The relationship between oral frailty and oral dysbiosis among hospitalized patients aged older than 50 years

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Clinical and Experimental Dental Research Pub Date : 2024-05-30 DOI:10.1002/cre2.890

Yen-Chin Chen, En-Ni Ku, Pei-Fang Tsai, Che-Wei Lin, Nai-Ying Ko, Shun-Te Huang, Jiun-Ling Wang, Yi-Ching Yang

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Abstract

Objective

This study aimed to clarify the relationship between oral frailty and oral dysbiosis among hospitalized patients aged ≥ 50 years.

Methods

A prospective observational study was conducted. Number of teeth, masticatory ability, articulatory oral motor skill, tongue pressure, swallowing pressure, and choking were used to assess oral frailty. Saliva samples were collected from the oral cavity for bacterial culture.

Results

A total 103 in patients enrolled and 53.4% suffered from oral frailty. Oral frailty was found to have a 3.07-fold correlation with the presence of Enterobacterales in the oral cavity (p = 0.037), especially in poor articulatory oral motor skill, which showed at greater risk of Enterobacterales isolated from the oral cavity by 5.58-fold (p = 0.01).

Conclusion

Half of hospitalized patients was found to have oral frailty that was related to more Enterobacterales in the oral cavity. This evidence suggests that the enhancement of articulatory oral motor skills may serve as a potential strategy for mitigating the presence of Enterobacterales within the oral cavity.

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50 岁以上住院病人口腔虚弱与口腔菌群失调之间的关系。

研究目的本研究旨在阐明年龄≥50 岁的住院患者口腔虚弱与口腔菌群失调之间的关系：方法：进行前瞻性观察研究。采用牙齿数量、咀嚼能力、发音口腔运动技能、舌压、吞咽压力和呛咳来评估口腔虚弱程度。从口腔采集唾液样本进行细菌培养：结果：共有 103 名患者入选，其中 53.4% 患有口腔虚弱症。发现口腔虚弱与口腔中肠杆菌的存在有 3.07 倍的相关性（p = 0.037），尤其是发音口腔运动技能差的患者，从口腔中分离出肠杆菌的风险更高，达到 5.58 倍（p = 0.01）：结论：半数住院病人的口腔功能虚弱与口腔中更多的肠杆菌有关。这些证据表明，提高口腔运动技能可能是减少口腔中肠杆菌的潜在策略。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.