定期到普通牙科诊所就诊的日本老年患者的体重指数和 "肌肉疏松症 "与口腔功能下降之间的关系

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
Y Matsushita, Y Watanabe, R Shirahase, Y Yamazaki
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引用次数: 0

摘要

背景和目的:本研究探讨了体重指数(BMI)和肌肉疏松症与老年患者口腔功能下降之间的关系,以及体重指数过低和肌肉疏松症是否与因咀嚼障碍而接受保守修复和义齿治疗的患者口腔功能下降有关:这项横断面研究包括 290 名定期到普通牙科诊所就诊的日本老年患者。根据亚洲肌少症工作组 2019 年标准,对 65 岁患者的口腔功能、肌少症和体重指数进行了详细检查。本研究在横断面调查中使用了几率作为流行病学测量方法:多项式逻辑回归分析显示,与健康人相比,肌肉疏松症患者的剩余牙齿数量和舌头压力与理想体重指数和超重体重指数有关。体重指数不足加肌肉疏松症组与舌唇运动功能[ka]音测试、吞咽功能及是否存在口腔功能低下有关:我们的研究结果表明,在社区居住的患有肌肉疏松症和体重指数不足的日本老年人中,口腔功能的各个方面都受到了损害。值得注意的是,在患有肌肉疏松症的老年人中,既有肥胖患者,也有消瘦患者,这表明影响口腔功能的病理生理机制各不相同:上述研究结果支持这样的假设,即肌肉疏松症与体重指数偏低并存与口腔功能不良有关。在普通牙科临床实践中,定期进行口腔功能评估和体重测量有助于及时发现肌肉疏松症和吞咽功能减退,并有助于早期干预。对体重指数(BMI)过低、[ka]音减弱和舌压低的患者进行全面的口腔功能检查后,应考虑是否存在肌肉疏松症和吞咽功能受损。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between Body Mass Index and Sarcopenia with Oral Function Decline in Older Japanese Patients Who Regularly Attend a General Dental Clinic.

Background and objective: This study examined the relationship between body mass index (BMI) and sarcopenia with oral function decline in older patients as well as whether a combination of underweight BMI and sarcopenia was associated with decreased oral function in individuals with conservative restorative and prosthetic treatment for masticatory disorders.

Design, setting, and participants: This cross-sectional study included 290 older Japanese patients who regularly attended a general dental clinic. A detailed examination of oral function, sarcopenia, and BMI according to the Asian Working Group for Sarcopenia 2019 criteria was conducted for patients aged 65 years. This study used odds ratios as an epidemiological measure in the cross-sectional survey.

Results: Multinomial logistic regression analysis showed that the number of remaining teeth and tongue pressure was associated with both ideal and overweight BMI in individuals with sarcopenia when compared to healthy individuals. The underweight BMI plus sarcopenia group was associated with tongue and lip motor function [ka] sound test, swallowing function, and the presence of oral hypofunction.

Discussion: Our findings indicated that various aspects of oral function were impaired in community-dwelling older adult Japanese patients with sarcopenia and underweight BMI. Notably, among older adults with sarcopenia, both obese and thin patients exist, suggesting that distinct pathophysiological mechanisms influence oral function.

Conclusion: The above findings support the hypothesis that the coexistence of sarcopenia and underweight BMI is associated with poor oral function. Regular oral function assessments and weight measurements in general dental practice can aid the prompt identification of sarcopenia and reduced swallowing function and can facilitate early intervention. The presence of sarcopenia and impaired swallowing function should be considered in patients with underweight BMI, reduced [ka] sound, and low tongue pressure following a thorough oral function examination.

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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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