牙保存或替换对饮食质量的影响:修改治疗政策方法
John Rong Hao Tay1,2, Ashish C Kalhan3, Upul Cooray3,4
1Health Services Research and Population Health Programme, Duke-NUS Medical School, Singapore, Singapore.
Journal of periodontal research
|November 27, 2025
概括
保护天然牙显著改善了老年人的饮食质量,远远超过假牙. 保持至少25颗牙可以将更好的营养的可能性提高51%.
科学领域:
- 老年学是一门学科.
- 牙科公共卫生 牙科公共卫生
- 营养科学 营养科学
背景情况:
- 饮食质量对于老年人的健康和福祉至关重要.
- 口腔健康,特别是牙状况,是饮食摄入量的重要决定因素.
- 有限的研究量化了改善牙对老年人群饮食质量的影响.
研究的目的:
- 评估天然牙保护与牙科康复对美国老年人饮食质量的影响.
- 在改善口腔健康的假设情景下,估计饮食质量的潜在增长.
主要方法:
- 从NHANES (2011-2018) 分析了2606名年龄≥60岁的参与者.
- 评估牙状况和假肢康复.
- 使用2020年健康饮食指数 (HEI) 测量饮食质量.
- 应用修改的治疗政策 (MTP) 框架和双重强大的目标最大概率估计 (TMLE) 来模拟干预.
主要成果:
- 保持≥25颗天然牙与51%更高的饮食质量 (OR=1.51) 的可能性增加有关.
- 改善牙水平的实用情景显示,饮食质量改善的可能性增加了20% (OR=1.22).
- 假肢康复在25牙以下的个体中改善了8%的饮食质量概率 (OR=1.08).
结论:
- 与假牙康复相比,自然牙的保存在老年人中对饮食质量具有更实质性的人口水平的益处.
- 促进保持天然牙的策略可能更有效地改善老年人的营养摄入量.
相关概念视频
Teeth
1.6K
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
1.6K
Chronic Kidney Disease III: Interprofessional Care
323
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
323
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
339
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
339
Tooth Anatomy
2.0K
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
2.0K
Atherosclerosis III: Management
296
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
296
Taste Buds and Receptors
4.5K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
4.5K


