互い に 絡み合う 経路: 口腔 疾患 と 摂食 障害 の 関連 を 調べる. 物語 を 総合 的 に 見直す
Alessandro Chiesa1, Rachele De Giuseppe2, Giulia Motta1
1Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100Pavia, Italy.
The British journal of nutrition
|September 4, 2025
まとめ
食生活障害は 排泄や栄養失調などの行動によって 口腔の健康に大きく影響します 早期の口腔診断はEDの診断と 統合された治療計画の指針として 重要な役割を果たします
科学分野:
- 精神科
- 歯科 医学
- 公衆衛生
背景:
- 摂食障害は深刻な精神疾患で 身体的,感情的,経済的な影響も大きい
- アノレキシア・ネルボサ (AN),ブルミア・ネルボサ (BN),過食障害 (BED),OSFEDなどの主要なEDは,しばしば重大な口腔健康問題と関連しています.
- ED患者における口腔の健康上の合併症は,治療介入の重要な診断指標とターゲットとして機能します.
研究 の 目的:
- EDと口腔の健康上の合併症との関連に関する既存の文献をレビューする.
- ED患者における口腔健康の悪化に寄与するトランス診断的行動的および生理学的リスク要因を調査する.
- EDの早期発見と管理における歯科専門家の役割と口腔評価を強調する.
主な方法:
- 22件の研究のナラティブレビューが行われました.
- 研究は,カロリー制限,排泄,過食,口腔衛生の怠慢を含むトランス診断リスク要因に基づいて分析されました.
- 基礎侵食性磨損検査 (BEWE) やシーフ空気指数などの臨床指標が検討された.
主要な成果:
- 栄養不良,嘔吐による酸性侵食,カリオゲン食品の過剰摂取,口腔衛生の不良は,ED患者における歯と歯周病の減少に主な原因である.
- 口頭による評価はEDの管理において重要な診断と治療の可能性を秘め,早期発見の必要性を強調しています.
- 遠隔歯科と特定の臨床指標は,ED患者の口腔健康のモニタリングと管理に役立ちます.
結論:
- 栄養補助,心理療法,歯科治療を統合した 多分野アプローチは,総合的なEDケアに不可欠です.
- 心理的・栄養的なサポートと並行して 歯科への介入は 患者の治療結果を改善します
- 歯科医は専門の口腔検査を通じて EDの早期発見と管理に 重要な役割を果たします
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