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Construction of support system for oral health promotion in elderly

老年人口腔健康促进支持体系构建

基本信息

批准号：
10557196
负责人：
MIYAZAKI Hideo
金额：
$ 3.07万
依托单位：
Niigata University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-10557196/
关键词：
Elderly people Health promotion Database Oral health

项目摘要

The purpose of this research was to support elderly generation through data collection, processing and its interpretation on oral health at community-basis. To realize the goal, scientific evidences are essential. We carried out survey on elderly cohort (600 persons aged 70 and 163 aged 80) once a year for 4 years. Four dentists carried out oral examinations under sufficient illumination using artificial light. An personal interview was performed to obtain the bulk of information regarding several predictor variables including gender, smoking and alcohol drinking habits, utilization of dental services including pattern of visits, treatment needs and recent visit in a year and dental self-care behaviors. In order to monitor the general health condition, blood pressure levels were recorded and serum levels of disease markers were also investigated. These diseaise markers were liver agents (GOT, GPT and Gamma-GTP), kidney agent (Creatinine), immunoglobulins (IgGs, IgA and IgM), lipo facto … More rs (Total-Cholesterol and Triglyceride) and nutritional factors (Total-Protein, Calcium. Blood-Sugar and Albumin). Results were 1) Persons with less teeth and with poor or no dentures tended to be at higher relative risk for worsening physical and mental health status. Risk of death was 3.2 times higher for persons with poor dental conditions. 2) Oral status was a good risk predictor, and poor general health indicated by low BMI may also contribute to root caries occurrence. 3) Significant associations were found between additional attachment loss and smoking, and AL of 6+ mm at the baseline, with odds ratios of 3.75 and 2.29, respectively. Smoking habit and baseline AL of 6+ mm may be considered as risk factors for further attachment loss. 4) From the x-ray measurement, 37% of remaining teeth was pulpless teeth. Of these, 36% were teeth with apical lesion and average alveolar bone loss was 30%. 5) General health status contributes to tooth loss, in addition to oral status such as root caries, severer periodontal condition. 6) Low intake of vegetables and fruits containing vitamin C, E and carotenoids, that are antioxidants, to prevent cardiovascular disease and gastro-intestinal disease. Lower chewing ability might be a risk factor for these diseases. 7) Dental occlusal condition is associated with lower extremity dynamic strength, agility, and balance function in the elderly. In conclusion, a preventive program for old generation is decided to be settled on the oral factors which influences the toothloss. Less

本研究的目的是通过收集、处理和解释社区基础的口腔健康数据，为老年人提供支持。要实现这一目标，科学证据必不可少。我们对老年队列（600名70岁老人和163名80岁老人）每年进行一次调查，为期4年。四名牙医使用人造光在足够照明下进行口腔检查。进行个人访谈以获得有关几个预测变量的大量信息，包括性别、吸烟和饮酒习惯、牙科服务的利用（包括就诊模式）、治疗需求和一年内最近的就诊情况以及牙科自我保健行为。为了监测一般健康状况，记录血压水平，并调查血清疾病标志物水平。这些疾病标志物是肝脏因子（GOT、GPT和γ - gtp）、肾脏因子（肌酐）、免疫球蛋白（igg、IgA和IgM）、脂质因子（总胆固醇和甘油三酯）和营养因子（总蛋白、钙）。血糖和白蛋白)。结果表明：1)假牙少、假牙不良或无假牙者身心健康状况恶化的相对风险较高；牙齿状况不佳的人的死亡风险高出3.2倍。2)口腔状况是龋病发生的良好预测因素，低BMI指数所反映的整体健康状况不佳也可能导致龋病的发生。3)额外依恋丧失与吸烟和基线AL值为6+ mm有显著相关，比值比分别为3.75和2.29。吸烟习惯和基线AL≥6 mm可能被认为是进一步依恋丧失的危险因素。4) x线测量显示，剩余牙齿中37%为无髓牙。其中36%为牙尖病变，平均牙槽骨损失为30%。5)一般健康状况会导致牙齿脱落，除了口腔状况如牙根蛀牙，严重的牙周状况。6)少摄入含有抗氧化剂维生素C、E和类胡萝卜素的蔬菜和水果，以预防心血管疾病和胃肠道疾病。较低的咀嚼能力可能是这些疾病的一个危险因素。牙齿咬合状况与老年人下肢动态力量、敏捷性和平衡功能有关。综上所述，针对影响牙齿脱落的口腔因素，制定了针对老年人的预防方案。少