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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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牙脱落对新加坡老年人认知功能的影响
S Kiuchi1,2, U Cooray2, J Aida3
1Frontier Research Institute for Interdisciplinary Sciences, Tohoku University, Aoba-ku, Sendai, Japan.
Journal of dental research
|June 6, 2023
概括
预防老年人牙脱落与更好的认知功能有关. 保持更多牙的干预措施与认知评分有积极的关联,这表明口腔健康影响大脑健康.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 牙科公共卫生 公共卫生
背景情况:
- 牙损失和认知功能之间存在纵向关联,但其时间性仍然不清楚.
- 了解牙保留对认知衰退的影响对于老龄化人口的公共卫生干预至关重要.
研究的目的:
- 调查模拟牙损失预防场景对老年人认知功能的影响.
- 为了确定是否保留更多的牙与随着时间的推移改善的认知表现有关.
主要方法:
- 利用了来自新加坡老年人健康和衰老小组 (PHASE) 研究的数据 (n=1,516) 进行了三次数据收集 (2009年,2011年-2012年,2015年).
- 采用纵向修改的治疗策略方法,以有针对性的基于最小损失的估计来分析随时间变化的牙数量和认知功能 (简短的便携式精神状态问卷).
- 评估了四个模拟的牙脱落预防场景,从保留1-4颗牙到保留≥20颗牙.
主要成果:
- 模拟干预表明了剂量与反应的关系,较大的牙保留与更好的认知功能得分相关.
- 第4种情景 (保持≥20颗牙) 显示出与改善认知功能的最显著关联 (附加效应: -0.15,95% CI: -0.23至 -0.06).
- 即使是牙保留率的适度增加 (情景1-3),也显示出更好的认知结果的趋势.
结论:
- 预防牙脱落与老年人更好的认知功能有关.
- 旨在增加牙保留的干预措施可能是维持老年人群认知健康的可行策略.
- 进一步的研究应该探索口腔健康和认知功能之间的关系背后的机制.
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