Condiciones de salud bucodental y estados nutricionales, funcionales y cognitivos: una aproximación al adulto mayor institucionalizado

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-12-28 DOI:10.1016/j.regg.2024.101618

Neil Duván Gutiérrez, Jorge Andrés Sosa galindo, Diego Camilo Yarpaz, Valentina Urbano, Juan Fernando Jiménez, Jhoan León, María Teresa Calzada, Raúl Guevara, Bruno Gutiérrez

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引用次数: 0

Abstract

Introduction/objective

Multidimensional geriatric assessment is an important diagnostic method in geriatrics. The objective of this article was to establish the relationship between nutritional, functional, cognitive status and oral health of institutionalized older adults.

Methodology

A cross-sectional observational study was carried out, where 93 institutionalized older adults participated, including oral assessment and Barthel, Minimental, Mininutritional and Yesavage scales. An univariate, bivariate and multivariate analysis was performed at 2 care sites in the city of Cali, Colombia.

Results

Mean age of the participants was 76.5 years; more than 50% with null or primary educational levels, 23% presented limitation in mobility, arterial hypertension was the most prevalent pathological history with 55%, followed by diabetes mellitus 24%; and 60% of the sample was independent to perform basic activities (Barthel index = 100). Regarding the number of occlusal pairs prosthesis to prosthesis, it was found that the mean of men was lower than women (2.4 and 5.2, P = 0.03). The results showed an altered plaque indicator in patients with cognitive impairment 61.5% versus 100% in patients with dementia screening. Additionally, a number of teeth less than 20 in people with depression indicators in 79.2%. The multivariate analysis showed a relationship with partial or total edentulism, being the total a risk for depressive traits (P = 0.04).

Conclusion

The results show that nutritional, functional, cognitive aspects and depression traits are related to oral health. In addition, it should be noted that a significant proportion of patients require dental intervention.

查看原文本刊更多论文

[口腔健康状况与营养、功能和认知状况——一种针对住院老年人的方法]。

前言/目的：多维老年评估是老年医学诊断的重要手段。本文的目的是建立营养、功能、认知状况与老年人口腔健康之间的关系。方法：进行了一项横断面观察性研究，共有93名机构老年人参与，包括口头评估和Barthel， Minimental， minnutritional和Yesavage量表。在哥伦比亚卡利市的2个医疗点进行了单因素、双因素和多因素分析。结果：参与者平均年龄76.5岁；50%以上的患者文化程度为零或小学，23%的患者活动能力受限，动脉高血压是最常见的病理史，占55%，其次是糖尿病，占24%；60%的样本能够独立进行基本活动（Barthel指数=100）。在义肢对义肢的咬合对数方面，男性的平均值低于女性（2.4对和5.2对，P=0.03）。结果显示，认知障碍患者的斑块指标改变了61.5%，而痴呆筛查患者的斑块指标改变了100%。此外，牙齿少于20颗的人数在抑郁症患者中占79.2%。多变量分析显示，部分或全牙槽齿与抑郁特征的总风险相关（P=0.04）。结论：营养、功能、认知和抑郁特征与口腔健康有关。此外，应该注意的是，相当比例的患者需要牙科干预。

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

Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

85 days

期刊介绍： Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.