Gerodontology最新文献_第6页

The Effect of Different Self-Administered Tongue Exercises on Tongue Strength and Endurance in Older Adults 不同自我给舌练习对老年人舌力和耐力的影响。

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

Gerodontology

Pub Date : 2025-07-10 DOI: 10.1111/ger.70005

Thunchanok Suppapatpong, Atiphan Pimkhaokham, Boosana Kaboosaya

Background

Self-administered tongue exercises (TEs) are proposed as an effective, low-cost and convenient intervention for improving maximum tongue strength and endurance. However, age-related factors make self-administered TEs more challenging for older individuals.

Objective

This study aimed to evaluate the effects of self-administered TEs on maximum tongue strength and endurance in older individuals.

Material and Methods

Seventy-two healthy volunteers, both young and older groups, were randomly allocated to three self-administered TE groups: tongue wrap, tongue corner and tongue paint. Maximum tongue strength and tongue endurance were assessed at baseline (T0) and after 4 weeks of training (T1) using the Iowa Oral Performance Instrument (IOPI). The Wilcoxon signed-rank test was used to compare pre- and post-intervention outcomes within groups, and the Kruskal–Wallis test was used to compare gains among groups.

Results

After 4 weeks of self-administered TEs, the average gains in maximum tongue strength and endurance did not differ significantly between young and older participants. The gains in maximum tongue strength for young and older participants were as follows: tongue wrap (7.7 vs. 3.3 kPa, p = 0.2), tongue corner (4.0 vs. 1.7 kPa, p = 0.6) and tongue paint (3.5 vs. 3.7 kPa, p = 1.0). For tongue endurance, young and older participants gained 3.9 vs. 13.0 s (p = 0.2), 1.3 vs. 11.0 s (p = 0.1) and 3.8 vs. −0.2 s (p = 0.5), respectively. While the tongue paint exercise resulted in the highest gains in maximum tongue strength, and the tongue wrap exercise showed the greatest improvement in tongue endurance among older adults, these differences were not statistically significant.

Conclusion

Four weeks of self-administered TEs had a positive impact on tongue strength and endurance in older individuals. Although our findings are most compatible with no important difference among exercise types in the older, notable patterns suggest potential benefits. Future studies should explore optimal exercise intensity and duration to maximise effectiveness.

背景：自我舌头练习（TEs）被认为是一种有效、低成本和方便的干预措施，可以提高舌头的最大强度和耐力。然而，与年龄相关的因素使老年人自我管理TEs更具挑战性。目的：本研究旨在评估自我给药TEs对老年人最大舌力和耐力的影响。材料和方法：72名健康志愿者，包括年轻人和老年人，随机分为三个自我给药TE组：舌包、舌角和舌漆。在基线（T0）和训练4周（T1）后，使用爱荷华口腔性能仪（IOPI）评估最大舌强度和舌耐力。采用Wilcoxon符号秩检验比较组内干预前后的结果，采用Kruskal-Wallis检验比较组间的收益。结果：自我给药te 4周后，年轻和老年参与者在最大舌头强度和耐力方面的平均增长没有显著差异。年轻人和老年人最大舌头强度的增加如下：舌包（7.7对3.3千帕，p = 0.2），舌角（4.0对1.7千帕，p = 0.6）和舌漆（3.5对3.7千帕，p = 1.0）。在舌头耐力方面，年轻和年长的参与者分别增加了3.9比13.0秒（p = 0.2）、1.3比11.0秒（p = 0.1）和3.8比-0.2秒（p = 0.5）。虽然在老年人中，舌漆练习能最大限度地提高舌头的强度，而裹舌练习能最大限度地提高舌头的耐力，但这些差异在统计学上并不显著。结论：四周的自我给药TEs对老年人的舌头力量和耐力有积极的影响。尽管我们的研究结果与老年人的运动类型之间没有重大差异是一致的，但值得注意的模式表明了潜在的益处。未来的研究应该探索最佳的运动强度和持续时间，以最大限度地提高效率。

