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高齢者の口腔健康とサルコペニアの関連性:横断的な研究
Ayça Asma Sakallı1, Bilal Katipoğlu2
1Department of Family Medicine, HSU Balıkesir Atatürk City Hospital, Balıkesir, Turkey.
International journal of general medicine
|September 4, 2025
まとめ
口腔の健康状態の悪さは,高齢者のサルコペニアの可能性と関連しています. 高齢者医療における 口腔衛生の評価は 早期介入のための リスクのある個人を特定するのに役立ちます
科学分野:
- 高齢者医療
- 口腔医療科学
- 栄養学
背景:
- サルコペニアは高齢者の重大な健康問題です.
- 口腔の健康は 老化している人々の健康に影響を与える要因として 認識されつつあります
- 口腔の健康に関する生活の質と サルコペニアの関連性については,地域社会に住む高齢者におけるさらなる調査が必要である.
研究 の 目的:
- コミュニティに住む高齢者の口腔衛生関連の生活の質と サルコペニアの可能性との関係を調査する.
- 高齢者の日常的なケアにおける 口腔健康スクリーニングの有用性を評価する.
- 高齢者のサルコペニアの予測要因を特定する.
主な方法:
- コミュニティに住む高齢者 (≥65歳) の315人を対象とした横断研究.
- 高齢者口腔健康評価指数 (GOHAI) を用いて口腔健康に関する生活の質を評価した.
- ハンドグリップダイナモメトリーとEWGSOP2基準を用いた筋肉の弱さによって定義される可能性のあるサルコペニア;追加評価にはMNA- SF,SARC- F,CFS,Katz Index,およびMini- Cogが含まれています.
主要な成果:
- ハンドグリップの強さとGOHAI (r = 0. 376, p < 0. 001) の間には正の相関が認められた.
- 口腔の健康に関する生活の質の低下 (低いGOHAI) は,多変量ロジスティック回帰において,独立してサルコペニアの可能性と関連していた.
- GOHAIの低値,MNA- SFの低値,そして多剤制薬は,サルコペニアの可能性を有意に予測する独立した指標であった.
結論:
- 口腔の健康に伴う生活の質の低下は,高齢者のサルコペニアの可能性の独立したリスク因子です.
- GOHAIのような口腔健康評価を 高齢者ケアに組み込むことは,サルコペニアのリスクのある個人を早期に特定するのに役立ちます.
- このアプローチは,高齢者のサルコペニアの管理に適時かつ有意な介入を支援します.
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