伊朗老年人口腔健康与轻度认知障碍之间的关系：来自Ardakan衰老队列研究（ACSA）的横断面研究

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-03-08 DOI:10.1016/j.cegh.2025.101979

Ahmad Delbari , Fatemeh Ghavidel , Mohammad Bidkhori , Elham Hooshmand , Mohammad Saatchi , Jalil Efati , Vahid Rashedi

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引用次数: 0

摘要

确保日常口腔健康对于预防口腔疾病（如蛀牙和牙周病）至关重要，特别是在高危人群中，包括患有轻度认知障碍（MCI）和痴呆症的老年人。本研究调查了伊朗老年人口腔健康与轻度认知损伤之间的关系。材料和方法利用第一波（2020-2022年）阿达坎老龄化队列研究（ACSA） 3368名参与者的数据进行横断面分析。训练有素的人员管理问卷并进行口腔健康评估。MCI的评估采用识字个体的简易精神状态检查（MMSE）和文盲个体的简易精神测试分数（AMTS）。结果MCI的总体患病率为20.8%。单因素回归分析显示，假牙的使用、龋缺补牙（DMFT）指数、缺牙、补牙以及咀嚼功能相关问题与MCI显著相关(p <；0.05)。在调整了年龄、性别、教育程度、吸烟、体重指数、糖尿病、高血压、焦虑、抑郁等混杂变量后，发现DMFT指数(OR = 1.02；95% CI:1.01 ~ 1.04)，缺牙(OR = 1.02；95% CI:1.01 ~ 1.03)，补牙(OR = 0.86；95% CI: 0.81 ~ 0.91)和全口义齿(OR = 1.59；95% CI:1.08 - 2.36)与轻度认知障碍（MCI）仍显著相关(p <；0.05)。结论伊朗老年人口腔健康状况不佳与轻度认知损伤有关。鉴于口腔健康对身体、认知和整体健康的深远影响，这突出了提高对口腔健康的认识和积极管理的迫切需要。

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The association between oral health and mild cognitive impairment among Iranian older adults: A cross-sectional study from Ardakan Cohort Study on Aging (ACSA)

Introduction

Ensuring daily oral health is paramount in the prevention of oral diseases, such as cavities and periodontal diseases, particularly among at-risk populations, including older adults with Mild Cognitive Impairment (MCI) and dementia. This study investigated the association between oral health and MCI in the Iranian older adult population.

Materials and methods

Data from 3368 participants in the Ardakan Cohort Study on Aging (ACSA) during the first wave (2020–2022) were utilized for cross-sectional analysis. Trained personnel administered questionnaires and conducted oral health assessments. MCI was assessed using the Mini-Mental State Examination (MMSE) for literate individuals and the Abbreviated Mental Test Score (AMTS) for illiterate individuals.

Results

The overall prevalence of MCI among participants was 20.8 %. Univariate regression analysis indicated that the use of dentures, Decayed, Missing, and Filled Teeth (DMFT) index, missing teeth, filled teeth, and issues related to mastication function were significantly associated with MCI (p < 0.05). After adjusting for confounding variables such as age, sex, education, smoking, body mass index, diabetes, hypertension, anxiety, and depression, it was found that DMFT index (OR = 1.02; 95 % CI:1.01 to 1.04), missing teeth (OR = 1.02; 95 % CI:1.01 to 1.03), filled teeth (OR = 0.86; 95 % CI: 0.81 to 0.91) and complete dentures (OR = 1.59; 95 % CI:1.08 to 2.36) remained significantly associated with MCI (p < 0.05).

Conclusion

The findings of this study suggest that poor oral health was related to MCI among Iranian older adults. This highlights the critical need for heightened awareness and proactive management of oral health, given its far-reaching implications for physical, cognitive, and overall well-being.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.