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受损的口腔状态与中风后患者的型肥胖症有关
Ai Shiraishi1, Yoshihiro Yoshimura1, Hidetaka Wakabayashi2
1Center for Sarcopenia and Malnutrition Research, Kumamoto Rehabilitation Hospital, Kumamoto, Japan.
Gerodontology
|April 21, 2024
概括
这项研究发现,中风幸存者的口腔健康问题和肉骨肥胖症之间存在联系. 解决口腔问题可能会改善这些患者的日常活动和生活质量.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 口腔健康 口腔健康
背景情况:
- 老龄化人口面临着重大的口腔健康挑战和肌肉健康下降.
- 关于口腔问题与老年人肉骨肥胖之间的联系的研究有限.
- 标性肥胖症 (sarcopenic obesity),其特点是同时出现标性肥胖症和肥胖症,是一个越来越令人担忧的问题.
研究的目的:
- 在中风后康复的患者中调查口腔问题和sarcopenic肥胖之间的关联.
- 探索口腔健康状况与中风后肉症和肥胖症的存在之间的关系.
主要方法:
- 追溯性,观察性,横截面研究设计.
- 包括住院接受中风后康复治疗的患者.
- 使用修订的口腔评估指南 (ROAG) 评估口腔问题.
- 基于欧洲标准确立的sarcopenic肥胖症的诊断.
- 多变量线性回归分析以确定关联,调整混因子.
主要成果:
- 总共分析了760名中风后患者 (平均年龄71岁,54.7%是男性).
- 在总体患者队列中的4.5%中发现了sarcopenic肥胖症.
- 经过修订的口服评估指南 (ROAG) 评分与肉骨肥胖症 (β=.091,P=.023) 有意义和积极相关.
- 此外,ROAG得分还显示,仅仅肥胖 (β=.084,P=.044) 和肉症 (β=.081,P=.037) 具有显著的积极关联.
结论:
- 口腔问题与中风后患者的形肥胖症有显著的关联.
- 常规口腔健康评估和有针对性的干预措施可能有利于这一群体的功能结果和生活质量.
- 需要进一步的研究来阐明这种关联背后的机制,并制定有效的管理策略.
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