Impact of Subjective Masticatory Difficulty on Malnutrition and Frailty in Community-Dwelling Older Adults.

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2024-12-18 DOI:10.1111/ger.12806
Chang Won Won, Seung-Yun Shin, Miji Kim, Min Jung Ko, Seongwoo Seo, Jong Seob So, Hoi-In Jung, Hong-Seop Kho, Kyung Lhi Kang, Seung-Ryong Ha, Nam-Hee Kim, Jina Lee Linton, Jeong-Hyun Kang
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引用次数: 0

Abstract

Objectives: This study evaluated the impact of masticatory difficulty on the development and progression of malnutrition, frailty, sarcopenia, and disability in community-dwelling adults, using data from the Korean Frailty and Aging Cohort Study.

Methods: Participants were categorised by presence of masticatory difficulty. The Fried frailty phenotype, mini-nutritional assessments, and diagnostic criteria proposed by Asian Working Group on Sarcopenia were adopted to diagnose frailty, malnutrition, and sarcopenia respectively. Physical disabilities were measured using the Korean activities of daily living (ADL) and Korean instrumental activities of daily living (IADL) scales.

Results: A total of, 3010 participants were initially enrolled, 2864 participants remained in the study after 2 years, reflecting a 95.1% retention compliance. At baseline, the prevalence of frailty (28.0% vs. 18.1%), malnutrition (1.5% vs. 0.8%), IADL disability (10.1% vs. 7.7%), and ADL disability (10.8% vs. 8.0%) was higher among those experiencing masticatory difficulty than in those without. After 2 years, baseline masticatory difficulty was associated with the incidence of malnutrition (OR, 2.62; 95% CI, 0.99-6.90; p = 0.042) after full adjustment for confounders. However, no associations were found between baseline masticatory difficulty and the incidence of frailty, sarcopenia or physical disability over 2 years after adjustment. Additionally, masticatory difficulty did not affect the persistence or remission of malnutrition, frailty, sarcopenia, IADL disability, and ADL disability in individuals who already had these conditions at baseline.

Conclusion: Restoring chewing function and masticatory satisfaction improves not only oral health but also contributes to overall health and promotes healthy aging in older individuals.

主观咀嚼困难对社区老年人营养不良和虚弱的影响。
目的:本研究利用韩国衰弱和老龄化队列研究的数据,评估咀嚼困难对社区居住成年人营养不良、虚弱、肌肉减少和残疾的发展和进展的影响。方法:根据咀嚼困难的存在对参与者进行分类。采用亚洲肌少症工作组提出的Fried虚弱表型、mini-营养评估和诊断标准分别诊断虚弱、营养不良和肌少症。使用韩国日常生活活动(ADL)和韩国日常生活器乐活动(IADL)量表测量身体残疾。结果:最初共有3010名参与者入组,2年后2864名参与者仍在研究中,保留率为95.1%。在基线时,有咀嚼困难的患者中虚弱(28.0%对18.1%)、营养不良(1.5%对0.8%)、IADL残疾(10.1%对7.7%)和ADL残疾(10.8%对8.0%)的患病率高于没有咀嚼困难的患者。2年后,基线咀嚼困难与营养不良发生率相关(OR, 2.62;95% ci, 0.99-6.90;P = 0.042)。然而,没有发现基线咀嚼困难与调整后2年内虚弱、肌肉减少或身体残疾的发生率之间存在关联。此外,咀嚼困难并不影响营养不良、虚弱、肌肉减少症、IADL残疾和ADL残疾在基线时已经存在的个体的持续或缓解。结论:恢复咀嚼功能和咀嚼满意度不仅可以改善口腔健康,而且有助于老年人的整体健康,促进健康老龄化。
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
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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