Association Between Oral Health and Probable Sarcopenia in Older Adults: A Cross-Sectional Study.

IF 2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of General Medicine Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI:10.2147/IJGM.S544631

Ayça Asma Sakallı, Bilal Katipoğlu

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引用次数: 0

Abstract

Background: This study aimed to examine the association between oral health-related quality of life and probable sarcopenia in community-dwelling older adults, and to evaluate the potential role of oral health assessment in routine geriatric care.

Methods: This cross-sectional study included 315 individuals aged ≥65 years who were registered with the Home Health Unit and the Geriatric Outpatient Clinic of a tertiary hospital in Türkiye. Oral health-related quality of life was measured using the Geriatric Oral Health Assessment Index (GOHAI). Muscle strength was assessed with a handgrip dynamometer, and probable sarcopenia was defined according to the revised European Working Group on Sarcopenia in Older People (EWGSOP2) criteria as low muscle strength. Additional assessments included the Mini Nutritional Assessment-Short Form (MNA-SF), Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls (SARC-F) questionnaire, Clinical Frailty Scale (CFS), Katz Index of Independence in Activities of Daily Living, and Mini-Cog test. Correlation, logistic regression, and receiver operating characteristic (ROC) analyses were performed.

Results: Participants had a mean age of 80.8 years (SD 7.5); 43.5% were male. Handgrip strength was positively correlated with GOHAI (r = 0.376, p <0.001), MNA-SF (r = 0.446, p <0.001), and Mini-Cog (r = 0.126, p <0.05), and negatively correlated with age, SARC-F, and frailty. GOHAI correlated positively with MNA-SF (r = 0.206, p <0.01) and negatively with SARC-F (r = -0.134, p <0.05). In univariate logistic regression, lower GOHAI, lower MNA-SF, older age, polypharmacy, and higher SARC-F scores were significantly associated with probable sarcopenia. In multivariate analysis, GOHAI, MNA-SF and polypharmacy remained independent predictors.

Conclusion: Poor oral health-related quality of life was independently associated with probable sarcopenia in older adults. Incorporating an oral health measure such as the GOHAI into routine geriatric assessment may facilitate early detection of at-risk individuals and support timely, targeted interventions.

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老年人口腔健康与可能的肌肉减少症之间的关系：一项横断面研究。

背景：本研究旨在探讨社区居住老年人口腔健康相关生活质量与可能的肌肉减少症之间的关系，并评估口腔健康评估在常规老年护理中的潜在作用。方法：这项横断面研究包括315名年龄≥65岁的个体，他们在基耶省一家三级医院的家庭卫生部门和老年门诊登记。口腔健康相关生活质量采用老年口腔健康评估指数（GOHAI）进行测量。用握力计评估肌肉力量，根据修订后的欧洲老年人肌肉减少症工作组（EWGSOP2）标准，将可能的肌肉减少症定义为低肌肉力量。附加评估包括迷你营养评估-简短表格（MNA-SF）、力量、行走辅助、从椅子上站起来、爬楼梯和跌倒（SARC-F）问卷、临床虚弱量表（CFS）、Katz日常生活活动独立性指数和Mini- cog测试。进行相关分析、逻辑回归分析和受试者工作特征（ROC）分析。结果：参与者的平均年龄为80.8岁（SD 7.5）；43.5%为男性。握力与GOHAI呈正相关（r = 0.376, p）。结论：口腔健康相关生活质量差与老年人可能的肌肉减少症独立相关。将GOHAI等口腔健康措施纳入常规的老年评估可能有助于早期发现高危个体，并支持及时、有针对性的干预措施。

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

International Journal of General Medicine Medicine-General Medicine

自引率

0.00%

发文量

1113

审稿时长

16 weeks

期刊介绍： The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.