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缺少的牙和缺少的年龄:巴西老龄化队列中的口腔健康和生存率
Marco A Peres1, Huihua Li2, Karen G Peres1
1National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore; Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore; Health Services and Population Health Research Programme, Duke-NUS Medical School, Singapore.
Archives of gerontology and geriatrics
|March 12, 2026
概括
保持天然牙和使用假牙显著增加了巴西老年人的预期寿命和无残疾年. 这些口腔卫生干预措施促进更健康,更公平的衰老.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 牙科医学 牙科医学
背景情况:
- 口腔健康对于健康的衰老至关重要,但经常被忽视,特别是在低收入和中等收入国家 (LMICs).
- 牙脱落和口腔功能受损会对老年人的营养,沟通和整体幸福感产生负面影响.
- 关于LMIC口腔健康状况与寿命之间的联系的证据有限.
研究的目的:
- 调查巴西老年人牙保留,牙假体使用和总预期寿命 (TLE) 和无残疾预期寿命 (DFLE) 之间的联系.
- 评估口腔健康对巴西队列健康衰老指标的影响.
- 探索口腔健康与预期寿命之间的关系中的基于性别和教育的差异.
主要方法:
- 一项为期15年的对1734名巴西老年人的队列研究.
- 通过牙与非牙状态和假肢使用来评估口腔健康.
- 预期寿命指标 (TLE,DFLE) 估计使用多状态生命表模型,对治疗权重进行混调整的逆概率.
主要成果:
- 在60岁时,与有牙的人相比,没有牙的人有0.9年长的TLE和1.6年长的DFLE.
- 在那些有牙的人中,假肢使用增加了0.6个DFLE年.
- 假肢使用使女性的DFLE提高了1.1年,男性的TLE提高了0.8年,减少了近30%的教育差异.
结论:
- 保存自然牙和使用牙假体与总寿命和无残疾寿命的显著增加有关.
- 口腔健康干预是促进健康,独立和社会公平的衰老的重要策略.
- 解决口腔健康差异可能有助于改善老年人群的寿命和生活质量.
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