Journal of oral rehabilitation最新文献_第7页

Factors Associated With Craniocervical and Otological Symptoms in Healthcare Workers During Covid-19 Pandemic: A Cross-Sectional Study Covid-19大流行期间医护人员头颈和耳科症状相关因素：一项横断面研究

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-10 DOI: 10.1111/joor.70099

Anita Almeida Gonzaga, Jade Louise Alves Macedo Padilha Silva, Rafaella Silva dos Santos Aguiar Gonçalves, Luiz Felipe Tavares, Álvaro Campos Cavalcanti Maciel, Karyna Myrelly Oliveira Bezerra Figueiredo Ribeiro

Background

Increased personal protective equipment (PPE) use, working hours and psychological disorders were observed among healthcare workers during the COVID-19 pandemic, possibly leading to craniocervical and otological symptoms.

Objective

This study aimed to identify factors associated with craniocervical and otological symptoms in healthcare workers during the COVID-19 pandemic.

Methods

A total of 147 healthcare workers in the care of patients with COVID-19 were included. Craniocervical symptoms (headache, orofacial pain and neck pain), otological symptoms and PPE use before and during the pandemic were assessed. Pearson's chi-square, McNemar's tests, the paired t-test and a binary logistic regression were used for analysis.

Results

The onset of symptoms during the pandemic was 44.2% for headache, 36.7% for orofacial pain, 38.0% for neck pain and 54.4% for otological symptoms. Worsening of pre-existing symptoms was observed for headache (59.5%), orofacial pain (60.8%), neck pain (38.7%), and otological symptoms (29.4%). Depressive symptoms, associated symptoms and co-occurrence of symptoms during the pandemic were associated with the onset of craniocervical symptoms (OR 2.42–3.99). The use and duration of surgical masks before the pandemic and face shield and orofacial pain during the pandemic were associated factors to the onset of otological symptoms (OR 2.98–3.89). Working in the nursing ward, female sex, lack of physical activity and previous medical history were associated with the worsening of pre-existing craniocervical symptoms (OR 3.25–4.72).

Conclusion

Craniocervical and otological symptoms increased among healthcare workers during the COVID-19 pandemic. Addressing biopsychosocial factors may mitigate the health burden and improve the quality of care.

背景：在2019冠状病毒病大流行期间，卫生保健工作者个人防护装备（PPE）的使用、工作时间和心理障碍增加，可能导致头颈和耳科症状。目的：本研究旨在确定COVID-19大流行期间医护人员头颈和耳科症状的相关因素。方法：纳入147名参与COVID-19患者护理的医护人员。评估了大流行之前和期间的颅颈症状（头痛、口面疼痛和颈部疼痛）、耳科症状和个人防护装备使用情况。采用Pearson卡方检验、McNemar检验、配对t检验和二元logistic回归进行分析。结果：大流行期间发病症状为头痛44.2%，口面部疼痛36.7%，颈部疼痛38.0%，耳部症状54.4%。头痛（59.5%）、口面部疼痛（60.8%）、颈部疼痛（38.7%）和耳科症状（29.4%）的既往症状加重。抑郁症状、相关症状和大流行期间症状的同时出现与头颈部症状的发作相关（OR 2.42-3.99）。大流行前外科口罩的使用和持续时间以及大流行期间面罩和口面部疼痛是耳科症状发作的相关因素（OR为2.98-3.89）。在护理病房工作、女性、缺乏体力活动和既往病史与先前存在的头颈部症状恶化相关（OR 3.25-4.72）。结论：在COVID-19大流行期间，医护人员的头颈和耳科症状有所增加。解决生物心理社会因素可以减轻健康负担，提高护理质量。

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引用次数: 0

Effectiveness of Transcutaneous Auricular Vagus Nerve Stimulation in Bruxism: A Randomised, Controlled, Single-Blind Experimental Trial 经皮耳迷走神经刺激治疗磨牙症的有效性：一项随机、对照、单盲试验。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-10 DOI: 10.1111/joor.70096

Hazel Celik Guzel, Ozan Bahadır Turkmen, Ebru Kaya Mutlu, Gizem Turkmen, Olcay Sakar, Gülsen Ozturk Ormeci

Background

Transcutaneous auricular vagus nerve stimulation (TAVNS) stands out as a neuromodulation method that shows therapeutic potential thanks to its ability to regulate autonomic responses. However, the role of TAVNS in the management of bruxism-related clinical parameters has not been sufficiently investigated.

Objective

This study aimed to investigate the holistic effects of TAVNS added to exercise therapy on bruxism-related clinical parameters in patients with clinically based bruxism.

