老年人嗅觉和味觉功能障碍与肥胖和代谢综合征的关系

S. Dobrow, J. Qazi, S. Payne, J. Mattos
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引用次数: 0

摘要

背景:肥胖和代谢综合征(MS)在老年人中普遍存在,并与负面健康结果相关。有必要确定这一人群中这些疾病的危险因素。方法:采用2013-14年全国健康与营养检查调查。60岁及以下的成年人被分为正常嗅觉障碍、低嗅觉障碍、嗅觉障碍和嗅觉障碍+低嗅觉障碍。用奎宁和NaCl溶液评价其口感。多变量logistic回归模型用于表征嗅觉和味觉状态与肥胖和ms之间的关系。结果:在单变量肥胖分析中,正常嗅觉缺失、合并嗅觉缺失+低嗅觉缺失和0.32M NaCl味觉功能障碍显著。多因素分析表明,0.32M NaCl对味觉功能障碍的影响仍然显著。在单因素和多因素分析中,MS仅与舌尖奎宁功能障碍显著相关。结论:咸味功能障碍与肥胖呈负相关,苦味功能障碍与多发性硬化症呈正相关。
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Association between smell and taste dysfunction and obesity and metabolic syndrome in older adults
Background: Obesity and metabolic syndrome (MS) are prevalent and associated with negative health outcomes in the elderly. There is a need to identify risk factors for these diseases in this population. Methodology: The 2013-14 National Health and Nutrition Examination Survey was used in this study. Adults aged 60 or under were categorized into normosmia, hyposmia, anosmia, and combined anosmia + hyposmia using the Pocket Sniff Test. Taste was evaluated using quinine and NaCl solutions. Multivariate logistic regression models were used to characterize associations between smell and taste status and obesity and MS. Results: In univariate obesity analysis, normosmia, combined anosmia + hyposmia, and 0.32M NaCl taste dysfunction were significant. 0.32M NaCl taste dysfunction remained significant in multivariate analysis. MS was significantly associated with only tongue tip quinine dysfunction in univariate and multivariate analyses. Conclusions: Salty taste dysfunction was found to be negatively associated with obesity while bitter taste dysfunction was found to be positively associated with MS.
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