义齿修复对老年人营养状况和生活质量的影响

Thauany Vasconcelos Soares da Silva, João Paulo Gomes Martins, Lays Nóbrega Gomes, Mayara Abreu Pinheiro, Yuri Wanderley Cavalcanti
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引用次数: 0

摘要

本研究评估了全口义齿修复对老年人营养状况和生活质量的影响。共招募了 49 名无牙患者。假牙采用巴西公共卫生系统采用的简化方法制作。三个月后,受试者返回进行重新评估。49 名患者中有 8 名返回,他们接受了以下参数的评估:体脂百分比、瘦体重、体重指数 (BMI)、营养状况 (MNA)、通过口香糖比色法分析咀嚼效率、与健康有关的生活质量自我感知 (SF-12)、口腔健康对无牙患者生活质量的影响 (OHIP-EDENT)。数据采用配对 t 检验进行评估,P<0.05。从统计学角度看,脂肪比例明显降低(p=0.031,MD= 2.475),MNA 评分上升(p=0.010,MD= -2.375),口腔健康对生活质量的影响更大(p=0.010,MD= -33.750),咀嚼效率提高(p=0.014,MD= 0.261)。使用全口义齿进行康复可以改善营养参数和咀嚼效率。然而,口腔健康对生活质量也有一定的影响。
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Denture rehabilitation effect on elders’ nutritional status and quality of life
This study evaluated the effect of rehabilitation with complete denture on elders’ nutritional status and quality of life. Forty-nine edentulous patients were recruited. The dentures were made using the simplified method, as adopted by the Brazilian public health system. Three months later, subjects returned for revaluation. Eight of the 49 patients returned, under the assessments of the following parameters: body fat percentage; lean mass; Body Mass Index (BMI); nutritional status (MNA); and analysis of masticatory efficiency through colorimetric analysis of chewing gum; self-perception of quality of life in relation to health (SF-12); impact of oral health on the quality of life of edentulous people (OHIP-EDENT). Data were evaluated using the paired t test, considering p<0,05. There was a statistically significant reduction in the percentage of fat (p=0.031, MD= 2.475), increase in MNA score (p=0.010, MD= -2.375), greater impact on quality of life in relation to oral health (p=0.010, MD= -33.750) and improvement of masticatory efficiency (p=0.014, MD= 0.261). Rehabilitation with complete dentures can improve nutritional parameters and the masticatory efficiency. Nevertheless, some impact of oral health on quality of life can also be observed.
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