Relationship between Depressive Moods and Oral Frailty in a Frailty Outpatient Clinic: A Cross-Sectional Study.

IF 3.1 3区医学 Q3 GERIATRICS & GERONTOLOGY

Gerontology Pub Date : 2026-01-01 Epub Date: 2025-12-15 DOI:10.1159/000549877

Koki Kawamura, Keisuke Maeda, Shuzo Miyahara, Taku Iwase, Shota Ishino, Yuria Ishida, Hitoshi Kagaya, Hiroyasu Akatsu, Hidenori Arai, Naoharu Mori

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引用次数: 0

Abstract

Introduction: Depressive moods can lead to a decline in physical function and the development of dementia, resulting in negative outcomes such as the need for long-term care and increased mortality. Similarly, oral frailty highlights the relationship between aging and oral health issues. Depressive moods and oral frailty contribute to the detrimental cycle of frailty and significantly affect the overall health of older adults. Early assessment of these problems and the implementation of appropriate interventions may help prevent and mitigate functional decline. However, the relationship between these two factors in older outpatients has not been sufficiently investigated. We hypothesized that a higher percentage of patients with oral frailty in a medical outpatient clinic would experience depressive moods and aimed to investigate the relationship between these two factors.

Methods: This was a cross-sectional study. Patients aged ≥65 years who visited a frailty outpatient clinic were included in this study. Depressive moods were assessed using the Geriatric Depression Scale-15 (GDS-15). Oral frailty was assessed using the Oral Frailty Five-item Checklist (OF-5). The associations between depressive moods (GDS-15 ≥5), oral frailty (OF-5 ≥2), and OF-5 sub-items were analyzed using the chi-square test and logistic regression analysis.

Results: A total of 337 patients (mean age: 78.4 ± 6.4 years old) were included. Of these, 126 (37%) had depressive moods, and 168 (50%) had oral frailty. A significantly higher proportion of patients with depressive moods had oral dysfunction, including chewing ability, swallowing function, and dryness, as well as oral frailty. The logistic regression analysis showed that oral frailty was associated with depressive moods with an adjusted odds ratio of 2.13 (95% confidence interval: 1.27-3.55).

Conclusion: There was an association between depressive moods and oral frailty. In addition, a relationship between depressive moods and subjective oral dysfunction, such as chewing ability and dryness, was observed. A longitudinal study is required to address the causal effects of oral frailty on depressive moods.

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口腔虚弱门诊患者抑郁情绪与口腔虚弱的关系：一项横断面研究。

导读：抑郁情绪可导致身体功能下降和痴呆的发展，导致负面结果，如需要长期护理和死亡率增加。同样，口腔虚弱也凸显了衰老和口腔健康问题之间的关系。抑郁情绪和口腔虚弱导致虚弱的恶性循环，严重影响老年人的整体健康。对这些问题的早期评估和适当干预措施的实施可能有助于预防和减轻功能衰退。然而，这两个因素在老年门诊患者中的关系尚未得到充分的研究。我们假设在门诊就诊的口腔虚弱患者中有较高比例的人会经历抑郁情绪，目的是调查这两个因素之间的关系。方法：采用横断面研究。年龄≥65岁、到虚弱门诊就诊的患者被纳入本研究。使用老年抑郁量表-15 （GDS-15）评估抑郁情绪。使用口腔虚弱五项检查表（OF-5）评估口腔虚弱。采用卡方检验和logistic回归分析抑郁情绪（GDS-15≥5）、口腔虚弱（OF-5≥2）和OF-5子项之间的相关性。结果：共纳入337例患者，平均年龄78.4±6.4岁。其中126人（37%）有抑郁情绪，168人（50%）有口腔虚弱。抑郁情绪患者有口腔功能障碍的比例明显更高，包括咀嚼能力、吞咽功能、口腔干燥以及口腔脆弱。logistic回归分析显示，口腔虚弱与抑郁情绪相关，校正比值比为2.13（95%可信区间：1.27 ~ 3.55）。结论：抑郁情绪与口腔虚弱存在相关性。此外，抑郁情绪与主观口腔功能障碍（如咀嚼能力和干燥）之间的关系也被观察到。

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

Gerontology 医学-老年医学

CiteScore

6.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.