{"title":"The Effect of Different Self-Administered Tongue Exercises on Tongue Strength and Endurance in Older Adults","authors":"Thunchanok Suppapatpong, Atiphan Pimkhaokham, Boosana Kaboosaya","doi":"10.1111/ger.70005","DOIUrl":"10.1111/ger.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Self-administered tongue exercises (TEs) are proposed as an effective, low-cost and convenient intervention for improving maximum tongue strength and endurance. However, age-related factors make self-administered TEs more challenging for older individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to evaluate the effects of self-administered TEs on maximum tongue strength and endurance in older individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Seventy-two healthy volunteers, both young and older groups, were randomly allocated to three self-administered TE groups: tongue wrap, tongue corner and tongue paint. Maximum tongue strength and tongue endurance were assessed at baseline (T0) and after 4 weeks of training (T1) using the Iowa Oral Performance Instrument (IOPI). The Wilcoxon signed-rank test was used to compare pre- and post-intervention outcomes within groups, and the Kruskal–Wallis test was used to compare gains among groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After 4 weeks of self-administered TEs, the average gains in maximum tongue strength and endurance did not differ significantly between young and older participants. The gains in maximum tongue strength for young and older participants were as follows: tongue wrap (7.7 vs. 3.3 kPa, <i>p</i> = 0.2), tongue corner (4.0 vs. 1.7 kPa, <i>p</i> = 0.6) and tongue paint (3.5 vs. 3.7 kPa, <i>p</i> = 1.0). For tongue endurance, young and older participants gained 3.9 vs. 13.0 s (<i>p</i> = 0.2), 1.3 vs. 11.0 s (<i>p</i> = 0.1) and 3.8 vs. −0.2 s (<i>p</i> = 0.5), respectively. While the tongue paint exercise resulted in the highest gains in maximum tongue strength, and the tongue wrap exercise showed the greatest improvement in tongue endurance among older adults, these differences were not statistically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Four weeks of self-administered TEs had a positive impact on tongue strength and endurance in older individuals. Although our findings are most compatible with no important difference among exercise types in the older, notable patterns suggest potential benefits. Future studies should explore optimal exercise intensity and duration to maximise effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"602-610"},"PeriodicalIF":1.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Descriptive Epidemiology of Oral Function in Middle-Aged and Older Japanese Individuals 日本中老年人群口腔功能的描述流行病学。

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

Gerodontology

Pub Date : 2025-07-02 DOI: 10.1111/ger.70003

Maki Shirobe, Masanori Iwasaki, Kentaro Igarashi, Keiko Motokawa, Ayako Edahiro, Shiho Morishita, Chiaki Matsubara, Tatsunosuke Gomi, Manami Ejiri, Hisashi Kawai, Maki Inoue, Shino Yamaguchi, Ayaka Isobe, Hisako Hikiji, Tatsuji Nishihara, Hiroyuki Sasai, Kazushige Ihara, Yoshinori Fujiwara, Shuichi Obuchi, Hirohiko Hirano

Objective

To describe age-group differences in oral function in middle-aged and older Japanese adults.

Background

To facilitate oral function management, it is essential research spanning a wider age range.

Materials and Methods

We conducted a secondary analysis of data in 2023 from two distinct populations. The Otassha Study included community-dwelling adults aged ≥ 65 years in Tokyo. The second sample consisted of middle-aged workers aged ≥ 40 years employed at municipal offices in Fukuoka. Survey items included tongue coating index, mucosal wetness, occlusal force, oral diadochokinesis, tongue pressure, masticatory function, swallowing function and the prevalence of oral hypofunction. Trend tests and binary logistic regression analysis were conducted. The dependent variable was the presence of oral hypofunction, and the independent variable was the age group.

Results

Our analysis included 645 participants (275 men and 370 women, aged 40–89 years). The prevalence of oral hypofunction and low oral function in six elements, except mucosal wetness, showed a significant linear association by age group. The prevalence of oral hypofunction was higher in the 80s (adjusted odds ratio: 3.4, 95% confidence interval: 1.4–8.3) than in the reference category (60s).

Conclusion

Expanding middle-aged participant data and conducting longitudinal studies are essential for understanding age-related changes in oral function. These efforts will help inform effective strategies to address oral functional decline.

目的：探讨日本中老年人口腔功能的年龄组差异。背景：为了促进口腔功能的管理，有必要在更大的年龄范围内进行研究。材料和方法：我们对2023年两个不同人群的数据进行了二次分析。大坂研究纳入了东京≥65岁的社区居住成年人。第二个样本由福冈市市政办公室雇用的年龄≥40岁的中年工人组成。调查项目包括舌苔指数、粘膜湿润度、咬合力、口腔间隙运动、舌压、咀嚼功能、吞咽功能、口腔功能减退的发生率。进行趋势检验和二元logistic回归分析。因变量为有无口腔功能障碍，自变量为年龄。结果：我们的分析包括645名参与者（275名男性和370名女性，年龄40-89岁）。口腔功能减退和低口腔功能的六个要素的患病率，除了粘膜湿润，显示出显着的线性相关的年龄组。口腔功能减退的患病率在80岁时（校正优势比：3.4,95%可信区间：1.4-8.3）高于参考组（60岁）。结论：扩大中年参与者数据并进行纵向研究对于了解与年龄相关的口腔功能变化至关重要。这些努力将有助于为解决口腔功能衰退提供有效的策略。

