在最老的老年人中,脆弱度调解了牙脱落和死亡率之间的关联:一项队列研究
MingXia Wang1, Xiaomeng Deng2, Hanjie Chen3
1Department of Stomatology, Shenzhen Luohu Hospital of Traditional Chinese Medicine, Shenzhen Hospital of Shanghai University of Traditional Chinese Medicine, Shenzhen, China.
Frontiers in public health
|February 8, 2024
概括
失去牙增加了老年人死亡风险. 脆弱性调解了这种关联,突出了在老年护理中需要综合口腔健康和脆弱性评估的需要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 口腔健康 口腔健康
背景情况:
- 失去牙与更高的死亡率有关,但潜在的机制尚不清楚.
- 了解调解因素对于老年人群的有效干预至关重要.
研究的目的:
- 调查脆弱性是否介导牙损失和死亡风险之间的关联.
- 为了分析80岁及以上的个体之间的这种关系.
主要方法:
- 利用了中国长度健康长寿调查 (CLHLS) (1998-2018) 的数据.
- 使用考克斯模型进行因果调解分析,以评估总,直接和调解效应.
- 定义了牙损失作为独立变量,脆弱作为媒介,死亡率作为结果.
主要成果:
- 严重的牙损失显示,对死亡率的总影响 (TE) 为0.12,平均直接影响 (ADE) 为0.09.
- 虚弱表明平均因果调解效应 (ACME) 为0.03,调解了总效应的21.56%.
- 该研究包括31,899名参与者,平均年龄为91.79岁,追踪时间为129,936人年.
结论:
- 脆弱性显著调解了牙损失和老年人死亡率之间的关系.
- 建议将口腔健康指标和脆弱状态整合到老年人的评估中.
- 促进最佳的口腔健康和非脆弱状态可能会降低老年人死亡风险.
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