Karjalainen Sára, Vanhamäki Milla, Kanto Dunja, Kössi Liisa, Sewón Liisi, Salo Matti
Institute of Dentistry and Department of Anesthesiology and Intensive Care, University of Turku, Finland.
Acta Odontol Scand. 2002 Jan;60(1):50-5. doi: 10.1080/000163502753472005.
Physical inactivity is prevalent among patients with intellectual disability. Because little is known about the oral effects of poor mobility, we reviewed the medical and dental charts of institutionalized dentate patients (n = 214; 40.2 years +/- 12.1) of the Special Welfare District of Southwestern Finland. The number of decayed, missing, and filled teeth (DMFT), the number of retained teeth, dental treatment visits, and the type of the first treatment visit were recorded. Physical activity was good in 55% and severely reduced or completely absent in 45% of the patients. The degree of intellectual disability was mild or moderate in 40% and severe or profound in 60% of the patients. The walking patients weighed more (64.3 (19.6) versus 44.4 (14.4) kg; P< 0.001), had fewer secondary diagnoses (1.4 (1.3) versus 2.2 (1.4); P< 0.001), fewer daily medications (4.0 (2.1) versus 4.8 (2.4); P< 0.02), higher DMFT scores (18.5 (8.2) versus 14.8 (9.2); P < 0.05), and more dental treatment visits (2.7 (2.4) versus 2.0 (1.3); P< 0.03) than patients with poor physical activity. Periodontal treatment given as the primary type of dental care was more common among subjects with poor mobility than among those with good motor activity (P < 0.002). Poor physical activity was related to better dental health, higher need for periodontal therapy, and fewer dental visits than in patients with good motor activity.
身体活动不足在智力残疾患者中很普遍。由于对行动不便的口腔影响了解甚少，我们查阅了芬兰西南部特殊福利区机构收容的有牙患者（n = 214；40.2岁±12.1）的医疗和牙科病历。记录了龋失补牙数（DMFT）、存留牙数、牙科就诊次数以及首次就诊类型。55%的患者身体活动良好，45%的患者身体活动严重减少或完全缺乏。40%的患者智力残疾程度为轻度或中度，60%为重度或极重度。与身体活动不足的患者相比，能行走的患者体重更重（64.3（19.6）对44.4（14.4）kg；P<0.001），二级诊断更少（1.4（1.3）对2.2（1.4）；P<0.001），每日用药更少（4.0（2.1）对4.8（2.4）；P<0.02），DMFT评分更高（18.5（8.2）对14.8（9.2）；P<0.05），牙科就诊次数更多（2.7（2.4）对2.0（1.3）；P<0.03）。作为主要牙科护理类型的牙周治疗在行动不便的患者中比在运动能力良好的患者中更常见（P<0.002）。与运动能力良好的患者相比，身体活动不足与更好的口腔健康、更高的牙周治疗需求以及更少的牙科就诊次数有关。
