M Iwasaki, K Motokawa, Y Watanabe, M Shirobe, H Inagaki, A Edahiro, Y Ohara, H Hirano, S Shinkai, S Awata
{"title":"社区居住的老年人口腔虚弱和营养状况之间的关系:高岛岛研究。","authors":"M Iwasaki, K Motokawa, Y Watanabe, M Shirobe, H Inagaki, A Edahiro, Y Ohara, H Hirano, S Shinkai, S Awata","doi":"10.1007/s12603-020-1433-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Recently, the concept of oral frailty, defined as accumulated deficits in oral health, has been introduced in Japan. However, data about its association with nutritional status are limited. Thus, this cross-sectional study aimed to investigate the association between oral frailty and malnutrition among community-dwelling older adults.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>One thousand and fifty-four individuals (428 men and 626 women, mean age: 77.0 years) from the Takashimadaira Study.</p><p><strong>Measurements: </strong>Based on a multifaceted oral health assessment, oral frailty was defined as greater than or equal to three of the following components: (1) low number of remaining teeth, (2) decreased masticatory performance, (3) reduced articulatory oral motor skill, (4) low tongue pressure, and difficulties in (5) eating and (6) swallowing. The nutritional status was evaluated using the Mini Nutritional Assessment®-Short Form (MNA®-SF) and serum albumin. An ordinal logistic regression model was used to evaluate the association between oral frailty and nutritional status.</p><p><strong>Results: </strong>Oral frailty was observed in 217 (20.4%) participants. After adjusting for potential confounders, the participants with oral frailty had higher odds of more severe malnutrition evaluated using MNA®-SF (adjusted odds ratio: 2.17; 95% confidence interval: 1.58-2.98) and serum albumin level (adjusted odds ratio: 1.59; 95% confidence interval: 1.10-2.31).</p><p><strong>Conclusion: </strong>Oral frailty was associated with nutritional status among Japanese older adults. Maintaining comprehensive oral health and function may be effective for malnutrition prevention in community-dwelling older adults. However, further studies must be conducted to validate the generalizability of the results of the current study.</p>","PeriodicalId":501202,"journal":{"name":"The Journal of Nutrition, Health & Aging","volume":" ","pages":"1003-1010"},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12603-020-1433-1","citationCount":"10","resultStr":"{\"title\":\"Association between Oral Frailty and Nutritional Status among Community-Dwelling Older Adults: the Takashimadaira Study.\",\"authors\":\"M Iwasaki, K Motokawa, Y Watanabe, M Shirobe, H Inagaki, A Edahiro, Y Ohara, H Hirano, S Shinkai, S Awata\",\"doi\":\"10.1007/s12603-020-1433-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Recently, the concept of oral frailty, defined as accumulated deficits in oral health, has been introduced in Japan. However, data about its association with nutritional status are limited. Thus, this cross-sectional study aimed to investigate the association between oral frailty and malnutrition among community-dwelling older adults.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>One thousand and fifty-four individuals (428 men and 626 women, mean age: 77.0 years) from the Takashimadaira Study.</p><p><strong>Measurements: </strong>Based on a multifaceted oral health assessment, oral frailty was defined as greater than or equal to three of the following components: (1) low number of remaining teeth, (2) decreased masticatory performance, (3) reduced articulatory oral motor skill, (4) low tongue pressure, and difficulties in (5) eating and (6) swallowing. The nutritional status was evaluated using the Mini Nutritional Assessment®-Short Form (MNA®-SF) and serum albumin. 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引用次数: 10
摘要
目的:最近,日本引入了口腔虚弱的概念,将其定义为口腔健康的累积缺陷。然而,有关其与营养状况之间关系的数据有限。因此,本横断面研究旨在调查社区居住老年人口腔虚弱和营养不良之间的关系。设计:横断面研究。设置:社区。参与者:来自Takashimadaira研究的154名个体(428名男性和626名女性,平均年龄:77.0岁)。测量:基于多方面的口腔健康评估,口腔虚弱被定义为大于或等于以下三个组成部分:(1)剩余牙齿数量少,(2)咀嚼能力下降,(3)发音口腔运动技能下降,(4)舌压低,(5)进食困难,(6)吞咽困难。采用Mini nutrition Assessment®-Short Form (MNA®-SF)和血清白蛋白评估营养状况。使用有序逻辑回归模型来评估口腔虚弱与营养状况之间的关系。结果:217名(20.4%)参与者出现口腔虚弱。在调整了潜在的混杂因素后,使用MNA®-SF评估口腔虚弱的参与者出现更严重营养不良的几率更高(调整后的优势比:2.17;95%可信区间:1.58-2.98)和血清白蛋白水平(调整优势比:1.59;95%置信区间:1.10-2.31)。结论:口腔虚弱与日本老年人的营养状况有关。维持全面的口腔健康和功能可能是预防社区居住老年人营养不良的有效方法。然而,必须进行进一步的研究来验证当前研究结果的普遍性。
Association between Oral Frailty and Nutritional Status among Community-Dwelling Older Adults: the Takashimadaira Study.
Objectives: Recently, the concept of oral frailty, defined as accumulated deficits in oral health, has been introduced in Japan. However, data about its association with nutritional status are limited. Thus, this cross-sectional study aimed to investigate the association between oral frailty and malnutrition among community-dwelling older adults.
Design: Cross-sectional study.
Setting: Community.
Participants: One thousand and fifty-four individuals (428 men and 626 women, mean age: 77.0 years) from the Takashimadaira Study.
Measurements: Based on a multifaceted oral health assessment, oral frailty was defined as greater than or equal to three of the following components: (1) low number of remaining teeth, (2) decreased masticatory performance, (3) reduced articulatory oral motor skill, (4) low tongue pressure, and difficulties in (5) eating and (6) swallowing. The nutritional status was evaluated using the Mini Nutritional Assessment®-Short Form (MNA®-SF) and serum albumin. An ordinal logistic regression model was used to evaluate the association between oral frailty and nutritional status.
Results: Oral frailty was observed in 217 (20.4%) participants. After adjusting for potential confounders, the participants with oral frailty had higher odds of more severe malnutrition evaluated using MNA®-SF (adjusted odds ratio: 2.17; 95% confidence interval: 1.58-2.98) and serum albumin level (adjusted odds ratio: 1.59; 95% confidence interval: 1.10-2.31).
Conclusion: Oral frailty was associated with nutritional status among Japanese older adults. Maintaining comprehensive oral health and function may be effective for malnutrition prevention in community-dwelling older adults. However, further studies must be conducted to validate the generalizability of the results of the current study.