Methods

This randomised, controlled, single-blind experimental clinical study included 40 individuals diagnosed with clinically based bruxism, who were randomly assigned to two groups: the TAVNS group (n = 20) and the control group (n = 20). Both groups performed the Rocabado exercise program for 8 weeks, while the TAVNS group additionally performed TAVNS. Oral health-related quality of life, sleep quality, perceived stress level, pain intensity, pain threshold, biomechanical properties of masticatory muscles, masseter muscle activation and autonomic parameters were evaluated before and after treatment.

Results

The TAVNS group showed significantly better results in oral health-related quality of life, stress levels, masseter muscle functional parameters (resting activation, tonus, stiffness), and autonomic parameters (pulse rate, respiratory rate, sympathetic activity, sympathovagal balance) compared to the control group (p < 0.05).

Conclusion

This study revealed that TAVNS added to exercise therapy provided significant improvements in key clinical parameters associated with bruxism, including both local symptoms (muscle activation and biomechanical properties) and systemic parameters (autonomic parameters, stress, oral health-related quality of life) in bruxism. Although our findings support the clinical potential of TAVNS as a non-invasive complementary option for managing bruxism-related dysfunctions, these effects need to be confirmed in larger samples and long-term follow-ups.

Trial Registration

ClinicalTrials.gov identifier: NCT06386809

背景：经皮耳迷走神经刺激（TAVNS）作为一种神经调节方法，由于其调节自主神经反应的能力而显示出治疗潜力。然而，TAVNS在磨牙相关临床参数管理中的作用尚未得到充分的研究。目的：探讨TAVNS联合运动疗法对临床磨牙患者磨牙相关临床参数的整体影响。方法：这项随机、对照、单盲的临床实验研究纳入40例临床诊断为磨牙症的患者，随机分为两组：TAVNS组（n = 20）和对照组（n = 20）。两组均进行Rocabado运动计划8周，TAVNS组在此基础上进行TAVNS。评估治疗前后口腔健康相关生活质量、睡眠质量、感知应激水平、疼痛强度、疼痛阈值、咀嚼肌生物力学特性、咬肌激活和自主神经参数。结果：TAVNS组在口腔健康相关生活质量、应激水平、咬肌功能参数（静息激活、张力、僵硬）和自主神经参数（脉搏率、呼吸率、交感神经活动、交感迷走神经平衡）方面均显著优于对照组(p)。本研究表明，在运动疗法中加入TAVNS可显著改善磨牙症相关的关键临床参数，包括磨牙症的局部症状（肌肉激活和生物力学特性）和全身参数（自主神经参数、压力、口腔健康相关生活质量）。虽然我们的研究结果支持TAVNS作为治疗磨牙相关功能障碍的非侵入性补充选择的临床潜力，但这些效果需要在更大的样本和长期随访中得到证实。试验注册：ClinicalTrials.gov标识符：NCT06386809。

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引用次数: 0

Oral Factors Associated With Declines in Masticatory and Swallowing Function in Older and Middle-Aged Dental Outpatients 口腔因素与中老年牙科门诊患者咀嚼和吞咽功能下降有关。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-07 DOI: 10.1111/joor.70097

Yukiko Hatanaka, Tomohiro Tabata, Masatsugu Teraoka, Housei Suzuki, Risako Taue, Kunihito Yamane, Tomoko Mukai, Tokiko Osawa, Junichi Furuya

Background

Frailty prevention is essential in older adults, as oral frailty and hypofunction are linked to increased risks of physical frailty, dependency and mortality. Declines in integrated oral functions, particularly mastication and swallowing, can reduce dietary diversity, impair nutrition and accelerate frailty progression. Although oral hypofunction tests are used for screening and management, the underlying mechanisms and priorities for targeted interventions remain unclear.

Objective

To investigate the associations between declines in masticatory and swallowing functions and specific oral functional impairments among dental outpatients.

Methods

In this cross-sectional study, we included 204 outpatients aged ≥ 50 years (mean age: 77.1 ± 8.5 years) who underwent oral hypofunction tests for the first time. Data were collected on systemic health and seven oral function domains: oral hygiene, oral dryness, occlusal force, tongue–lip motor function, tongue pressure, masticatory function and swallowing function. Pearson's correlation and multiple linear regression analyses were conducted, adjusting for age, sex and comorbidities.

Results

Masticatory function decline was significantly associated with reduced occlusal force and posterior tongue–lip motor function. Swallowing function decline was significantly associated with reduced tongue pressure and anterior tongue–lip motor function.

