Association between sense of coherence and oral clinical conditions in adults and the elderly: systematic review and meta-analysis.

IF 0.9 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
B M da Cunha, L M Wambier, S V da Rosa, C R Botelho-Filho, J S Rocha, M V Vettore, M C L Gabardo
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引用次数: 1

Abstract

Objective: This study systematically reviews the evidence on the relationship between sense of coherence (SOC) and oral clinical conditions in adults and elderly people.

Methods: PubMed, Scopus, Web of Science, Latin American and Caribbean Literature in Health Sciences - Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Brazilian Dentistry Bibliography - Bibliografia Brasileira de Odontologia (BBO), Cochrane Library and grey literature were searched. Observational studies involving adults and elderly people that evaluated SOC with a valid instrument and investigated oral clinical measurements as outcomes were included. Two review authors independently assessed the studies for inclusion and extracted data. The quality of studies was assessed using the Downs and Black checklist. Meta-analysis used the random-effect inverse-variance method to obtain pooled odds ratios (OR) and 95% Confidence Intervals (CI) for each oral clinical condition.

Results: From a total of 872 identified studies, ten observational cross-sectional and one longitudinal study were included. Nine studies were judged of medium or high risk of bias. Meta-analyses showed that adults and elderly people with higher SOC were less likely to present dental caries (OR 0.84; 95%CI = 0.73-0.96), periodontal disease (OR 0.58; 95%CI = 0.30-0.85), gingivitis (OR 0.54; 95%CI = 0.18-0.90) or dental biofilm (OR 0.65; 95%CI = 0.43-0.86).

Conclusions: Current evidence suggests that better SOC is positively related to better oral clinical status in adults and elderly people. Longitudinal and intervention studies are needed to confirm these findings.

成人和老年人连贯感与口腔临床状况的关系:系统回顾和荟萃分析。
目的:本研究系统回顾了成人和老年人口腔临床状况与连贯感(SOC)关系的相关证据。方法:检索PubMed、Scopus、Web of Science、Latin American and Caribbean Literature in Health Sciences - Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS)、Brazilian Dentistry Bibliography - Bibliografia Brasileira de Odontologia (BBO)、Cochrane Library和灰色文献。包括成人和老年人的观察性研究,这些研究使用有效的仪器评估SOC,并将口腔临床测量作为结果进行调查。两位综述作者独立评估了纳入的研究并提取了数据。使用Downs和Black检查表评估研究的质量。荟萃分析采用随机效应反方差法获得每个口腔临床状况的合并优势比(OR)和95%置信区间(CI)。结果:从总共872项确定的研究中,包括10项观察性横断面研究和1项纵向研究。9项研究被判定为中度或高度偏倚风险。荟萃分析显示,SOC较高的成年人和老年人患龋齿的可能性较低(OR 0.84;95%CI = 0.73-0.96),牙周病(OR 0.58;95%CI = 0.30-0.85),牙龈炎(OR 0.54;95%CI = 0.18-0.90)或牙生物膜(or 0.65;95%ci = 0.43-0.86)。结论:目前的证据表明,在成人和老年人中,良好的SOC与良好的口腔临床状态呈正相关。需要进行纵向和干预研究来证实这些发现。
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
Community dental health
Community dental health 医学-牙科与口腔外科
CiteScore
2.20
自引率
11.80%
发文量
75
审稿时长
6-12 weeks
期刊介绍: The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.
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