Association between oral frailty and nutritional status among hemodialysis patients aged ≥50 years

IF 2.4 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2024-08-01 DOI:10.1111/ggi.14947

Masanori Iwasaki, Yuko Ohta, Natsuka Furusho, Satoko Kakuta, Kosuke Muraoka, Toshihiro Ansai, Shuji Awano, Masayo Fukuhara, Hidetoshi Nakamura

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引用次数: 0

Abstract

Aim

Malnutrition is a prevalent health issue among hemodialysis patients. Oral frailty, a condition characterized by impairments in multiple oral health aspects and functions, has been associated with nutritional status in the general population. We aimed to determine whether oral frailty was associated with nutritional status in hemodialysis patients aged ≥50 years. Our secondary aim was to determine the prevalence of oral frailty in this population.

Methods

This cross-sectional study included hemodialysis patients who were admitted to a single medical center. According to the Oral Frailty 5-item Checklist, oral frailty is characterized by the presence of two or more of the following criteria: (i) fewer teeth, (ii) difficulty in chewing, (iii) difficulty in swallowing, (iv) dry mouth, and (v) low articulatory oral motor skills. Patients' nutritional status was assessed using the Geriatric Nutritional Risk Index (GNRI). Multivariable ordinal logistic regression analysis was performed to assess the association between oral frailty and nutritional status (classified into three categories according to the GNRI: >98, 92–98, and <92).

Results

In total, 152 hemodialysis patients (55 women and 97 men) with a mean age of 70.4 years were included. The prevalence of oral frailty was 61.2%. After adjusting for health characteristics and sociodemographic background, oral frailty was associated with poor nutritional status according to the GNRI (odds ratio = 2.04, 95% confidence interval = 1.02–4.09).

Conclusions

In this study, approximately 60% of hemodialysis patients aged ≥50 years exhibited oral frailty, and hemodialysis patients with oral frailty had poor nutritional status according to the GNRI. Geriatr Gerontol Int 2024; 24: 891–897.

Abstract Image

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年龄≥50 岁的血液透析患者口腔虚弱与营养状况之间的关系。

目的：营养不良是血液透析患者普遍存在的健康问题。口腔虚弱是一种以多种口腔健康方面和功能受损为特征的病症，与普通人群的营养状况有关。我们的目的是确定年龄≥50 岁的血液透析患者的口腔虚弱是否与营养状况有关。我们的次要目的是确定该人群中口腔虚弱的发生率：这项横断面研究包括在一家医疗中心住院的血液透析患者。根据口腔虚弱 5 项检查表，口腔虚弱的特征是存在以下两个或两个以上的标准：(i)牙齿较少；(ii)咀嚼困难；(iii)吞咽困难；(iv)口干；(v)口腔运动能力低下。患者的营养状况采用老年营养风险指数（GNRI）进行评估。为了评估口腔虚弱与营养状况（根据 GNRI 分为三类：>98、92-98 和 98）之间的关系，进行了多变量序数逻辑回归分析：>98、92-98 和结果：共纳入 152 名血液透析患者（55 名女性和 97 名男性），平均年龄为 70.4 岁。口腔虚弱的发生率为 61.2%。在对健康特征和社会人口背景进行调整后，根据 GNRI，口腔虚弱与营养状况不良有关（几率比 = 2.04，95% 置信区间 = 1.02-4.09）：在这项研究中，约 60% 年龄≥50 岁的血液透析患者表现出口腔虚弱，根据 GNRI，口腔虚弱的血液透析患者营养状况较差。Geriatr Gerontol Int 2024; --：-----.

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来源期刊

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.