Conclusion

Masticatory and swallowing functions are closely linked to occlusal force, tongue strength and tongue motor function. These findings highlight the need for targeted oral function training, especially of the tongue and occlusal system, to maintain dietary intake and support frailty prevention in older adults.

背景：预防衰弱对老年人至关重要，因为口腔衰弱和功能减退与身体衰弱、依赖和死亡的风险增加有关。综合口腔功能下降，特别是咀嚼和吞咽功能下降，可减少饮食多样性，损害营养，加速虚弱的进展。虽然口腔功能减退测试用于筛查和管理，但有针对性干预的潜在机制和优先事项仍不清楚。目的：探讨口腔门诊患者咀嚼和吞咽功能下降与特定口腔功能障碍的关系。方法：在这项横断面研究中，我们纳入了204例年龄≥50岁（平均年龄：77.1±8.5岁）首次接受口腔功能减退检查的门诊患者。数据收集的系统健康和七个口腔功能领域：口腔卫生，口腔干燥，咬合力，舌唇运动功能，舌压，咀嚼功能和吞咽功能。进行Pearson相关分析和多元线性回归分析，调整年龄、性别和合并症。结果：咀嚼功能下降与咬合力和后舌唇运动功能降低有显著相关性。吞咽功能下降与舌压和舌唇前运动功能降低有显著相关性。结论：咀嚼和吞咽功能与咬合力、舌用力和舌运动功能密切相关。这些发现强调了有针对性的口腔功能训练的必要性，特别是舌头和咬合系统的训练，以保持老年人的饮食摄入和支持虚弱预防。

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引用次数: 0

Is Pain Intensity Related to Psychosocial Factors in Chronic Non-Nociceptive Orofacial Pain Patients? 慢性非伤害性口面部疼痛患者的疼痛强度与心理社会因素有关吗？

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-07 DOI: 10.1111/joor.70094

Akiko Kawase, Hitoshi Higuchi, Fumika Hashimoto, Saki Miyake, Yukiko Nishioka, Midori Inoue, Hitomi Ujita, Aki Kawauchi, Shigeru Maeda, Takuya Miyawaki

Background

In order to understand the psychological aspects of chronic pain, it is important to consider the relationships between pain and psychosocial factors in patients with chronic pain. While psychosocial factors are known to affect pain intensity in temporomandibular disorders, few studies have evaluated them in patients with other types of chronic orofacial pain.

Objective

The purpose of the present study was to evaluate the relationships between pain intensity and patient characteristics, diagnostic categories and psychosocial factors in chronic non-nociceptive orofacial pain patients.

Methods

In a retrospective, cross-sectional study, we collected information from the medical records of 123 patients with chronic non-nociceptive orofacial pain. Pain intensity was measured using the Brief Pain Inventory (BPI) total score. Analysis of the correlations among the variables revealed several strong correlations. Principal component analysis identified two components: the psychological distress and self-efficacy/quality of life (QOL) components. Multiple linear regression analyses of the overall study population and each ICOP pain category were also performed.

Results

In the overall sample, higher BPI scores were significantly associated with a greater psychological distress component and lower self-efficacy/QOL component. The pain category was not a significant predictor of the BPI score. In the subgroup analyses, both components were significant predictors of the BPI score in myofascial orofacial pain; whereas, only the self-efficacy/QOL component was in idiopathic orofacial pain.

Conclusion

The results indicated that pain intensity in chronic non-nociceptive orofacial pain is related to the self-efficacy/QOL psychosocial factor component. These findings suggest that assessing psychosocial factors may be clinically important for the diagnosis and treatment of chronic orofacial pain.

背景：为了了解慢性疼痛的心理方面，考虑慢性疼痛患者的疼痛与心理社会因素之间的关系是很重要的。虽然已知社会心理因素会影响颞下颌疾病的疼痛强度，但很少有研究对其他类型的慢性口面部疼痛患者进行评估。目的：探讨慢性非伤害性口面部疼痛患者的疼痛强度与患者特征、诊断类型及心理社会因素的关系。方法：在一项回顾性横断面研究中，我们收集了123例慢性非伤害性口面部疼痛患者的医疗记录信息。采用简短疼痛量表（BPI）总分测量疼痛强度。对这些变量之间的相关性进行分析，发现有几个很强的相关性。主成分分析确定了两个成分：心理困扰和自我效能/生活质量（QOL）成分。对总体研究人群和每个ICOP疼痛类别进行多元线性回归分析。结果：在整体样本中，较高的BPI得分与较高的心理困扰成分和较低的自我效能感/生活质量成分显著相关。疼痛类别不是BPI评分的显著预测因子。在亚组分析中，这两个成分都是肌筋膜口面部疼痛的BPI评分的显著预测因子；而在特发性口面部疼痛中，只有自我效能感/生活质量成分。结论：慢性非伤害性口面部疼痛患者的疼痛强度与自我效能感/生活质量社会心理因素相关。这些发现表明，评估心理社会因素可能对慢性口面部疼痛的诊断和治疗具有重要的临床意义。

