在75岁以上的日本老年人中,与未来吞功能下降相关的预测因素
Komei Iwai1, Tetsuji Azuma1, Takatoshi Yonenaga1
1Department of Community Oral Health, School of Dentistry, Asahi University, 1-1851 Hozumi, Mizuho 501-0296, Gifu, Japan.
概括
一项为期两年的日本老年人研究发现,口腔健康不佳,包括牙周深处口袋和咬牙困难,显著预测吞功能下降. 定期的牙科检查可以帮助识别患有失消症风险的个体.
科学领域:
- 老年学是指老年学的学科.
- 口腔健康 口腔健康
- 吞障碍 吞障碍 吞障碍
背景情况:
- 吞功能随着年龄的增长而下降,营养不良和吸入性肺炎的风险增加.
- 早期识别失调的预测因素对于老年人群的预防性干预至关重要.
- 牙健康越来越被认为是影响整体健康的重要因素,包括吞能力.
研究的目的:
- 在日本老年人中,确定两年内吞功能下降的预测因素.
- 调查基线牙状况与随后吞能力的变化之间的关联.
- 为了确定特定的牙科检查结果是否可以预测未来的消化不良.
主要方法:
- 一组3409名75岁及以上的日本人,他们的吞功能在基线正常,被跟踪了两年.
- 用重复的唾液吞测试 (RSST) 评估吞功能.
- 多变量逻辑回归分析被用来确定下降吞功能的显著预测因素.
主要成果:
- 两年后,13%的参与者表现出吞功能下降.
- 预测因素包括男性性别,81岁以上,护理需要证书,牙周口袋深度 (PPD) ≥4毫米,难以咬硬食物,窒息液体和口腔干燥.
- 具体来说,PPD≥4mm,咬牙困难,窒息和口腔干燥被确定为关键的牙科相关预测因素.
结论:
- 牙科检查结果,如PPD,咬牙困难,窒息和口腔干燥是预测未来吞功能下降的有价值指标.
- 常规的牙科评估和专注于口腔症状的自我管理问卷可以帮助早期检测和干预失调风险.
- 这些发现强调了口腔健康和老年人吞功能之间的关键联系,强调了牙科护理在老年人健康管理中的作用.
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