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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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甲状腺刺激激素与台北市社区老年人牙损失风险之间的关联:前性队列研究
Gerontology
|December 5, 2025
概括
临床甲状腺功能低下症可以保护老年人免受牙损失,特别是65-75岁的女性. 然而,亚临床甲状腺功能低下症增加了75岁以上的人的牙损失风险,突出了甲状腺功能.
科学领域:
- 老年医学 老年医学
- 内分泌学 在内分泌学.
- 口腔健康 口腔健康
背景情况:
- 研究了甲状腺刺激激素 (TSH) 水平与社区居住的老年人牙损失风险之间的关系.
- 在大型队列中评估了甲状腺功能障碍和口腔健康结果之间的潜在联系.
研究的目的:
- 确定甲状腺刺激激素 (TSH) 水平变化与65岁及以上个体牙损失的纵向风险之间的关联.
- 探索甲状腺功能对牙保留的年龄和性别特异性影响.
主要方法:
- 利用了2005-2013年台北56743名参与者 (65岁以上) 的数据,每两年进行一次身体和牙科评估.
- 使用第三代测定和记录的牙数量测量了血TSH水平.
- 采用了概括估计方程模型来分析牙损失和TSH类别之间的纵向关系,并对共变量进行调整.
主要成果:
- 临床甲状腺功能低下与牙损失风险降低有关 (OR = 0.82),特别是在女性 (OR = 0.74) 和65-75岁 (OR = 0.79) 的人群中.
- 亚临床甲状腺功能低下症在整体队列中与牙损失没有显著关联,但在75岁以上的个体中风险增加 (OR = 1.12).
- 在TSH组中,牙周炎的发病率相似,这表明甲状腺状况影响了牙周病以外的牙保留.
结论:
- 临床甲状腺功能低下症在特定的老年人亚组中似乎可以防止牙脱落,特别是65-75岁的女性.
- 亚临床甲状腺功能低下症对非常老年人 (≥75岁) 造成牙损失风险增加.
- 甲状腺功能在老年人群中在保持口腔健康方面发挥着重要,年龄和性别相关的作用.
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