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引用次数: 0

Concomitant Headache and Its Association With Worse Psychological and Clinical Status in Temporomandibular Disorders 颞下颌疾病患者伴发性头痛及其与不良心理和临床状况的关系。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-07 DOI: 10.1111/joor.70100

Bo Young Jeong, Seong Hae Kim, Xin Xiong, Ji Woon Park

Objectives

To analyse clinical features and psychological status according to the presence of concomitant headache in a well-defined group of temporomandibular disorders (TMD).

Methods

Graded Chronic Pain Scale and Symptom Checklist-90-Revision were applied to evaluate pain disability and psychological characteristics in a group of 793 TMD patients. The presence of generalised bodily symptoms, sleep disturbance, and general health status was collected. Clinical and psychological variables associated with concomitant headache were statistically identified.

Results

Among the TMD patients, 290 reported headache (37%). Those with headache reported higher levels of TMD pain intensity (p = 0.005) and more frequently reported pain on palpation of the masticatory muscles (p = 0.031) and temporomandibular joint (p = 0.007). Also, clenching (p = 0.016), sleep disturbance (p < 0.001), and insomnia (p < 0.001) were more prevalent. Those with headache experienced pain in other body regions more frequently. Higher levels of somatization (p < 0.001), depression (p = 0.045), anxiety (p = 0.005), and paranoid ideation (p = 0.022) were found in the headache group.

Conclusions

TMD patients when reporting concomitant headache showed higher pain levels, widespread pain, and higher levels of psychological distress. The results indicate the need to appropriately address the issue of headache in TMD patients with an emphasis on psychological issues to improve overall prognosis.

目的：分析一组明确的颞下颌疾病（TMD）伴发性头痛的临床特点和心理状况。方法：采用慢性疼痛分级量表和症状量表-90-修订版对793例TMD患者进行疼痛失能和心理特征评估。收集普遍身体症状、睡眠障碍和一般健康状况。与伴随性头痛相关的临床和心理变量进行统计学鉴定。结果：在TMD患者中，290例（37%）报告头痛。头痛患者报告的TMD疼痛强度更高（p = 0.005），并且更频繁地报告触诊咀嚼肌（p = 0.031）和颞下颌关节（p = 0.007）疼痛。结论：TMD患者在报告伴有头痛时表现出更高的疼痛水平、广泛性疼痛和更高的心理困扰水平。结果表明，需要适当处理TMD患者的头痛问题，重点关注心理问题，以改善整体预后。

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引用次数: 0

Jaw Muscle Electromyographic Response to Whole-Body Postural Perturbation 下颚肌肌电图对全身姿势扰动的反应。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-06 DOI: 10.1111/joor.70086

Akari Shibagaki, Yosuke Tomita, Yoshitaka Suzuki, Kazuo Okura, Masamitsu Oshima, Jaime Fabillar Jr., Yoshizo Matsuka

Background

While whole-body postural control requires integration of the sensorimotor system, the involvement of jaw muscle activity in this control remains unclear.

Objective

This study aimed to clarify the relationship between jaw muscle activity and whole-body postural stability by measuring jaw-opening and closing muscle activities, as well as whole-body postural sway during postural perturbations with two different levels of predictability.

Methods

Twelve healthy adults (7 males, 5 females; median age 21.0 years) underwent vertical perturbations by holding a bar at shoulder height. In the cued condition (C-cond), the participants were given a 3-s countdown before the bar was loaded with 3% of their body weight, whereas in the uncued condition (U-cond), the load was applied without prior cueing. Jaw-closing (masseter) and jaw-opening (anterior suprahyoid) muscle activities were measured using surface electromyography (EMG). Bar dynamics and center-of-foot-pressure (COP) were assessed with motion capture and a force plate. Bar-drop distances, EMG activity, and the proportion of trials with muscle activity exceeding baseline were compared between conditions using the Wilcoxon signed-rank test, Friedman, Mann–Whitney U and chi-square tests, as appropriate, with Bonferroni corrections.

