Y;Ishizaki T;Arai Y;Inagaki H;Nakagawa T;Kabayama M;Ryuno H;Okubo H;Takeshita H;Inomata C;Kurushima Y;Mihara Y;Hatta K;Fukutake M;Enoki K;Ogawa T;Matsuda KI;Sugimoto K;Oguro R;Takami Y;Itoh N;Takeya Y;Yamamoto K;Rakugi H;Murakami S;Kitamura M;Maeda Y
通讯作者：
Maeda Y
影响因子：
6.3
作者：
Lee, Yao-Tung;Lee, Hsin-Chien;Chen, Chu-Chieh
通讯作者：
Chen, Chu-Chieh
影响因子：
6.7
作者：
Nesse, Willem;Abbas, Frank;Vissink, Arjan
通讯作者：
Vissink, Arjan
影响因子：
2
作者：
Minakuchi, Shunsuke;Tsuga, Kazuhiro;Sakurai, Kaoru
通讯作者：
Sakurai, Kaoru