{"title":"Descriptive Epidemiology of Oral Function in Middle-Aged and Older Japanese Individuals","authors":"Maki Shirobe, Masanori Iwasaki, Kentaro Igarashi, Keiko Motokawa, Ayako Edahiro, Shiho Morishita, Chiaki Matsubara, Tatsunosuke Gomi, Manami Ejiri, Hisashi Kawai, Maki Inoue, Shino Yamaguchi, Ayaka Isobe, Hisako Hikiji, Tatsuji Nishihara, Hiroyuki Sasai, Kazushige Ihara, Yoshinori Fujiwara, Shuichi Obuchi, Hirohiko Hirano","doi":"10.1111/ger.70003","DOIUrl":"10.1111/ger.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe age-group differences in oral function in middle-aged and older Japanese adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To facilitate oral function management, it is essential research spanning a wider age range.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>We conducted a secondary analysis of data in 2023 from two distinct populations. The Otassha Study included community-dwelling adults aged ≥ 65 years in Tokyo. The second sample consisted of middle-aged workers aged ≥ 40 years employed at municipal offices in Fukuoka. Survey items included tongue coating index, mucosal wetness, occlusal force, oral diadochokinesis, tongue pressure, masticatory function, swallowing function and the prevalence of oral hypofunction. Trend tests and binary logistic regression analysis were conducted. The dependent variable was the presence of oral hypofunction, and the independent variable was the age group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our analysis included 645 participants (275 men and 370 women, aged 40–89 years). The prevalence of oral hypofunction and low oral function in six elements, except mucosal wetness, showed a significant linear association by age group. The prevalence of oral hypofunction was higher in the 80s (adjusted odds ratio: 3.4, 95% confidence interval: 1.4–8.3) than in the reference category (60s).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Expanding middle-aged participant data and conducting longitudinal studies are essential for understanding age-related changes in oral function. These efforts will help inform effective strategies to address oral functional decline.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"580-590"},"PeriodicalIF":1.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association Between Oral Diseases, Symptoms, and Oral Health-Related Quality of Life in 70-Year-Olds: A Cross-Sectional Study 70岁老人口腔疾病、症状和口腔健康相关生活质量之间的关系：一项横断面研究

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

Gerodontology

Pub Date : 2025-07-01 DOI: 10.1111/ger.70004

Linda C. K. Hasselgren, Ellen Berggreen, Hager Zein Elabdeen, Siri F. Kvalheim, Gerhard Sulo, Anne N. Åstrøm

Objective

To describe the association between oral diseases, self-reported symptoms and oral health-related quality of life (OHRQoL) in 70-year-olds.

Background

Previous studies have found inconsistent evidence of the association between certain oral diseases and OHRQoL in adults aged 65 years or older, indicating a need for further research.

Materials and Methods

Adults who had been born in 1950–51 and residing in Western Norway were invited to a comprehensive oral health examination, collecting information on the number of teeth, caries, periodontitis, hyposalivation, xerostomia and temporomandibular pain (TMD). OHRQoL was assessed using two instruments, the Oral Impact on Daily Performances (OIDP) and the Oral Health Impact Profile-14 (OHIP-14). We used a causal model approach to identify potential confounders. The association between oral diseases, self-reported symptoms, and OHRQoL was explored using multivariable negative binomial regression models, reporting rate ratios (RR) with 95% confidence intervals (CI).

Results

The final study sample consisted of 1189 individuals. The median (interquartile range [IQR]) OIDP and OHIP-14 scores were 0 (0–1) and 1 (0–4), respectively. OHRQoL was significantly associated with having fewer than 20 teeth (RR: 5.36 for OIDP and RR: 3.57 for OHIP-14), hyposalivation (RR: 1.38 for OHIP-14), xerostomia during daytime (RR: 2.25 for OIDP and RR: 2.07 for OHIP-14), xerostomia at night (RR: 1.72 for OIDP and RR: 1.71 for OHIP-14) and TMD pain (RR: 3.29 for OIDP and RR: 2.68 for OHIP-14).

Conclusion

This study of Norwegian 70-year-olds indicates that preserving teeth is essential for OHRQoL and signals the importance of addressing hyposalivation, xerostomia, and TMD in the management of oral health in older adults.

目的：探讨70岁老年人口腔疾病、口腔自述症状与口腔健康相关生活质量（OHRQoL）的关系。背景：以往的研究发现，某些口腔疾病与65岁及以上成年人OHRQoL之间存在不一致的关联，这表明需要进一步的研究。材料和方法：邀请1950-51年出生并居住在挪威西部的成年人进行全面的口腔健康检查，收集有关牙齿数量、龋齿、牙周炎、唾液减少、口干和颞下颌疼痛（TMD）的信息。OHRQoL使用两种工具进行评估，即口腔对日常表现的影响（OIDP）和口腔健康影响概况-14 （OHIP-14）。我们使用因果模型方法来识别潜在的混杂因素。采用多变量负二项回归模型探讨口腔疾病、自我报告症状与OHRQoL之间的关系，报告率比（RR）为95%置信区间（CI）。结果：最终的研究样本包括1189人。OIDP和OHIP-14评分中位数（四分位间距[IQR]）分别为0（0-1）和1（0-4）。OHRQoL与牙齿少于20颗（OIDP的RR: 5.36， OHIP-14的RR: 3.57）、唾液分泌不足（OHIP-14的RR: 1.38）、白天口干（OIDP的RR: 2.25， OHIP-14的RR: 2.07）、夜间口干（OIDP的RR: 1.72， OHIP-14的RR: 1.71）和TMD疼痛（OIDP的RR: 3.29， OHIP-14的RR: 2.68）显著相关。结论：这项对挪威70岁老人的研究表明，保留牙齿对维持口腔健康至关重要，并表明在老年人口腔健康管理中解决唾液分泌不足、口干症和TMD的重要性。

