目的:研究开腹之间的纵向关系,营养摄入,以及美国老年人多发病的进展。
方法:我们使用了健康与退休研究(2006-2018)的数据,对美国老年人的纵向调查,自1992年以来每两年收集一次数据。Edentulism在2006年进行了评估,而营养摄入量在2013年进行了评估。多发病由五种自我报告的慢性病表明:糖尿病,心脏状况,肺部疾病,癌症,和中风。基线时具有两种或更多种状况的个体从分析中排除。通过将10种营养素(蛋白质,维生素C,D,B12和E,钙,锌,多不饱和脂肪酸,叶酸,和β-胡萝卜素)。使用结构方程模型(SEM)来检查从2006年到2018年的多重性疾病(2006年)和增加之间的营养途径。
结果:纳入分析的个体数量为3463。2006年至2018年多发病的发生率为24.07%,而在2006年,EDS参与者的百分比为16.42%。2013年的平均总营养为4.50(4.43,4.55)。SEM分析显示,牙样病与营养摄入量呈负相关{估计-0.15(95CI:-0.30,-0.01)}。发现总营养和多发病率之间存在负相关{估计值-0.008(95CI:-0.01,-0.002)}。年龄,财富,和吸烟被纳入分析,且与多发病率有统计学显著关联.
结论:分析显示,营养摄入,以及多发病率的进展。
OBJECTIVE: To examine the longitudinal relationship between edentulism, nutritional intake, and the progress of multimorbidity among older Americans.
METHODS: We used data from the Health and Retirement Study (2006-2018), a longitudinal survey of older Americans that has collected data biennially since 1992. Edentulism was assessed in 2006 while nutritional intake was assessed in 2013. Multimorbidity was indicated by five self-reported chronic conditions: diabetes, heart conditions, lung diseases, cancer, and stroke. Individuals with two or more conditions at baseline were excluded from the analysis. Nutritional intake was calculated by summing 10 nutrients (protein, vitamins C, D, B12 and E, calcium, zinc, polyunsaturated fatty acids, folate, and ß-carotene). Structural equation modelling (SEM) was used to examine the nutritional pathway between edentulism (2006) and the increase in multimorbidity from 2006 to 2018.
RESULTS: The number of individuals included in the analysis was 3463. The incidence of multimorbidity between 2006 and 2018 was 24.07%, while the percentage of edentate participants in 2006 was 16.42%. The mean total nutrition in 2013 was 4.50 (4.43, 4.55). The SEM analysis showed that edentulism was negatively associated with nutritional intake {estimate -0.15 (95%CI: -0.30, -0.01)}. A negative association was found between total nutrition and multimorbidity {estimate -0.008 (95%CI: -0.01, -0.002)}. Age, wealth, and smoking were included in the analysis and had statistically significant associations with multimorbidity.
CONCLUSIONS: The analysis demonstrated a longitudinal association between edentulism, nutritional intake, and the progress of multimorbidity.