Association between oral health and nutritional status among older patients requiring long-term care who received home-visit dental care

IF 1.9 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Yutaka Fukuyama, Takamasa Komiyama, Takashi Ohi, Yoshinori Hattori
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引用次数: 0

Abstract

Purpose: This study examined the association between oral health and nutritional status among older patients receiving home-visit dental care.

Methods: This study enrolled 110 older patients (age ≥65 years) requiring long-term care who received home-visit dental care. The oral health indicators evaluated included number of teeth, occlusal support, number of functional teeth, tongue pressure, tongue coating index (TCI), and rinsing ability. Nutritional indicators included skeletal muscle mass index (SMI) and the mini-nutritional assessment short-form (MNA-SF). A multivariate modified Poisson regression analysis (adjusted for age, sex, medical history, care level, and housing type) was used to calculate prevalence ratios and 95% confidence intervals (CIs).

Results: The prevalence ratio for low SMI was not significantly higher for patients with ≥20 teeth than for those with 1-19 or no teeth. Number of teeth was not significantly associated with MNA-SF score. A high TCI score (2.15, 95% CI: 1.07-4.32) and poor rinsing ability (2.32, 95% CI: 1.25-4.30) were significantly associated with low SMI. High TCI scores were associated with low scores in MNA-SF categories (1.25, 95% CI: 1.01-1.55).

Conclusion: TCI and rinsing ability, rather than number of teeth, were associated with nutritional status in older patients requiring long-term care.

接受上门牙科护理的需要长期护理的老年患者的口腔健康与营养状况之间的关系
目的:本研究探讨了接受上门牙科护理的老年患者的口腔健康与营养状况之间的关系:本研究招募了 110 名需要长期护理并接受上门牙科护理的老年患者(年龄≥65 岁)。评估的口腔健康指标包括牙齿数量、咬合支持、功能性牙齿数量、舌压、舌苔指数(TCI)和漱口能力。营养指标包括骨骼肌质量指数(SMI)和迷你营养评估简表(MNA-SF)。采用多变量修正泊松回归分析(根据年龄、性别、病史、护理水平和住房类型进行调整)计算患病率比率和 95% 置信区间 (CI):结果:牙齿≥20颗的患者的低SMI患病率并没有明显高于牙齿1-19颗或无牙齿的患者。牙齿数量与 MNA-SF 评分无明显关联。TCI得分高(2.15,95% CI:1.07-4.32)和冲洗能力差(2.32,95% CI:1.25-4.30)与低SMI显著相关。TCI 分数高与 MNA-SF 类别得分低有关(1.25,95% CI:1.01-1.55):结论:TCI 和漱口能力与需要长期护理的老年患者的营养状况有关,而非牙齿数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of oral science
Journal of oral science DENTISTRY, ORAL SURGERY & MEDICINE-MATERIALS SCIENCE, BIOMATERIALS
CiteScore
3.80
自引率
0.00%
发文量
58
期刊介绍: Information not localized
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