{"title":"The Association Between Oral Diseases, Symptoms, and Oral Health-Related Quality of Life in 70-Year-Olds: A Cross-Sectional Study","authors":"Linda C. K. Hasselgren, Ellen Berggreen, Hager Zein Elabdeen, Siri F. Kvalheim, Gerhard Sulo, Anne N. Åstrøm","doi":"10.1111/ger.70004","DOIUrl":"10.1111/ger.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the association between oral diseases, self-reported symptoms and oral health-related quality of life (OHRQoL) in 70-year-olds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous studies have found inconsistent evidence of the association between certain oral diseases and OHRQoL in adults aged 65 years or older, indicating a need for further research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Adults who had been born in 1950–51 and residing in Western Norway were invited to a comprehensive oral health examination, collecting information on the number of teeth, caries, periodontitis, hyposalivation, xerostomia and temporomandibular pain (TMD). OHRQoL was assessed using two instruments, the Oral Impact on Daily Performances (OIDP) and the Oral Health Impact Profile-14 (OHIP-14). We used a causal model approach to identify potential confounders. The association between oral diseases, self-reported symptoms, and OHRQoL was explored using multivariable negative binomial regression models, reporting rate ratios (RR) with 95% confidence intervals (CI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final study sample consisted of 1189 individuals. The median (interquartile range [IQR]) OIDP and OHIP-14 scores were 0 (0–1) and 1 (0–4), respectively. OHRQoL was significantly associated with having fewer than 20 teeth (RR: 5.36 for OIDP and RR: 3.57 for OHIP-14), hyposalivation (RR: 1.38 for OHIP-14), xerostomia during daytime (RR: 2.25 for OIDP and RR: 2.07 for OHIP-14), xerostomia at night (RR: 1.72 for OIDP and RR: 1.71 for OHIP-14) and TMD pain (RR: 3.29 for OIDP and RR: 2.68 for OHIP-14).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study of Norwegian 70-year-olds indicates that preserving teeth is essential for OHRQoL and signals the importance of addressing hyposalivation, xerostomia, and TMD in the management of oral health in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"591-601"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of Foreign Domestic Caregivers in Oral Hygiene Care for Older Adults With Dementia in Taiwan: A Qualitative Study 外籍家庭护理人员对台湾老年痴呆患者口腔卫生护理的经验：一项质性研究。

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

Gerodontology

Pub Date : 2025-06-24 DOI: 10.1111/ger.70001

Sumandar, Kuo-Hsun Lu, Min-Tao Hsu, Hsiao-Ling Huang, Shu-Fen Wung, Chang-Chun Chen, Pei-Chao Lin

Objective

This study aimed to explore the experiences of Indonesian domestic paid caregivers in providing oral hygiene care for older adults with dementia.

Background

As dementia progresses, individuals increasingly rely on their caregivers for help with daily oral care.

Methods

A qualitative descriptive study was conducted. Indonesian domestic caregivers were recruited through purposive sampling at four community-based dementia service sites in Kaohsiung, Taiwan. A total of 12 Indonesian female domestic caregivers participated in face-to-face interviews, which lasted between 30 and 70 min. The interview transcripts were analysed using Braun and Clarke's thematic analysis approach.

Results

Three main themes and six sub-themes were identified from the interviews: (1) caring for the oral health of older adults with dementia as one would for a family member, (2) providing person-centred interactions during oral hygiene routines and (3) addressing the systemic and practical challenges related to oral hygiene.

Conclusion

Indonesian female domestic caregivers recognise the importance of consistently providing oral hygiene care to older adults with dementia. There is a need for training programmes to improve caregiving skills, create supportive environments and foster a positive approach to care.

