Association Between Oral Health Status and DMFT Index with Cognitive Dysfunction in Community-Dwelling Older Adults with Type 2 Diabetes: A Cross-Sectional Study.
Zahra Khalili, Afshin Mozafarimanesh, Hadi Najafi, Ahmad Vakili-Basir, Maedeh Salehi Sarookollaei, Shahab Papi
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引用次数: 0
Abstract
Objective: Cognitive dysfunction is a significant issue in old age and can cause many problems in older adults, especially those with diabetes. This study aimed to investigate the association between oral health status and DMFT index with cognitive dysfunction in community-dwelling older adults with T2D (type 2 diabetes).
Methods: This was a cross-sectional study that included 245 older people aged 60 years and older with T2D, visiting healthcare centers in north of Iran, using the cluster sampling method. Data collection tools included clinical-demographic questionnaire, the Geriatric Oral Health Assessment Index (GOHAI) and the Mini-Mental State Examination (MMSE) questionnaire. A P-value <.05 was considered significant.
Results: The mean age of older adults in this study was 64.86 ± 3.99 years. The mean and standard deviation for the DMFT index, GOHAI index and MMSE scale were 9.39 ± 3.83, 34.29 ± 17.93 and 15.18 ± 10.04 respectively. The results showed statistically significant relationship between poor oral health status and the cognitive status of older adults with T2D (p < .001). Additionally, the relationship between oral health index domains (physical function, psychosocial function and pain) and cognitive status in older adults was significant (p < .001). Another finding indicated an inverse and significant relationship between the DMFT index and cognitive dysfunction in older adults (p < .001).
Conclusion: Poor oral health was associated with cognitive dysfunction among the community-dwelling older adults with T2D. Given the high prevalence of T2D in older adults and the critical importance of oral and dental health for cognition, it is necessary to develop interventions to improve oral health in older adults with T2D.
目的：认知功能障碍是老年人的一个重要问题，它可以导致许多问题，尤其是那些患有糖尿病的老年人。本研究旨在探讨社区居住老年T2D（2型糖尿病）患者口腔健康状况和DMFT指数与认知功能障碍之间的关系。方法：这是一项横断面研究，包括245名60岁及以上T2D老年人，就诊于伊朗北部的医疗中心，采用整群抽样方法。数据收集工具包括临床人口调查问卷、老年口腔健康评估指数（GOHAI）和简易精神状态检查（MMSE）问卷。A p值结果：本组老年人的平均年龄为64.86±3.99岁。DMFT指数、GOHAI指数和MMSE量表的均值和标准差分别为9.39±3.83、34.29±17.93和15.18±10.04。结果显示口腔健康状况不佳与老年T2D患者认知功能存在显著相关性（p p p）。结论：口腔健康状况不佳与社区老年T2D患者认知功能障碍相关。鉴于老年人T2D的高患病率以及口腔和牙齿健康对认知的至关重要，有必要制定干预措施来改善老年T2D患者的口腔健康。
期刊介绍：
Experimental Aging Research is a life span developmental and aging journal dealing with research on the aging process from a psychological and psychobiological perspective. It meets the need for a scholarly journal with refereed scientific papers dealing with age differences and age changes at any point in the adult life span. Areas of major focus include experimental psychology, neuropsychology, psychobiology, work research, ergonomics, and behavioral medicine. Original research, book reviews, monographs, and papers covering special topics are published.
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