在美国的健康和退休队列研究中,埃登图主义预测认知衰退
J A Jones1, K Moss2, T L Finlayson3
1University of Detroit Mercy School of Dentistry, Detroit, MI, USA.
Journal of dental research
|June 14, 2023
概括
年长的成年人经历了更大的认知衰退,特别是如果他们没有牙或不使用牙护理. 通过定期去看牙医和保持牙,保持口腔健康对于保持认知健康至关重要.
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 牙科公共卫生
背景情况:
- 认知能力下降是老年人群的一个重大问题.
- 口腔健康,特别是牙和牙科护理使用与认知轨迹之间的关系尚未完全理解.
- 出生队列效应可能会随着时间的推移影响认知能力下降的速度.
研究的目的:
- 为了调查认知衰退是否在出生队列中存在差异,调整共变量.
- 确定牙磨损和不使用牙科护理是否预测10年认知能力下降.
- 确定老年人认知能力下降的保护性和风险因素.
主要方法:
- 使用健康和退休研究 (HRS) 数据 (2006-2018) 的纵向队列研究.
- 针对重复测量的线性混合模型分析了认知轨迹.
- 资格包括2个以上时间点的认知数据和牙损失状态;评估了牙科护理使用情况.
主要成果:
- 较年长的出生队伍与年轻的队伍相比,表现出更大的认知衰退.
- 埃登图主义是增加认知衰退的重要预测因素 (估计: -0.42).
- 定期使用牙科护理 (估计:0.17) 和更高的基线认知是预防认知衰退的保护因素.
结论:
- 牙磨损和不频繁的牙科护理是老年人加速认知衰退的关键预测因素.
- 保持牙和持续的牙科护理对于维持口腔和认知健康至关重要.
- 研究结果强调了将口腔健康干预措施纳入促进老年人群认知健康的战略的重要性.
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