目的：探讨印尼家庭有偿护理人员为老年痴呆患者提供口腔卫生护理的经验。背景：随着痴呆症的进展，个体越来越依赖于他们的照顾者帮助进行日常口腔护理。方法：采用定性描述性研究。本研究在台湾高雄四个社区失智服务中心，透过有目的的抽样，招募印尼籍家庭照护者。共有12名印尼女性家庭护理人员参与了面对面访谈，访谈时间在30 - 70分钟之间。访谈记录采用Braun和Clarke的主题分析方法进行分析。结果：从访谈中确定了三个主要主题和六个副主题：(1)像照顾家庭成员一样照顾老年痴呆症患者的口腔健康；(2)在口腔卫生常规中提供以人为本的互动；(3)解决与口腔卫生相关的系统和实际挑战。结论：印尼女性家庭护理人员认识到持续为老年痴呆患者提供口腔卫生护理的重要性。有必要制定培训方案，以提高护理技能，创造支持性环境，并培养积极的护理方法。

{"title":"Experience of Foreign Domestic Caregivers in Oral Hygiene Care for Older Adults With Dementia in Taiwan: A Qualitative Study","authors":"Sumandar, Kuo-Hsun Lu, Min-Tao Hsu, Hsiao-Ling Huang, Shu-Fen Wung, Chang-Chun Chen, Pei-Chao Lin","doi":"10.1111/ger.70001","DOIUrl":"10.1111/ger.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to explore the experiences of Indonesian domestic paid caregivers in providing oral hygiene care for older adults with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As dementia progresses, individuals increasingly rely on their caregivers for help with daily oral care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive study was conducted. Indonesian domestic caregivers were recruited through purposive sampling at four community-based dementia service sites in Kaohsiung, Taiwan. A total of 12 Indonesian female domestic caregivers participated in face-to-face interviews, which lasted between 30 and 70 min. The interview transcripts were analysed using Braun and Clarke's thematic analysis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three main themes and six sub-themes were identified from the interviews: (1) caring for the oral health of older adults with dementia as one would for a family member, (2) providing person-centred interactions during oral hygiene routines and (3) addressing the systemic and practical challenges related to oral hygiene.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Indonesian female domestic caregivers recognise the importance of consistently providing oral hygiene care to older adults with dementia. There is a need for training programmes to improve caregiving skills, create supportive environments and foster a positive approach to care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"571-579"},"PeriodicalIF":1.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comments on ‘Root Caries in Older Adults: A Co-Citation Network Analysis (1980–2023)’ by Su and Chang 对苏和张的《老年人牙根龋病：共引网络分析（1980-2023）》的评论。

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

Gerodontology

Pub Date : 2025-06-21 DOI: 10.1111/ger.70002

Yuh-Shan Ho, Nikolaos Christidis

引用次数: 0

Response to the Letter to the Editor Regarding ‘Root Caries in Older Adults: A Co-Citation Network Analysis (1980–2023)’ 对“老年人牙根龋病：共引网络分析（1980-2023）”致编辑信的回应。

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

Gerodontology

Pub Date : 2025-06-20 DOI: 10.1111/ger.70000

Wen-Song Su, Ching-Yi Chang

引用次数: 0

Distinguishing Between Gerodontology and Geriatric Dentistry: Key Perspectives on Oral Health in Older Adults 区分老年牙科学和老年牙科学：老年人口腔健康的关键观点。

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

Gerodontology

Pub Date : 2025-06-05 DOI: 10.1111/ger.12820

Dachel Martínez Asanza, Isis Anastasia Rojas Herrera, Noralydis Rodríguez Washington

引用次数: 0

Falls and Interpersonal Violence, the Main Patterns of Maxillofacial Trauma in Older Adults in Chile 跌倒与人际暴力：智利老年人颌面部创伤的主要模式。

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

Gerodontology

Pub Date : 2025-06-04 DOI: 10.1111/ger.12825

Fabiola Werlinger, Marcelo Villalón, Valentina Duarte

Objective

To describe the presentation patterns of maxillofacial trauma cases in older adults attending hospital emergency departments.

Background

By 2030, one in six people will be 60 years of age or older. Trauma and injuries also affect older populations, with an increase in consultations in recent years. Specifically, in the case of maxillofacial trauma, the presentation profiles would be different in those over 60 years of age from the younger population.

Materials and Methods

A multi-centre case-series analysis with maxillofacial trauma records between 2016 and 2017, in three high-complexity hospitals in the central zone of Chile. Demographic data and diagnostic and therapeutic aspects of maxillofacial trauma were recorded. Multiple correspondence analysis was applied with Stata 14.0 software.

Results

Two hundred and fifty-nine cases of maxillofacial trauma with recorded aetiology were registered. 45.9% were men, with a mean age of 73.4 years (range: 60–95), with differences by sex (p value > 0.05). The main causes of trauma were falls, interpersonal violence and traffic accidents. Two profiles of patients were identified: (a) women aged 80 years and over, mainly affected by falls during the daytime, with minor injuries; and (b) men aged 60–79 years, mainly affected by interpersonal violence during the night, and with hard tissue injuries, requiring hospitalisation.

Conclusion

The emergency casuistry of maxillofacial trauma in the older population presents clearly differentiated profiles by sex, varying in severity, prognosis and aetiology. The relationships observed could help to understand in greater depth the mechanisms of trauma and injuries in the maxillofacial area that have been indicated as specific to each population and in the establishment of a potential monitoring system with the identification of injury patterns of clinical and social interest such as physical abuse of older adults.

