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Oral Health Assessment by Lay Personnel for Older Adults
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中年および高齢の米国人における主観的認知低下に対する口腔衛生および歯科サービスの影響:行動リスク因子監視システム,2022年
Mohammed H Alshanbari1, Amanda M Cheney2,3, Hesham A Alhazmi4
1Department of Health Management and Medical Informatics, Health Sciences College at Al-Leith, Umm Al-Qura University, Prince Sultan Road, Makkah, 11343, Kingdom of Saudi Arabia (email: mhshanbari@uqu.edu.sa).
Preventing chronic disease
|September 4, 2025
まとめ
口腔の健康状態の悪さは,中年および高齢者の主観的認知機能低下 (SCD) の高頻度に関連しています. 良い口腔衛生と定期的な歯科医の診察は 認知機能低下のリスクを減らすのに役立ちます
科学分野:
- ゲロントロジー
- 公衆衛生
- 歯科 医学
背景:
- 主観的な認知機能低下 (SCD) は,自己ケアの問題や併発性疾患による口腔の健康状態の悪化と関連している可能性があります.
- この関連性を理解することは 認知健康のための予防戦略の開発に不可欠です
研究 の 目的:
- 45歳以上の米国人の口腔健康状態,歯科サービスの利用,およびSCDの流行の関係を調査する.
- 平均年齢 (45歳から64歳) 及び高齢者 (≥65歳) に分ける.
主な方法:
- 2022年の行動リスク因子監視システム (BRFSS) の横断分析.
- 認知機能低下モジュールを完了した45歳以上の83,479人の成人を含む.
- SCDと口腔衛生/歯科診察の関連性を調べるために,年齢分別で加重された多変数回帰を用いた.
主要な成果:
- 口腔の健康状態が悪い成人は,口腔の健康状態が良い成人に比べて,SCDの罹患率が高かった (13. 6%).
- 45歳から64歳の成人の場合,歯の喪失の増加はSCDの有病率の増加と相関し,過去1年間の歯科診察はSCDの有病率低下と関連していた (PR=0. 77).
- 65歳以上の成人の場合,歯の脱落はSCDの有意に高い流行と関連していたが,そのパターンは厳密に線形ではなかった.
結論:
- 歯の脱落,歯科サービス利用,SCD,特に中年の成人の間で重要な関連性があります.
- 良質な口腔衛生と定期的な歯科治療を奨励することは,SCDのリスクを軽減する有効な戦略である可能性があります.
- 認知の健康を維持するために,歯医者への定期的な訪問を推奨します.
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