中国纵向健康寿命调查（CLHLS）中牙齿脱落、义齿使用和营养不良的调查。

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-07-15 DOI:10.1111/ger.70006

Xiaowen Ma, Huiwen Zeng, Yajin Li, Yue Yang

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引用次数: 0

摘要

目的：探讨中国老年人牙齿脱落、义齿使用与营养不良的关系，并根据牙列状况确定营养不良的危险因素。背景：营养不良影响中国7.7%的老年人，并与牙齿脱落有关，从而影响咀嚼。假牙通常用于缓解这种情况，但它们对营养不良的影响尚不清楚。材料与方法：对第8期中国健康寿命纵向调查（CLHLS）中13234名60岁及以上的老年人进行横断面分析。收集有关牙齿脱落、假牙使用、营养不良和社会人口因素的数据。采用修正泊松回归计算患病率比（pr）和调整后的置信区间（ci）。结果：无义齿的老年女性营养不良发生率较高（APR 1.75, 95% CI 1.29-2.37），有全牙症的老年女性营养不良发生率较高，有义齿的老年女性营养不良发生率为1.61,95% CI 1.18-2.20)，有义齿的老年女性营养不良发生率为1.93,95% CI 1.41-2.64。假牙使用与部分有齿老年人（APR 0.80, 95% CI 0.70-0.91）和无牙老年人（APR 0.79, 95% CI 0.70-0.80）营养不良风险较低相关。结论：假牙的使用与较低的营养不良风险相关，特别是在女性中，尽管它可能不能完全恢复营养状态。预防牙齿脱落和促进假牙使用的策略对于减少老年人营养不良至关重要。

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Tooth Loss, Denture Use and Malnutrition in the Chinese Longitudinal Healthy Longevity Survey (CLHLS).

Objectives: To investigate the associations among tooth loss, denture use and malnutrition in Chinese older adults, and to identify malnutrition risk factors by dentition status.

Background: Malnutrition affects 7.7% of older adults in China and is associated with tooth loss, which impairs chewing. Dentures are commonly used to mitigate this, but their influence on malnutrition remains unclear.

Materials and methods: A cross-sectional analysis of 13,234 individuals aged 60 and older from the 8th wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) was conducted. Data on tooth loss, denture use, malnutrition and socio-demographic factors were collected. Modified Poisson regression was used to calculate prevalence ratios (PRs) and confidence intervals (CIs) adjusted.

Results: Malnutrition was more common among partially dentate older women without dentures (APR 1.75, 95% CI 1.29-2.37), and those with edentulism, both with dentures (APR 1.61, 95% CI 1.18-2.20) and without dentures (APR 1.93, 95% CI 1.41-2.64). Denture use was associated with a lower malnutrition risk in partially dentate (APR 0.80, 95% CI 0.70-0.91) and edentulous older adults (APR 0.79, 95% CI 0.70-0.80).

Conclusions: Denture use is associated with a lower malnutrition risk, especially in women, though it may not fully restore nutritional status. Strategies to prevent tooth loss and promote denture use are vital for reducing malnutrition in older adults.

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.