很少有研究研究口腔功能与身体衰弱前状态之间的关系,使用身体功能测试进行分类。这项横断面研究旨在从福冈县的伊藤岛脆弱研究中阐明社区居住老年人之间的这种联系。
在受邀加入研究的1,555人中,381名(男性188名,女性193名)。他们的身体虚弱前通过由两个身体指标组成的分类系统进行评估(疲劳和无意的体重减轻,用问卷确定),两种功能成分(步行速度下降和肌肉无力,使用身体功能测量仪器确定),并且身体活动下降(使用三轴加速度计检查)。随后,这些人被分为三组:健壮的,脆弱前,和脆弱。随着剩余的牙齿数量,口腔功能,比如咀嚼表演,舌压强度,和口服透析(ODK),进行了检查。收集有关社交活动和锻炼习惯的数据,并测量了个体的身体成分。使用逻辑回归模型计算身体虚弱前期的赔率(OR)和95%置信区间(CI)。
在这项研究中,126名(33%)参与者表现出身体虚弱。健壮组的参与者更年轻,有更强的最大握力,并且步行速度比身体虚弱前的组快(p<0.001)。健壮的小组表现出更好的口腔功能(咀嚼性能,p=0.015;口服ODK/ta/,p=0.004)。身体虚弱前状态与年龄显著相关(OR,1.111;95%CI,1.048-1.178;p<0.001),咀嚼性能(或,0.819;95%CI,0.680-0.986;p=0.035),低ODK/ta/(或,1.864;95%CI,1.069-3.250;p=0.028),和低社交活动(或,2.273;95%CI,1.308-3.951;p=0.004)。
这项研究表明,年龄较大的老年人,下前舌运动,较低的咀嚼性能,较低的社会活动与身体虚弱呈正相关。
Few studies have examined the relationship between oral functions and the physical pre-frailty status, classified using physical function tests. This cross-sectional
study aimed to clarify this association among community-dwelling older people from the Itoshima Frail
Study in Itoshima Fukuoka Prefecture.
Of the 1,555 individuals invited to join the
study, 381 (188 males and 193 females) enrolled. Their physical pre-frailty was assessed with a classification system consisting of two physical indicators (fatigue and unintentional weight loss, determined with a questionnaire), two functional components (declined walking speed and muscle weakness, determined using a body function measuring instrument), and declined physical activity (examined using a triaxial accelerometer). Subsequently, the individuals were classified into three groups: robust, pre-frailty, and frailty. Along with the number of teeth remaining, oral functions, such as masticatory performance, tongue pressure strength, and oral diadochokinesis (ODK), were examined. Data regarding social activity and exercise habits were collected, and the individuals\' body compositions were measured. Odds ratios (ORs) and 95% confidence intervals (CIs) for the physical pre-frailty were calculated using logistic regression models.
In this
study, 126 (33%) participants presented with physical pre-frailty. The participants in the robust group were younger, had stronger maximum handgrip strength, and walked faster than those in the physical pre-frailty group (p < 0.001). The robust group presented with better oral functions (masticatory performance, p = 0.015; oral ODK /ta/, p = 0.004). The physical pre-frailty status was significantly associated with age (OR, 1.111; 95% CI, 1.048-1.178; p < 0.001), masticatory performance (OR, 0.819; 95% CI, 0.680-0.986; p = 0.035), low ODK/ta/ (OR, 1.864; 95% CI, 1.069-3.250; p = 0.028), and low social activity (OR, 2.273; 95% CI, 1.308-3.951; p = 0.004).
This
study indicated that older people with higher age, lower anterior tongue movement, lower masticatory performance, and lower social activity are positively associated with physical pre-frailty.