Results

Vertical bar displacement was greater in the U-cond compared with the C-cond (−46.0 mm vs. −27.4 mm, the Wilcoxon signed-rank test, p < 0.05). Left anterior suprahyoid activity exceeded baseline in 91.7% of uncued trials versus 58.3% in cued trials (the chi-square test with the Bonferroni correction applied, adjusted p < 0.05). COP displacement increased when masseter and anterior suprahyoid muscle activity exceeded baseline in the U-cond (the Mann–Whitney U test with Bonferroni correction, adjusted p < 0.05).

Conclusion

Increased activation of jaw-opening muscles during uncued perturbations compared with cued perturbations suggests that anterior suprahyoid muscles are recruited for postural control, supporting their involvement in maintaining stability.

背景：虽然全身姿势控制需要感觉运动系统的整合，但下颌肌肉活动在这种控制中的参与尚不清楚。目的：本研究旨在通过测量两种不同可预测水平的姿势扰动下下颌开闭肌肉活动以及全身姿势摆动，阐明下颌肌肉活动与全身姿势稳定性之间的关系。方法：12名健康成人（男7名，女5名，中位年龄21.0岁）在肩高处持杆进行垂直摄动。在提示条件下（C-cond），参与者在加载体重的3%之前有3秒倒计时，而在未提示条件下（U-cond），负载在没有事先提示的情况下施加。采用表面肌电图（EMG）测量合颌肌（咬肌）和开颌肌（舌骨前上肌）的活动。用动作捕捉和测力板评估杆动力学和足部压力中心（COP）。使用Wilcoxon sign -rank检验、Friedman、Mann-Whitney U检验和卡方检验（视情况而定）并进行Bonferroni校正，比较不同条件下的条形距离、肌电活动和肌肉活动超过基线的试验比例。结果：与C-cond相比，U-cond的垂直杆位移更大（-46.0 mm vs -27.4 mm）， Wilcoxon符号秩检验。结论：与有线索的扰动相比，在无线索的扰动下，下颌开口肌肉的激活增加，表明前舌骨上肌参与姿势控制，支持其参与维持稳定性。

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引用次数: 0

Psychological Distress and Sleep Disturbance as Mediators in the Association Between Bodily Pain and Painful Temporomandibular Disorders 心理困扰和睡眠障碍在躯体疼痛和疼痛性颞下颌障碍之间的中介作用。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-06 DOI: 10.1111/joor.70101

Xinyi Fang, Jiamin Wan, Jiu Lin, Xiao Lu, Jiale Wang, Yu Long, Yuanwei Xie, Haoming An, Qianming Chen, Xin Xiong, Xiaoyan Chen

Objectives

The aim of this study was to investigate the associations between bodily pain (BP) and painful temporomandibular disorders (PT) in the general population in China. It also focused on evaluating how psychological distress and sleep disturbance mediated the association.

Materials and Methods

Data were derived from a community survey conducted in mainland China in 2024 (N = 1920). Participants were categorised by BP sites: none (PF group), single site (SP group), and multiple sites (MP group). Psychological distress was measured using the Patient Health Questionnaire-4 (PHQ-4), and the Insomnia Severity Index (ISI) was used to evaluate sleep disturbances. Statistical analyses were performed using univariate and multivariate logistic regression analyses, as well as chain mediation analysis.

Results

The prevalence of PT was highest in the MP group, followed by the SP group, and lowest in the PF group. Multivariate logistic regression showed that BP (SP: OR 1.672, 95% CI 1.27–2.202; MP: OR 2.148; 95% CI 1.661–2.776), PHQ-4 (OR 1.12; 95% CI 1.07–1.172), and ISI (OR 1.076; 95% CI 1.051–1.1) were positively associated with PT. Chain mediation analysis showed significant direct (Effect: 0.268; 95% CI 0.046–0.094) and the indirect effect of both PHQ-4 and ISI scores (Effect: 0.018; 95% CI 0.023–0.044) between BP and PT.

Conclusions

Psychological distress and sleep disturbance have a chain mediation effect on the association between BP and PT.

Clinical Relevance

Our findings highlight the significance of considering the comorbidity of BP in patients with PT and implementing interventions that address psychological distress and sleep disturbance in clinical practice.

