口腔健康对老年人营养状况的影响

J. Pavlović, N. Ivković, M. Račić
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摘要

本研究的目的是确定65岁以上人群口腔健康与营养不良之间的关系。材料与方法横断面研究包括146名居住在老年医学中心的调查对象和300名住在自己家中或与家人一起生活的调查对象。采用迷你营养量表和标准化问卷评估营养状况。采用临床检查法评价口腔状况。在每个牙弓中评估牙齿的存在和缺失(第三磨牙不考虑在内)。此外,在没有分析其充分性和功能的情况下,发现了假体修复(全假牙和局部假牙)的存在。健康自我评估与分类成分评估整体健康状况。该研究于2018年进行。结果营养不良或存在营养不良风险的调查对象牙齿状况较差;他们完全或部分没有牙齿。上颌牙齿状况差异有统计学意义(χ2=47,797;P < 0.001)和下颌(χ2 = 66,680;P < 0.001)。牙齿脱落数对总体健康自我评价有影响(χ2 = 47,270;P < 0.001)。结论老年人口腔健康状况对营养状况有显著影响。
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Oral health effects on the nutritional status of elderly people
Summary Introduction The aim of the study was to establish the association between oral health and malnutrition in people over the age of 65. Material and Methods Cross-sectional study included 146 respondents residing in gerontology center, and 300 respondents who lived in their own homes or with their families. Nutritional status was evaluated using the Mini Nutritive Scale and standardized questionnaire. Dental status was evaluated by clinical examination using inspection method. The presence and absence of teeth was evaluated in each dental arch (third molars were not taken into consideration). Also, the presence of prosthetic restorations (total and partial dentures) was noticed without analyzing their adequacy and functionality. Self-assessment of health with categorical components assessed the overall health status. The research was conducted in 2018. Results Most of respondents who had malnutrition or were at risk of malnutrition had worse dental status; they were completely or partially edentulous. There was high statistically significant difference in dental status of the upper (χ2=47,797; p < 0,001) and lower jaw (χ2 = 66,680; p < 0,001). The number of lost teeth had an impact on self-assessment of general health (χ2 = 47,270; p < 0,001). Conclusion Oral health status in elderly people had significant influence on nutritional status.
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