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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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功能对老年人不良健康结果的预测价值:系统性审查
Menke J de Smit1, Willemke Nijholt1, Mieke H Bakker1
1Department of Gerodontology, Center for Dentistry and Oral Hygiene, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
The journal of nutrition, health & aging
|March 15, 2024
概括
在老年人中保持良好的能力 (功能) 与更好的健康有关. 减少的功能预测脆弱性,认知衰退和死亡率,强调口腔护理对健康衰老的重要性.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 口腔健康和牙科科学 牙科科学
- 公共卫生和流行病学
背景情况:
- 功能显著影响老年人的整体健康和福祉.
- 以前的研究表明,能力与不良健康结果之间存在潜在联系,但需要进行全面的综合.
研究的目的:
- 系统地审查和澄清功能对65岁及以上成年人不良健康结果的预测价值.
- 为了确定与减少的功能相关的特定健康结果,包括虚弱,肉,营养不良,认知衰退和死亡率.
主要方法:
- 在PubMed,Embase和CINAHL数据库中进行了系统的文献搜索,以查找英语或荷兰语出版的观察性研究.
- 纳入标准侧重于65岁以上的成年人,评估功能与健康结果之间的关联,不包括2000年以前的审查和研究.
- 使用NIH质量评估工具评估了方法质量和偏差风险;提取了人口统计数据,评估方法 (例如最大闭塞力) 和健康结果.
主要成果:
- 包括34项研究,其中大多数来自日本. 最大封闭力是最常见的功能的测量.
- 前性研究表明,功能减弱与虚弱,认知衰退和全因死亡率的发病/进展增加之间存在显著的关联.
- 横截面研究探讨了与身体测量,肉,跌倒和营养状况的关联,产生不太一致的结果.
结论:
- 老年人口功能减弱是不良健康结果的重要预测因素,包括虚弱,认知衰退和死亡率.
- 这些发现强调了通过适当的口腔护理保持足够的功能的重要性,作为促进健康衰老的策略.
- 需要利用前性设计进行进一步的研究,以巩固与萨尔科佩尼亚和营养状况等结果的关联.
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