目的：本研究的目的是调查中国普通人群中躯体疼痛（BP）和疼痛性颞下颌疾病（PT）之间的关系。它还侧重于评估心理困扰和睡眠障碍如何介导这种关联。资料和方法：数据来源于2024年在中国大陆进行的一项社区调查（N = 1920）。参与者按BP位点分类：无BP位点（PF组）、单BP位点（SP组）和多BP位点（MP组）。采用患者健康问卷-4 （PHQ-4）测量心理困扰，采用失眠严重程度指数（ISI）评估睡眠障碍。统计分析采用单变量和多变量逻辑回归分析，以及链中介分析。结果：PT患病率以MP组最高，SP组次之，PF组最低。多因素logistic回归显示，BP （SP: OR 1.672, 95% CI 1.27-2.202; MP: OR 2.148, 95% CI 1.661-2.776）、PHQ-4 （OR 1.12, 95% CI 1.07-1.172）和ISI （OR 1.076, 95% CI 1.051-1.1）与PT呈正相关。链式中介分析显示，PHQ-4和ISI得分的直接影响（Effect: 0.268, 95% CI 0.046-0.094）和间接影响(Effect: 0.018；结论：心理困扰和睡眠障碍在血压和睡眠障碍之间具有连锁中介作用。临床意义：我们的研究结果强调了在临床实践中考虑血压在PT患者中的合并症，并实施针对心理困扰和睡眠障碍的干预措施的重要性。

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引用次数: 0

Impact of Oral Health on Potential Categories of Dietary Patterns in Chinese Older Adults: Based on the 2018 Chinese Longitudinal Healthy Longevity Survey Dataset 口腔健康对中国老年人饮食模式潜在类别的影响——基于2018年中国健康长寿纵向调查数据集

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-06 DOI: 10.1111/joor.70095

Xiaoke Li, Chengfengyi Yang, Jing Zhang, Libing Tan, Yuanxun Liu, Mingming Xu, Yue Yang

Background

Oral health is strongly associated with dietary habits; however, most relevant studies have focused on single dietary components. Dietary patterns, integrating data on the diversity of food group consumption, can offer a comprehensive understanding of the diet–health association.

Objective

We classified dietary patterns among Chinese older adults based on dietary diversity (DD) and evaluated the association of oral health with latent classes of dietary patterns.

Methods

We analysed the data of 11 948 older adults from the 2018 Chinese Longitudinal Healthy Longevity Study (CLHLS) dataset. Latent class analysis (LCA) was employed to identify distinct dietary pattern classes based on DD. We then used multivariate logistic regression to examine the associations between oral health indicators and latent dietary pattern classes.

Results

The LCA results demonstrated four latent dietary pattern classes: plant protein-dominant, omnivorous with limited diversity, balanced diversity and animal protein-dominant. Multivariate logistic regression revealed that various oral health indicators—including the number of teeth, denture use, daily toothbrushing frequency and facial or jaw pain within the previous 6 months—significantly influenced dietary pattern classification.

Conclusions

We identified four dietary patterns through LCA and noted that oral health status significantly affects dietary preferences among older adults. Adaptive eating behaviours influenced by cultural and socioeconomic factors aid in reducing the negative impact of oral health issues on diet. Our results indicated a dynamic, multifactorial relationship between oral health and dietary patterns in the older population, underscoring the necessity for integrated interventions combining oral care with dietary guidance.

背景：口腔健康与饮食习惯密切相关；然而，大多数相关研究都集中在单一的饮食成分上。饮食模式，整合了食物群体消费多样性的数据，可以全面了解饮食与健康的关系。目的：我们基于膳食多样性（DD）对中国老年人的饮食模式进行分类，并评估口腔健康与潜在饮食模式类别的关系。方法：我们分析了2018年中国纵向健康长寿研究（CLHLS）数据集中的11,948名老年人的数据。采用潜在类别分析（LCA）来确定基于DD的不同饮食模式类别。然后，我们使用多变量逻辑回归来检验口腔健康指标与潜在饮食模式类别之间的关系。结果：LCA结果显示了4种潜在的饮食模式：植物蛋白为主、有限多样性杂食性、均衡多样性和动物蛋白为主。多因素logistic回归显示，口腔健康指标（包括牙齿数量、假牙使用情况、每日刷牙频率和前6个月内面部或下颌疼痛）显著影响饮食模式分类。结论：我们通过LCA确定了四种饮食模式，并注意到口腔健康状况显著影响老年人的饮食偏好。受文化和社会经济因素影响的适应性饮食行为有助于减少口腔健康问题对饮食的负面影响。我们的研究结果表明，老年人口腔健康与饮食模式之间存在动态的、多因素的关系，强调了将口腔护理与饮食指导相结合的综合干预的必要性。

