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牙损失作为下降内在能力领域的风险因素:来自NHANES 2009-2014年的证据
Vittorio Dibello1,2, Karl G H Parisius1, Frank Lobbezoo1,3
1Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam [ACTA], University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Journal of oral rehabilitation
|December 20, 2025
概括
保持更多的牙与老年人更好的身体和心理健康有关. 减少牙,特别是牙,与运动,活力和心理健康的困难有关.
科学领域:
- 老年学与公共卫生
- 口腔健康与衰老研究
背景情况:
- 世界卫生组织 (WHO) 将内在能力 (IC) 定义为健康衰老的关键,包括身体和精神资源.
- 口腔健康,特别是剩余牙数量与内在容量之间的关系仍未得到充分研究.
研究的目的:
- 调查剩余牙数量与老年人内在能力的各个领域之间的联系.
- 提供关于口腔健康作为健康衰老的一个组成部分的作用的见解.
主要方法:
- 来自2009-2014年国家健康和营养检查调查 (NHANES) 的60岁及以上的787名参与者的数据分析.
- 参与者根据牙状况进行分类:≥20颗牙,10-19颗牙,1-9颗牙和无牙 (没有牙).
- 本质能力领域 (位置,活力,心理健康,感官功能,认知) 用与世卫组织定义一致的NHANES项目进行评估.
主要成果:
- 减少牙 (10-19牙,1-9牙或无牙) 与具有≥20牙相比,与更高的移动困难概率显著相关.
- 剩余牙的减少与活力下降相关,包括无意减肥和食欲下降.
- 没有牙的个体表现出心理健康不佳 (抑郁症状,无情感) 和感官障碍 (听力损失) 的风险增加.
结论:
- 在老年人中,剩余的牙数量与多个内在能力领域的损伤有显著联系.
- 减少牙总是与运动障碍有关,这凸显了口腔健康对老化中的移动性的重要性.
- 这些发现强调了口腔健康对整体健康衰老和内在能力的多方面的影响.
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