Relationship Between Oral Health Status and Cachexia in Patient With Dysphagia.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-05-09 DOI:10.1111/joor.14019

Takako Nagai, Hidetaka Wakabayashi, Shingo Kakehi, Eri Isono, Yukiko Otsuka, Junki Ninomiya, Shinta Nishioka, Ryo Momosaki

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引用次数: 0

Abstract

Objective: This study aimed to clarify the association between oral health status and cachexia among the patients with dysphagia.

Material and methods: The registry data of the Japanese Sarcopenic Dysphagia Database were used. Oral health screening was performed with the Revised Oral Assessment Guide (ROAG) or the Oral Health Assessment Tool (OHAT). ROAG score ≥ 13 or OHAT score ≥ 3 was defined as poor oral health status. Activities of Daily Living (ADL) was evaluated with the Barthel index (BI) and swallowing function was evaluated with the Food Intake Level Scale (FILS). The relationship between oral status and the presence of cachexia and other evaluation criteria was evaluated in univariate and multivariate analyses.

Results: The study included 401 older patients with dysphagia (mean age 81 years; 49% women, and 209 cases (52%) had poor oral health. In univariate analysis, poor oral health had significantly more malnutrition and cachexia (p = 0.003 and p = 0.001, respectively) and significantly lower BI and FILS (both p < 0.001). Multivariate analysis showed that oral care status was detected as a factor affecting the presence of cachexia (odds ratio: 1.881, 95% confidence interval, 1.156 to 3.060, p = 0.011).

Conclusion: The risk of cachexia is higher in the case of poor oral health status. Rehabilitation, nutritional support and oral health care may contribute to the management of cachexia.

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吞咽困难患者口腔健康状况与恶病质的关系

目的：探讨吞咽困难患者口腔健康状况与恶病质的关系。材料和方法：使用日本肌肉减少性吞咽困难数据库的注册数据。采用修订的口腔评估指南（ROAG）或口腔健康评估工具（OHAT）进行口腔健康筛查。ROAG评分≥13或OHAT评分≥3为口腔健康状况不佳。采用Barthel指数（BI）评价日常生活活动（ADL），采用食物摄入水平量表（FILS）评价吞咽功能。在单因素和多因素分析中评估口腔状况与恶病质存在及其他评价标准之间的关系。结果：该研究纳入401例老年吞咽困难患者(平均年龄81岁；49%为女性，209例（52%）口腔健康状况不佳。在单因素分析中，口腔健康状况较差的儿童营养不良和恶病质发生率显著增加（p = 0.003和p = 0.001）， BI和FILS发生率显著降低（p均为p）。结论：口腔健康状况较差的儿童发生恶病质的风险较高。康复、营养支持和口腔保健可能有助于管理恶病质。

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 rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.