{"title":"Impact of Oral Health on Potential Categories of Dietary Patterns in Chinese Older Adults: Based on the 2018 Chinese Longitudinal Healthy Longevity Survey Dataset","authors":"Xiaoke Li, Chengfengyi Yang, Jing Zhang, Libing Tan, Yuanxun Liu, Mingming Xu, Yue Yang","doi":"10.1111/joor.70095","DOIUrl":"10.1111/joor.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral health is strongly associated with dietary habits; however, most relevant studies have focused on single dietary components. Dietary patterns, integrating data on the diversity of food group consumption, can offer a comprehensive understanding of the diet–health association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We classified dietary patterns among Chinese older adults based on dietary diversity (DD) and evaluated the association of oral health with latent classes of dietary patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed the data of 11 948 older adults from the 2018 Chinese Longitudinal Healthy Longevity Study (CLHLS) dataset. Latent class analysis (LCA) was employed to identify distinct dietary pattern classes based on DD. We then used multivariate logistic regression to examine the associations between oral health indicators and latent dietary pattern classes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The LCA results demonstrated four latent dietary pattern classes: plant protein-dominant, omnivorous with limited diversity, balanced diversity and animal protein-dominant. Multivariate logistic regression revealed that various oral health indicators—including the number of teeth, denture use, daily toothbrushing frequency and facial or jaw pain within the previous 6 months—significantly influenced dietary pattern classification.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We identified four dietary patterns through LCA and noted that oral health status significantly affects dietary preferences among older adults. Adaptive eating behaviours influenced by cultural and socioeconomic factors aid in reducing the negative impact of oral health issues on diet. Our results indicated a dynamic, multifactorial relationship between oral health and dietary patterns in the older population, underscoring the necessity for integrated interventions combining oral care with dietary guidance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 2","pages":"430-438"},"PeriodicalIF":4.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145452201","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

Can Recordings of Tongue Motor-Evoked Potentials Be Improved? Comparison of Two Electrode Types and Their Reliability 舌运动诱发电位的记录可以改进吗？两种电极类型的比较及其可靠性。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-06 DOI: 10.1111/joor.70098

William Poncin, Simple Futarmal Kothari, Jin Magara, Makoto Inoue, Eduardo Castrillon, Mohit Kothari

Background

In transcranial magnetic studies (TMS), motor-evoked potentials (MEPs) recorded from the tongue provide important insights into corticobulbar excitability and neuromuscular control. However, their clinical and research utility remains limited due to anatomical and technical challenges, particularly those affecting electrode stability and signal quality.

Objective

This study aimed to compare TMS-derived outcomes obtained with traditional surface electrodes and novel suction-based electrodes.

Methods

Nineteen healthy adults participated in a repeated-measures, cross-over design. On Day 1, each participant completed two test sessions per electrode type (intra-session reliability). Thirteen participants returned for a third test session at least 1 week later (inter-session reliability). Resting motor threshold (rMT) was determined. MEP amplitude (MEP_Amp) and latency (MEP_Lat) were assessed at five single-pulse stimulation intensities (90%, 100%, 120%, 140% and 160% of rMT). Reliability was analyzed using intraclass correlation coefficients (ICCs, using lower 95% CI bound to gauge reliability strength).

Results

Suction electrodes yielded significantly lower rMT and higher MEP_Amp at 120%–160% rMT. For both electrode types, intra-session reliability for rMT was excellent (ICCs > 0.90) and poor to moderate for MEP_Amp and MEP_Lat (ICCs < 0.75). Inter-session reliability was poor (ICCs < 0.50) across all outcomes for both electrode types.

Conclusion

Compared to surface electrodes, suction electrodes improved signal quality as indicated by lower rMT and higher MEP_Amp. However, both electrode types exhibited substantial intra- and inter-session variability. Although suction electrodes enhance TMS signal quality, the poor test–retest reliability of tongue MEPs currently limits their utility as biomarkers. Methodological refinements are needed to further improve reliability in TMS-based tongue assessments.

背景：在经颅磁研究（TMS）中，从舌头记录的运动诱发电位（MEPs）提供了对皮质球兴奋性和神经肌肉控制的重要见解。然而，由于解剖学和技术上的挑战，特别是那些影响电极稳定性和信号质量的问题，它们的临床和研究用途仍然有限。目的：本研究旨在比较传统表面电极和新型吸吸电极的tms衍生结果。方法：19名健康成人参与了重复测量、交叉设计。在第1天，每个参与者完成了每个电极类型的两次测试（会话内可靠性）。13名参与者在至少一周后返回进行第三次测试（测试间信度）。静息运动阈值（rMT）测定。在5个单脉冲刺激强度（rMT的90%、100%、120%、140%和160%）下评估MEP振幅（MEP_Amp）和潜伏期（MEP_Lat）。使用类内相关系数（ICCs，使用较低的95% CI界限来衡量可靠性强度）分析可靠性。结果：在120% ~ 160% rMT范围内，吸电极的rMT显著降低，MEP_Amp显著提高。对于这两种电极类型，rMT的会话内可靠性都很好（ICCs > 0.90），而MEP_Amp和MEP_Lat的ICCs较差至中等。结论：与表面电极相比，吸盘电极通过较低的rMT和较高的MEP_Amp改善了信号质量。然而，两种电极类型都表现出大量的会话内和会话间的可变性。虽然吸电极增强了经颅磁刺激信号质量，但舌头MEPs的重测可靠性较差，目前限制了其作为生物标志物的应用。需要改进方法以进一步提高基于tms的舌头评估的可靠性。

