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Oral Health Assessment by Lay Personnel for Older Adults
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在社区居住的老年人中,牙数量和功能障碍
Takamasa Komiyama1, Takashi Ohi1,2, Yoshitada Miyoshi1
1Division of Aging and Geriatric Dentistry, Department of Rehabilitation Dentistry, Tohoku University Graduate School of Dentistry, Miyagi, Japan.
Gerodontology
|July 10, 2024
概括
牙损失与日本老年人的功能障碍发展有关. 保持牙可能有助于预防残疾,但需要更多关于牙科治疗的研究.
科学领域:
- 老年学是一门学科.
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
背景情况:
- 牙脱落是老年人中普遍存在的问题.
- 功能障碍显著影响老年人群的生活质量.
研究的目的:
- 调查牙脱落与日本老年人功能障碍发生率之间的关联.
- 估计由于失去牙而导致的功能障碍的人口归因分数 (PAF).
- 识别功能障碍的其他风险因素.
主要方法:
- 在日本,对838名居住在社区中的老年人 (≥70岁) 进行了跟踪.
- 训练有素的牙医评估了剩余牙的数量.
- 考克斯的比例危险模型被用来分析牙损失和功能障碍之间的关联,控制共变量.
主要成果:
- 在研究期间,超过73%的参与者出现了功能障碍.
- 拥有不到20颗牙的个体患有功能障碍的可能性更高 (HR,1.28;95% CI,1.08-1.53).
- 年龄,女性性别,牙脱落和身体功能下降被确定为功能障碍的重要风险因素.
结论:
- 牙损失与老年人发展功能残疾的风险增加有显著的关联.
- 保护天然牙可能是预防功能障碍的可行策略.
- 建议进行进一步的临床研究,以评估牙科干预对功能障碍预防的影响.
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