目的：探讨老年人颌面部外伤在医院急诊科的临床表现。背景：到2030年，六分之一的人口将达到或超过60岁。创伤和伤害也影响到老年人，近年来咨询人数有所增加。具体来说，在颌面外伤的情况下，60岁以上人群的表现与年轻人群不同。材料与方法：对智利中部地区三家高复杂性医院2016年至2017年颌面部创伤记录进行多中心病例系列分析。记录颌面部外伤的人口学数据及诊断和治疗方面的情况。采用Stata 14.0软件进行多重对应分析。结果：记录颌面部外伤病例259例。45.9%为男性，平均年龄73.4岁（60 ~ 95岁），性别差异有统计学意义（p值0.05）。造成创伤的主要原因是跌倒、人际暴力和交通事故。确定了患者的两种情况：(a) 80岁及以上的妇女，主要受白天跌倒的影响，轻伤；(b) 60至79岁的男子，主要受到夜间人际暴力的影响，硬组织受伤，需要住院治疗。结论：老年人颌面部外伤急诊科在性别、严重程度、预后、病因等方面存在明显差异。观察到的关系有助于更深入地了解颌面部区域创伤和损伤的机制，这些机制已被指出是每个人群的特异性，并有助于建立一个潜在的监测系统，以识别临床和社会感兴趣的损伤模式，如老年人的身体虐待。

{"title":"Falls and Interpersonal Violence, the Main Patterns of Maxillofacial Trauma in Older Adults in Chile","authors":"Fabiola Werlinger, Marcelo Villalón, Valentina Duarte","doi":"10.1111/ger.12825","DOIUrl":"10.1111/ger.12825","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the presentation patterns of maxillofacial trauma cases in older adults attending hospital emergency departments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>By 2030, one in six people will be 60 years of age or older. Trauma and injuries also affect older populations, with an increase in consultations in recent years. Specifically, in the case of maxillofacial trauma, the presentation profiles would be different in those over 60 years of age from the younger population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A multi-centre case-series analysis with maxillofacial trauma records between 2016 and 2017, in three high-complexity hospitals in the central zone of Chile. Demographic data and diagnostic and therapeutic aspects of maxillofacial trauma were recorded. Multiple correspondence analysis was applied with Stata 14.0 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred and fifty-nine cases of maxillofacial trauma with recorded aetiology were registered. 45.9% were men, with a mean age of 73.4 years (range: 60–95), with differences by sex (<i>p</i> value > 0.05). The main causes of trauma were falls, interpersonal violence and traffic accidents. Two profiles of patients were identified: (a) women aged 80 years and over, mainly affected by falls during the daytime, with minor injuries; and (b) men aged 60–79 years, mainly affected by interpersonal violence during the night, and with hard tissue injuries, requiring hospitalisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The emergency casuistry of maxillofacial trauma in the older population presents clearly differentiated profiles by sex, varying in severity, prognosis and aetiology. The relationships observed could help to understand in greater depth the mechanisms of trauma and injuries in the maxillofacial area that have been indicated as specific to each population and in the establishment of a potential monitoring system with the identification of injury patterns of clinical and social interest such as physical abuse of older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"554-561"},"PeriodicalIF":1.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Number of Remaining Teeth and Obesity in Chilean Older Adults 智利老年人的剩余牙齿数量与肥胖。

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

Gerodontology

Pub Date : 2025-05-31 DOI: 10.1111/ger.12827

Camila Corral Núñez, Iris Espinoza, Daniel Olivares, Aler Fuentes del Campo, Juan Carlos Salinas, Jorge Gamonal, Begoña Ruiz

Objectives

To investigate whether the number of remaining teeth was associated with obesity among Chilean older people.

Background

Contradictory findings on the associations between cumulative tooth loss, chewing discomfort and the consumption of fruits and vegetables in older people have been reported; moreover, findings on the relationship between dentition and nutritional status are inconsistent. The latter has been studied in some Latin American countries, but no data have been reported for Chile.

Materials and Methods

We undertook a secondary analysis of clinical and self-reported data from a national survey of adults—the Chilean National Health Survey 2016–17 or 2016–17 (NHS)–to examine associations between the number of remaining teeth (defined both as the presence of a functional dentition and as ordinal categories of the number of remaining teeth: ≥ 20, 10–19, 1–9 or 0 teeth) and obesity (BMI ≥ 30.0 kg/m²) among non-institutionalised older adults aged ≥ 65 years. Associations between the number of remaining teeth and (a) chewing discomfort and (b) daily consumption of fruits and vegetables were also examined. Multivariate models for obesity and functional dentition or dentition status were adjusted for sex, age, education level, residency and denture use. Analyses used Stata, applying survey weighting to obtain population estimates.

