Does oral health say anything about survival in later life? Findings in a Swedish cohort of 80+ years at baseline.
Does oral health say anything about survival in later life? Findings in a Swedish cohort of 80+ years at baseline.
复制标题
口腔健康对晚年的生存有影响吗？
DOI：
10.1111/j.1600-0528.2009.00467.x
复制
发表时间：
2009
影响因子：
2.3
通讯作者：
Johansson,Boo
中科院分区：
文献类型：
--
作者：
Thorstensson,Helene;Johansson,Boo
翻译后摘要-背景：口腔健康是整体健康的一个组成部分，口腔健康的贡献和影响的生物，心理和社会功能的输入的关系。 关于口腔健康标志物和随后的生存在late life.Objectives之间的关系知之甚少：本研究的目的是检查口腔健康指标的相对重要性，在人口和心理变量的背景下，随后的生存在8年的时间内，在一个基于人口的样本的old-old.Methods：研究样本包括357个人，中位年龄为86 岁，他们是从参与者中选择的综合纵向起源的方差在old-old：老年双胞胎（OCTO-Twin）研究，该研究 以2年为间隔，在5个场合检查了80岁及以上的单卵和双卵双胞胎。OCTO-Twin研究包括广泛的健康和功能能力、个性、幸福感和人际功能的生物行为测量。口腔健康变量是牙齿数量，百分比腐烂和填充表面（DFS%），牙周病的经验。确定了寿命商数（LQ），即实际寿命与统计预期寿命之比。生存期类别短于预期、符合预期或长于预期。结果：LQ与患牙数、无牙、牙周病经历无相关性，但有严重牙周病经历者的生存期短于预期。DFS%与生存率显著相关。与DFS评分高的个体相比，DFS评分低的个体的生存时间短于预期。生存的总体预测因素是认知状态，独立于年龄和性别时，牙科变量进行了分析的背景下，心理社会因素。此外，牙齿数量，吸烟，以及更好的经济状况，在儿童期和工作生涯中也显着predictors.Conclusions：口腔健康显着相关，随后的生存在一个样本中的最古老的个体，虽然心理社会因素是更强的预测因子。
Abstract –Background:Oral health is an integral part of general health; oral health contributes to and is influenced by a nexus of inputs from biological, psychological, and social functioning. Little is known about the relationship between markers of oral health and subsequent survival in late life.Objectives:The aim of this study was to examine the relative importance of oral health indicators in the context of demographic and psychosocial variables on subsequent survival during an 8‐year period in a population‐based sample of the oldest‐old.Methods:The study sample comprised 357 individuals with a median age of 86 years who were selected from participants in the comprehensive longitudinal Origins of Variance in the Old‐Old: Octogenarian Twins (OCTO‐Twin) study, which examined monozygotic and dizygotic twins aged 80 years and older on five occasions at 2‐year intervals. The OCTO‐Twin study includes a broad spectrum of biobehavioural measures of health and functional capacity, personality, well‐being, and interpersonal functioning. Oral health variables were number of teeth, per cent decayed and filled surfaces (DFS%), and periodontal disease experience. A longevity quotient (LQ), the ratio between years actually lived and those statistically expected, was determined. The survival categories were shorter than expected, as expected, or longer‐than‐expected. Multivariate analyses and the Kaplan–Meier method were used in the survival analyses.Results:No associations between LQ and number of teeth, edentulousness, and periodontal disease experience were found. But survival of men with severe periodontal disease experience was shorter than expected. DFS% was significantly associated with survival. Individuals with a low number of decayed and filled surfaces (DFS) had a shorter‐than‐expected survival time compared with those with high DFS scores. The overall predictor of survival was cognitive status, independent of age and gender when dental variables were analysed in the context of psychosocial factors. In addition, number of teeth, smoking, and better financial status in childhood and during working life were also significant predictors.Conclusions:Oral health was significantly associated with subsequent survival in a sample of oldest‐old individuals, although psychosocial factors were stronger predictors.