Dysphagia and masticatory performance as a mediator of the xerostomia to quality of life relation in the older population.
Dysphagia and masticatory performance as a mediator of the xerostomia to quality of life relation in the older population.
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吞咽困难和咀嚼性表现是对老年人群中生活质量关系的小心脏的介体。
DOI：
10.1186/s12877-020-01901-4
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发表时间：
2020-12-02
期刊：
影响因子：
4.1
通讯作者：
Huang HL
中科院分区：
文献类型：
--
作者：
Lu TY;Chen JH;Du JK;Lin YC;Ho PS;Lee CH;Hu CY;Huang HL
口腔健康不良对老年人生活质量的影响是一个公共卫生问题。在这项研究中，牙齿状态，咬合条件，吞咽困难，咀嚼性能之间的关联口干和口腔健康相关的生活质量（OHRQoL）的中介作用进行了评估，在老年人的人口。本研究采分层整群抽样法，从台湾高雄市抽取1076位65岁以上的社区居民。社区护理中心根据其地理分类（城市，农村或山区）随机选择。牙科医生对患者的牙齿状况和咬合状态进行评估。通过面对面访谈收集人口统计学、身体功能、口干、吞咽困难和抑郁的信息。咀嚼性能进行了评价，使用变色口香糖。OHRQoL使用老年口腔健康评估指数进行测量。分层回归模型被用来评估OHRQoL和身体功能，牙齿状态和口腔功能的老年人之间的关系。路径分析用于估计口干症和OHRQoL之间的直接和间接途径。与无口干症患者相比，口干症患者的OHRQoL降低了0.20（p <0.001），直接影响占总影响的83.3%。吞咽困难和咀嚼能力对口干症和OHRQoL之间的关联具有显著的中介作用（β s分别为0.20和-0.12，p均<0.001; β s分别为0.06和-0.09，p均<0.05）。此外，功能性牙齿数量（β s分别为-0.11和-0.43;均为p <.001）和咬合状态（β s分别为0.09和0.13;均为p <.05）对口干症和咀嚼性能之间的关系具有潜在的中介作用。吞咽困难和咀嚼功能可能是口干症影响生活质量的途径。早期口腔功能干预可能是老年人维持生活质量的一个有价值和可操作的目标。我们的研究结果进一步表明，口腔功能障碍的检查和筛查是必不可少的，以防止或延迟并发症的发生。
The impact of poor oral health on older adults’ quality of life is a public health problem. In this study, the mediating effects of dental status, occlusal condition, dysphagia, and masticatory performance on the association between xerostomia and oral health-related quality of life (OHRQoL) were assessed in the older adult population. Stratified cluster sampling was used to recruit 1076 community-dwelling adults aged 65 years and older from Kaohsiung, Taiwan. Community care centers were randomly selected according to their geographic classifications (urban, rural, or mountainous areas). Assessments of dental status and occlusal condition were performed by dentists. Information on demographics, physical function, xerostomia, dysphagia and depression was collected through face-to-face interviews. Masticatory performance was evaluated using color-changeable chewing gum. OHRQoL was measured using the Geriatric Oral Health Assessment Index. Hierarchical regression models were used to assess the relationships between OHRQoL and physical function, dental status and oral function in older adults. Path analysis was used to estimate direct and indirect pathways between xerostomia and OHRQoL. Participants with xerostomia exhibited a 0.20 OHRQoL reduction (p < .001) compared with patients with no xerostomia, and the direct effect accounted for 83.3% of the total effect. Dysphagia and masticatory performance were found to exert significant mediating effects on the association between xerostomia and OHRQoL (βs = 0.20 and − 0.12, respectively; both p < .001; βs = 0.06 and − 0.09, respectively; both p < .05). Moreover, potential mediating effects of the number of functional teeth (βs = − 0.11 and − 0.43, respectively; both p < .001) and occlusal condition (βs = 0.09 and 0.13, respectively; both p < .05) on the relationship between xerostomia and masticatory performance were noted. Dysphagia and masticatory performance may serve as pathways through which xerostomia affects quality of life. Early oral function intervention may be a valuable and actionable target for older adults to maintain quality of life. Our results further suggest that checkup and screening for oral dysfunction are essential to prevent or delay the onset of complications.
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影响因子：
2.9
作者：
Fueki, K.;Yoshida, E.;Igarashi, Y.
通讯作者：
Igarashi, Y.
影响因子：
3.2
作者：
Liang, Ya-Hong;Chou, Chyuan;Wang, Tze-Fang
通讯作者：
Wang, Tze-Fang
影响因子：
--
作者：
Agostini, Bernardo Antonio;Cericato, Graziela Oro;Demarco, Flavio Fernando
通讯作者：
Demarco, Flavio Fernando
影响因子：
4
作者：
Buco, Claudia Erika Amor M.;Buenviaje, Keith Anthony C.;Macindo, John Rey B.
通讯作者：
Macindo, John Rey B.
DOI：
10.1016/j.tripleo.2011.03.024
发表时间：
2011-09
期刊：
Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
影响因子：
--
作者：
Thomson WM;van der Putten GJ;de Baat C;Ikebe K;Matsuda K;Enoki K;Hopcraft MS;Ling GY
通讯作者：
Ling GY