Results

Data from n = 1363 non-institutionalised older adults aged ≥ 65 years, representing a population of 1,765,340 individuals was analysed. A minority of the sample had a functional dentition (22.5%), which was more common in men (28.7%) and among urban residents (24.8%). A consistent gradient in functional dentition was observed by educational level, with prevalence rates of 7.2%, 27.2% and 76.8% among individuals of low, medium and high education level, respectively. More than one in 10 individuals (12.4% of the sample) reported chewing discomfort, and this was more common among those who had (14.9%) than for those who did not have a functional dentition (6.5%). Individuals with a functional dentition consumed more fruits and vegetables daily than those with fewer than 20 teeth. Regarding the study outcome, 35.6% of participants were obese. Obesity was more common among those who did not have a functional dentition (37.3%) than for those who did (30.2%). In the multivariate model, the lack of a functional dentition (having fewer remaining teeth) was not associated with obesity (PR 1.06; 95% CI 0.86, 1.32). Similar findings were o

目的：调查智利老年人的剩余牙齿数量是否与肥胖有关。背景：关于老年人累积牙齿脱落、咀嚼不适与水果和蔬菜消费之间关系的矛盾发现已被报道；此外，关于牙列与营养状况之间关系的研究结果也不一致。在一些拉丁美洲国家对后者进行了研究，但没有报告智利的数据。材料和方法：我们对来自2016-17年或2016-17年智利国家健康调查（NHS）的全国成人调查的临床和自我报告数据进行了二次分析，以检查≥65岁非机构老年人的剩余牙齿数量（定义为功能牙列的存在和剩余牙齿数量的顺序分类：≥20、10-19、1-9或0）与肥胖（BMI≥30.0 kg/m2）之间的关系。还研究了剩余牙齿数量与(a)咀嚼不适和(b)每天消耗水果和蔬菜之间的关系。肥胖与牙列功能或牙列状态的多变量模型根据性别、年龄、教育水平、居住地和义齿使用情况进行调整。分析使用Stata，应用调查加权来获得人口估计。结果：分析了n = 1363名年龄≥65岁的非机构老年人的数据，这些老年人代表了1,765,340个人。少数样本具有功能牙列（22.5%），这在男性（28.7%）和城市居民（24.8%）中更为常见。功能牙列在文化程度上呈现一致的梯度，低、中、高等文化程度人群的牙列患病率分别为7.2%、27.2%和76.8%。超过十分之一的人（12.4%的样本）报告咀嚼不适，这在有牙列功能的人（14.9%）中比没有牙列功能的人（6.5%）更常见。牙齿功能正常的人每天比牙齿少于20颗的人吃更多的水果和蔬菜。关于研究结果，35.6%的参与者肥胖。肥胖在没有功能牙列的人中（37.3%）比有功能牙列的人（30.2%）更常见。在多变量模型中，缺乏功能牙列（剩余牙齿较少）与肥胖无关(PR为1.06；95% ci 0.86, 1.32)。在按牙列状态分类(10-19颗牙：PR 1.13；95% CI 0.9, 1.41, 1-9牙：PR 1.07；0.84, 1.35，无牙：PR 0.88；95% ci 0.68, 1.13。使用≥20颗牙作为参考)。结论：在这一人群中，缺乏功能性牙列（剩余牙齿较少）与日常水果和蔬菜摄入量减少以及咀嚼不适有关，但与肥胖无关。

{"title":"Number of Remaining Teeth and Obesity in Chilean Older Adults","authors":"Camila Corral Núñez, Iris Espinoza, Daniel Olivares, Aler Fuentes del Campo, Juan Carlos Salinas, Jorge Gamonal, Begoña Ruiz","doi":"10.1111/ger.12827","DOIUrl":"10.1111/ger.12827","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate whether the number of remaining teeth was associated with obesity among Chilean older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Contradictory findings on the associations between cumulative tooth loss, chewing discomfort and the consumption of fruits and vegetables in older people have been reported; moreover, findings on the relationship between dentition and nutritional status are inconsistent. The latter has been studied in some Latin American countries, but no data have been reported for Chile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>We undertook a secondary analysis of clinical and self-reported data from a national survey of adults—the Chilean National Health Survey 2016–17 or 2016–17 (NHS)–to examine associations between the number of remaining teeth (defined both as the presence of a functional dentition and as ordinal categories of the number of remaining teeth: ≥ 20, 10–19, 1–9 or 0 teeth) and obesity (BMI ≥ 30.0 kg/m<sup>2</sup>) among non-institutionalised older adults aged ≥ 65 years. Associations between the number of remaining teeth and (a) chewing discomfort and (b) daily consumption of fruits and vegetables were also examined. Multivariate models for obesity and functional dentition or dentition status were adjusted for sex, age, education level, residency and denture use. Analyses used Stata, applying survey weighting to obtain population estimates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from <i>n</i> = 1363 non-institutionalised older adults aged ≥ 65 years, representing a population of 1,765,340 individuals was analysed. A minority of the sample had a functional dentition (22.5%), which was more common in men (28.7%) and among urban residents (24.8%). A consistent gradient in functional dentition was observed by educational level, with prevalence rates of 7.2%, 27.2% and 76.8% among individuals of low, medium and high education level, respectively. More than one in 10 individuals (12.4% of the sample) reported chewing discomfort, and this was more common among those who had (14.9%) than for those who did not have a functional dentition (6.5%). Individuals with a functional dentition consumed more fruits and vegetables daily than those with fewer than 20 teeth. Regarding the study outcome, 35.6% of participants were obese. Obesity was more common among those who did not have a functional dentition (37.3%) than for those who did (30.2%). In the multivariate model, the lack of a functional dentition (having fewer remaining teeth) was not associated with obesity (PR 1.06; 95% CI 0.86, 1.32). Similar findings were o","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"562-570"},"PeriodicalIF":1.7,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of Visiting Oral Health Service Providers: Using the Q Method and Focusing on Suggestions for the Role of Dental Hygienists in a Community 访问口腔卫生服务提供者的看法：使用Q方法和重点建议牙科保健员在社区中的作用。