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引用次数: 0

Reliability, Construct Validity, Acceptability and Feasibility of the BruxScreen BruxScreen的可靠性、结构效度、可接受性和可行性。

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation

Pub Date : 2025-11-05 DOI: 10.1111/joor.70093

Laurence J. Kessler, Merel C. Verhoeff, Tess Chin, Naichuan Su, Augustine Osman, Rahma Mungia, Frank Lobbezoo

Background

The recently developed BruxScreen consists of two parts: BruxScreen-Q (self-report questionnaire) and BruxScreen-C (clinical assessment).

Objectives

To test the intra- and inter-rater reliability, construct validity, acceptability and feasibility of the BruxScreen-Q and BruxScreen-C and assess their concordance among Dutch dental students.

Methods

88 out of 109 potentially eligible dental master students completed a set of questionnaires two times (Q1; Q2) and participated in two clinical workshops (CE1; CE2), using the BruxScreen-Q and BruxScreen-C, respectively. Intra-rater reliability of the BruxScreen-Q and concordance between the BruxScreen-Q and BruxScreen-C were assessed using Cohen's (weighted) Kappa. Intra- and inter-rater reliability of the BruxScreen-C were analysed using intraclass correlation coefficients calculated from generalised linear mixed-effects models. Construct validity of the BruxScreen-Q was tested using Spearman's Rank Correlation or Mann–Whitney U test based on hypothesis testing. Acceptability and feasibility of the BruxScreen were assessed using descriptive statistics.

Results

Intra-rater reliability for BruxScreen-Q was fair to substantial. Intra- and inter-rater reliability for BruxScreen-C varied from poor to excellent. BruxScreen-Q showed moderate construct validity, based on the acceptable consistency between the actual and hypothesised effect size of the questionnaire items. BruxScreen-Q (Q2) and BruxScreen-C (CE2) were found both acceptable and feasible by a majority of the students. There was no agreement between subject-based bruxism according to the BruxScreen-Q and clinically based bruxism according to the BruxScreen-C.

Conclusion

The BruxScreen demonstrates acceptable reliability, construct validity, acceptability and feasibility in assessing both subject-based bruxism and clinically based bruxism. However, there is a discrepancy between self-reported bruxism and the clinicians' diagnosis.

背景：最近开发的BruxScreen由两部分组成：BruxScreen- q（自我报告问卷）和BruxScreen- c（临床评估）。目的：检验BruxScreen-Q和BruxScreen-C量表在荷兰牙科学生中的信度、构效度、可接受性和可行性，并评估其一致性。方法：在109名潜在符合条件的牙科硕士研究生中，88名学生分别使用BruxScreen-Q和BruxScreen-C完成了两次问卷调查（Q1; Q2），并参加了两次临床研讨会（CE1; CE2）。使用Cohen's（加权）Kappa评估BruxScreen-Q的评级内可靠性以及BruxScreen-Q和BruxScreen-C之间的一致性。使用由广义线性混合效应模型计算的类内相关系数分析BruxScreen-C的类内和类间可靠性。BruxScreen-Q的结构效度采用Spearman秩相关检验或基于假设检验的Mann-Whitney U检验。使用描述性统计评估BruxScreen的可接受性和可行性。结果：BruxScreen-Q的评分内信度从相当到相当。BruxScreen-C的内部和内部可靠性从差到好不等。基于问卷项目的实际效应量和假设效应量之间可接受的一致性，BruxScreen-Q显示中等结构效度。大多数学生认为BruxScreen-Q （Q2）和BruxScreen-C （CE2）都是可以接受和可行的。根据BruxScreen-Q的受试者磨牙和根据BruxScreen-C的临床磨牙之间没有一致。结论：BruxScreen在评估主体磨牙和临床磨牙方面均具有良好的信度、结构效度、可接受性和可行性。然而，自我报告的磨牙症与临床医生的诊断存在差异。

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引用次数: 0