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美国自然牙和假牙数量对老年人营养摄入的影响。

Number of natural and prosthetic teeth impact nutrient intakes of older adults in the United States.

机构信息

Centers for Disease Control and Prevention, National Center for Health Statistics, Division of Health Examination Statistics, Hyattsville, MD 20782, USA.

出版信息

Gerodontology. 2012 Jun;29(2):e693-702. doi: 10.1111/j.1741-2358.2011.00546.x. Epub 2011 Sep 16.

Abstract

OBJECTIVE

To examine the relationship between the number and type of teeth and nutrient intakes in adults, aged 60 years and above, in the National Health and Nutrition Examination Survey 1999-2004 using linear regression.

METHODS

Four discrete dental status groups were created: complete natural dentition (reference group), incomplete natural dentition, complete mixed (natural and restored) dentition and incomplete mixed dentition. We ran both unadjusted and adjusted models, controlling for age, race/ethnicity, education and smoking status to examine the effect of these covariates on the association between dentition status and nutrient intakes. Separate models were run for men and women.

RESULTS

There were significant associations between dental status and all the examined nutrients for men and for the carotenes and folate for women in the unadjusted model. Only caloric and vitamin C intakes were significant for men, and β-carotene was significant for women in the adjusted model. For men for kilocalories and women for β-carotene, those with a complete dentition had higher mean intakes than those with an incomplete dentition, regardless of the tooth type. Among men with an incomplete dentition, those with a mixed dentition had a significantly lower vitamin C intake than those with a natural dentition; there were no significant differences between the natural and mixed complete dentition groups.

CONCLUSIONS

Demographic and behavioural variables explained many of the differences seen in nutrient intakes. After controlling for these variables, we found that a numeric threshold of teeth (i.e. a functional dentition) influenced some nutrient intakes while the number and type of teeth present affected other nutrient intakes.

摘要

目的

使用线性回归分析 1999-2004 年全国健康与营养调查中 60 岁及以上成年人的牙齿数量和类型与营养素摄入量之间的关系。

方法

创建了四个离散的牙齿状况组:完整自然牙列(参考组)、不完整自然牙列、完整混合牙列(自然牙和修复牙)和不完整混合牙列。我们分别运行了未经调整和调整后的模型,控制年龄、种族/民族、教育程度和吸烟状况,以检验这些协变量对牙列状况与营养素摄入量之间关联的影响。分别为男性和女性运行了单独的模型。

结果

在未经调整的模型中,男性的牙齿状况与所有检查的营养素以及女性的类胡萝卜素和叶酸之间存在显著关联。在调整后的模型中,仅男性的热量和维生素 C 摄入量以及女性的β-胡萝卜素摄入量具有统计学意义。对于男性的热量和女性的β-胡萝卜素,无论牙齿类型如何,具有完整牙列的人的平均摄入量均高于不完整牙列的人。在不完整牙列的男性中,混合牙列的人维生素 C 摄入量明显低于自然牙列的人;自然牙列和混合完整牙列组之间没有显著差异。

结论

人口统计学和行为变量解释了营养素摄入量差异的许多原因。在控制这些变量后,我们发现牙齿数量的数值阈值(即功能性牙列)会影响某些营养素的摄入量,而牙齿的数量和类型会影响其他营养素的摄入量。

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