口腔卫生行为与成人认知衰退之间的关联:系统性审查和元分析
Zheng Zhu1,2, Zhongfang Yang1,2, Xiang Qi2
1School of Nursing, Fudan University, Shanghai, China.
Journal of advanced nursing
|October 7, 2024
概括
在成年人中,定期刷牙与较慢的认知衰退和降低痴呆症风险有关. 促进每天刷牙,特别是在护理环境中,可能会显著降低痴呆症发病率.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 认知衰退和痴呆症带来了重大的公共卫生挑战.
- 口腔卫生是一种可修改的行为,具有潜在的全身健康影响.
研究的目的:
- 系统地审查口腔卫生行为与成人的认知能力下降之间的关联.
- 评估各种口腔卫生实践对全球认知功能,注意力,任务切换和痴呆风险的影响.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 包括来自11个数据库和灰色文献的干预和队列研究 (至2024年1月).
- 数据提取和偏差风险评估由两个独立的审稿人;随机效应的元分析.
主要成果:
- 八项研究 (261,772名参与者) 符合纳入标准.
- 牙刷显示,与全球认知衰退的缓慢随着时间的推移有显著的关联.
- 在中度/重度痴呆症的老年人中,刷牙显示出显著的认知益处;其他口腔卫生实践没有显示出与痴呆风险的显著关联.
结论:
- 刷牙与痴呆症风险降低和认知功能改善有关.
- 促进每天刷牙两次可能会大大降低认知能力下降和痴呆风险.
- 鼓励每天刷牙的干预措施至关重要,特别是对于养老院居民和中度至重度痴呆症患者.
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