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

Gerodontology

Pub Date : 2025-05-26 DOI: 10.1111/ger.12824

Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin

Objective

This study aimed to identify the types and characteristics of providers' (dental hygienists and caregivers) perceptions of visiting oral health care services and explore the contents of visiting oral health care services and the social role of dental hygienists in promoting the health of older adults in the upcoming post-aged society.

Methods

This study was conducted using the Q method. The Q sample utilised the same 32 statements selected by Lee et al. (2021), who analysed the perceptions of Korean older adults on home-visiting oral health care services. The P sample was randomly selected and included 16 dental hygienists and 16 caregivers who provide oral hygiene care for older adults in the community. The 32 participants were asked to rank the statements in the Q-set based on their level of agreement. The Q-sorted data were analysed using the PC-QUANL programme.

Results

A four-factor structure with five factor types was identified, explaining 50.9% of the variance. Analysis of provider perception types revealed differences regarding who should deliver oral health care to older adults—dental teams including dentists and hygienists or hygienists alone—and in service content and focus. However, most providers agreed that dental hygienists should accurately assess older adults' oral health needs and deliver appropriate care.

Conclusion

To promote the health of older adults in the future, dental hygienists should be recognised as essential providers in community-based care systems and supported by national policy to deliver accessible, collaborative and preventive services.

目的：本研究旨在了解口腔保健服务提供者（牙科保健员和护理人员）对口腔保健服务的感知类型和特征，探讨口腔保健服务的内容以及牙科保健员在促进老年人健康方面的社会作用。方法：采用Q法进行研究。Q样本使用了Lee等人（2021）选择的32个相同的陈述，他们分析了韩国老年人对家访口腔保健服务的看法。P样本是随机选择的，包括16名牙科保健员和16名护理人员，他们为社区中的老年人提供口腔卫生护理。32名参与者被要求根据他们的同意程度对q集中的陈述进行排名。采用PC-QUANL程序对q排序数据进行分析。结果：确定了一个包含五种因子类型的四因子结构，解释了50.9%的方差。对提供者感知类型的分析揭示了谁应该为老年人提供口腔卫生保健——包括牙医和保健员的牙科团队还是单独的保健员——以及服务内容和重点的差异。然而，大多数提供者同意牙科保健师应该准确评估老年人的口腔健康需求并提供适当的护理。结论：为了促进未来老年人的健康，牙科保健师应被视为社区护理系统的基本提供者，并得到国家政策的支持，以提供可获得的、协作的和预防性的服务。

{"title":"Perceptions of Visiting Oral Health Service Providers: Using the Q Method and Focusing on Suggestions for the Role of Dental Hygienists in a Community","authors":"Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin","doi":"10.1111/ger.12824","DOIUrl":"10.1111/ger.12824","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to identify the types and characteristics of providers' (dental hygienists and caregivers) perceptions of visiting oral health care services and explore the contents of visiting oral health care services and the social role of dental hygienists in promoting the health of older adults in the upcoming post-aged society.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was conducted using the Q method. The Q sample utilised the same 32 statements selected by Lee et al. (2021), who analysed the perceptions of Korean older adults on home-visiting oral health care services. The P sample was randomly selected and included 16 dental hygienists and 16 caregivers who provide oral hygiene care for older adults in the community. The 32 participants were asked to rank the statements in the Q-set based on their level of agreement. The Q-sorted data were analysed using the PC-QUANL programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A four-factor structure with five factor types was identified, explaining 50.9% of the variance. Analysis of provider perception types revealed differences regarding who should deliver oral health care to older adults—dental teams including dentists and hygienists or hygienists alone—and in service content and focus. However, most providers agreed that dental hygienists should accurately assess older adults' oral health needs and deliver appropriate care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To promote the health of older adults in the future, dental hygienists should be recognised as essential providers in community-based care systems and supported by national policy to deliver accessible, collaborative and preventive services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 4","pages":"545-553"},"PeriodicalIF":1.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

1
2
3
4
5
6
7
...
10

下一页尾页