Oral frailty status and influencing factors in a community-based elderly population: a systematic review and meta-analysis.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

BMC Oral Health Pub Date : 2025-10-08 DOI:10.1186/s12903-025-06914-2

Lijuan Lu, Xiaofen Liu, Hui Wang, Qian Liu, Huan Liu, Wenjing Xiang, Wenjie Gu

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引用次数: 0

Abstract

Objective: To assess the current state and influencing factors of oral frailty in a community-based elderly population systematically.

Methods: This study retrieved eligible articles from online databases such as Embase, PubMed, Web of Science, the Cochrane Library, SinoMed, CNKI and Wanfang published through July 29, 2024. Two researchers reviewed the literature, extracted data, and assessed quality. Stata18.0 was used for the meta-analysis.

Results: This study included 13 retrieved articles containing 7,352 total patients, covering 9 influencing factors. A meta-analysis of the 13 studies revealed a 42% incidence of oral frailty (95% CI: 32-51%) in community-dwelling elderly individuals. The meta-analysis revealed 10 statistically significant influencing factors for oral frailty in the elderly population: advanced age (95% CI: 1.02-2.22), female sex (95% CI: 0.30-5.87), few remaining natural teeth and denture use (95% CI: 0.88-22.79), chronic disease history (95% CI: 1.31-2.93), physical frailty (95% CI: 1.97-4.14), poor motor function (95% CI: 0.80-2.46), living alone and eating alone (95% CI: 0.54-16.60), depression (95% CI: 1.11-2.29), smoking (95% CI: 1.98-5.28), high education level (95% CI: 0.17-0.37), high oral health score (95% CI: 0.42-1.60), and sleep quality (95% CI: 0.26-2.29).

Conclusion: Elderly individuals have a relatively high incidence of oral frailty. Factors influencing oral frailty in elderly individuals include advanced age, female sex, low oral health score, few remaining natural teeth and denture use, chronic disease history, physical frailty, poor motor function, living alone and eating alone, depression, smoking and poor sleep quality. Early screening and intervention should be carried out to reduce the impact of adverse outcomes on patients.

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社区老年人口腔虚弱状况及其影响因素：系统回顾和荟萃分析

目的：系统评价社区老年人口腔虚弱现状及影响因素。方法：本研究检索Embase、PubMed、Web of Science、Cochrane Library、SinoMed、CNKI、万方等数据库中截止2024年7月29日发表的符合条件的文章。两名研究人员回顾了文献，提取了数据，并评估了质量。meta分析采用Stata18.0。结果：本研究纳入检索文献13篇，共7352例患者，涉及9个影响因素。对13项研究的荟萃分析显示，在社区居住的老年人中，口腔虚弱的发生率为42% （95% CI: 32-51%）。荟萃分析显示，老年人口腔虚弱的10个影响因素有统计学意义：高龄（95% CI: 1.02-2.22）、女性（95% CI: 0.30-5.87）、天然牙较少和假牙使用（95% CI: 0.88-22.79）、慢性病史（95% CI: 1.31-2.93）、身体虚弱（95% CI: 1.97-4.14）、运动功能差（95% CI: 0.80-2.46）、独居和独居（95% CI: 0.54-16.60）、抑郁（95% CI: 1.11-2.29）、吸烟（95% CI: 0.95 -2.29）。1.98-5.28)、高教育水平（95% CI: 0.17-0.37）、高口腔健康评分（95% CI: 0.42-1.60）和高睡眠质量（95% CI: 0.26-2.29）。结论：老年人口腔虚弱的发生率较高。老年人口腔虚弱的影响因素包括高龄、女性、口腔健康评分低、自然牙和假牙使用少、慢性疾病史、身体虚弱、运动功能差、独居和独居、抑郁、吸烟和睡眠质量差。应进行早期筛查和干预，以减少不良后果对患者的影响。

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来源期刊

BMC Oral Health DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

6.90%

发文量

481

审稿时长

6-12 weeks

期刊介绍： BMC Oral Health is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the mouth, teeth and gums, as well as related molecular genetics, pathophysiology, and epidemiology.