Subjectively Low Oral Function Is Associated With Physical Frailty and Polypharmacy in Community-Dwelling Older Adults.

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-03-31 DOI:10.1111/ger.12818

Aya Hirata, Masahiro Ishizaka, Akihiro Yakabi, Kaoru Kobayashi, Akihiro Ito, Tsuyoshi Hara, Tomohiko Urano

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引用次数: 0

Abstract

Objective: To examine each Kihon Checklist (KCL) oral function item, physical function, and the number of medications and describe associations between KCL oral function, frailty, sarcopenia, and polypharmacy.

Methods: Participants were 318 community-dwelling older adults (78.6 ± 6.9 years). The number of medications, KCL, the Japanese version of the Cardiovascular Health Study (J-CHS), grip strength, gait speed, and skeletal muscle index were measured. Analyses used cross-tabulation. Logistic regression modelled the presence of low oral function.

Results: Of the three oral function questions on the KCL, 34.9% of participants answered "yes" to Q13 on mastication, 24.8% answered "yes" to Q14 on swallowing, and 31.4% answered "yes" to Q15 on dry mouth. A total of 25.2% of the participants had low oral function according to the KCL. More of those with low oral function had polypharmacy. Oral function was not associated with sarcopenia. Physical frailty was associated with low oral function. Logistic regression analysis with oral function as the dependent variable and age, sex, polypharmacy, physical frailty, and sarcopenia status as the independent variables showed that physical frailty was associated with it.

Conclusion: Older people who are physically frail and taking multiple medications are likely also to have oral frailty.

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社区居住老年人主观口腔功能低下与身体虚弱和多药有关。

目的：检查Kihon口腔功能检查表（KCL）的每个口腔功能项目、身体功能和药物数量，并描述KCL口腔功能、虚弱、肌肉减少症和多药之间的关系。方法：参与者为318名社区居住老年人（78.6±6.9岁）。测量药物数量、KCL、日本版心血管健康研究（J-CHS）、握力、步态速度和骨骼肌指数。分析采用交叉表法。逻辑回归模拟了口腔功能低下的存在。结果：在KCL的三个口腔功能问题中，对咀嚼问题13回答“是”的占34.9%，对吞咽问题14回答“是”的占24.8%，对口干问题15回答“是”的占31.4%。根据KCL，共有25.2%的参与者口腔功能低下。口腔功能低下者多用药。口腔功能与肌肉减少症无关。身体虚弱与口腔功能低下有关。以口腔功能为因变量，以年龄、性别、多药、体质虚弱、肌少症状态为自变量进行Logistic回归分析，结果显示与体质虚弱相关。结论：身体虚弱和服用多种药物的老年人也可能有口腔虚弱。

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 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

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.