口腔健康和心血管疾病——评估方法、危险因素和预后的范围综述。

Circulation reports Pub Date : 2025-03-01 eCollection Date: 2025-04-10 DOI:10.1253/circrep.CR-24-0187
Masato Ogawa, Masatsugu Okamura, Takuma Yagi, Kenichiro Maekawa, Kota Amakasu, Tatsuro Inoue, Seimi Satomi-Kobayashi, Megumi Katayama, Yumi Muraki, Masaya Akashi
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引用次数: 0

摘要

口腔虚弱包括口腔健康和功能随着年龄的增长而下降,具有更广泛的健康影响。然而,其在心血管疾病(CVD)患者中的具体作用仍知之甚少。在这篇范围综述中,我们调查了心血管疾病患者口腔虚弱的患病率、评估工具和潜在的干预策略。我们使用人群、概念和环境框架如下:人群:心血管疾病患者;概念:心血管疾病背景下口腔虚弱的现有文献;上下文:不受限制。提取的数据进行定性合成。从最初的3199项研究中,有70项被纳入最终分析,累积样本量为891450人。在口腔虚弱的评估工具中,39项研究中最常用的是牙齿数量,其次是蛀牙、缺失、填充指数。在这些研究中,5项研究表明冠状动脉疾病和糖尿病是口腔虚弱的危险因素,8项研究确定口腔健康状况不佳是心脏事件的预测因素。然而,没有研究明确定义心血管疾病背景下的口腔虚弱。此外,只有2项研究探讨了口腔健康与身体虚弱之间的关系。本综述的结果强调了心血管疾病口腔虚弱缺乏标准化定义。虽然观察到口腔健康与预后之间的关联,但需要进一步的研究来澄清定义并探索因果关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral Health and Cardiovascular Disease - A Scoping Review of Assessment Methods, Risk Factors, and Prognosis.

Oral frailty, which encompasses decline in oral health and function with aging, has broader health implications. However, its specific role in individuals with cardiovascular disease (CVD) remains poorly understood. In this scoping review we investigated the prevalence, assessment tools, and potential intervention strategies for oral frailty in patients with CVD. We used the Population, Concept, and Context framework as follows: Population: Patients with CVD; Concept: Existing literature on oral frailty in the context of CVD; Context: Not restricted. Extracted data were synthesized qualitatively. From an initial pool of 3,199 studies, 70 were included in the final analysis, with a cumulative sample size of 891,450 individuals. Among the assessment tools for oral frailty, the number of teeth was the most commonly used measure in 39 studies, followed by the Decayed, Missing, Filled Index. Of the studies, 5 studies indicated that coronary artery disease and diabetes are risk factors for oral frailty, and 8 identified poor oral health as a predictor of cardiac events. However, no study clearly defined oral frailty in the context of CVD. Additionally, only 2 studies explored the relationship between oral health and physical frailty. This results of this review underscore the lack of a standardized definition for oral frailty in CVD. Although associations between oral health and prognosis were observed, further research is needed to clarify the definitions and explore causal relationships.

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