Department of Oral Health, National Institute of Public Health, Minami, Wako-Shi, Saitama, Japan.
Gerodontology. 2012 Jun;29(2):e998-1004. doi: 10.1111/j.1741-2358.2011.00597.x. Epub 2011 Nov 13.
The aim of this study was to investigate the relationships between Geriatric Oral Health Assessment Index (GOHAI) and general physical status among community-dwelling older adults.
Geriatric Oral Health Assessment Index is a patient-centred assessment of oral health for older adults. We hypothesised that GOHAI is a significant indicator of general physical status of older adults.
This study included 354 adults (age, ≥65 years) living independently. Body mass index, handgrip strength and one-leg standing time with eyes open were used to evaluate the general physical status. Spearman's rank correlation coefficients were calculated to examine the relationships between the GOHAI scores, its three subdivided categories (physical function, psychological function and pain and discomfort) and each physical status measurement. A stepwise linear regression model was applied with each physical status measurement as the dependent variable and the GOHAI scores and its subdivisions as the principal independent variable.
Positive correlations were found between the GOHAI scores, its three subdivided categories and handgrip strength. The physical function category positively correlated with one-leg standing time. The GOHAI and the pain and discomfort category scores were retained in the final models of stepwise regression for handgrip strength, and significant relationships persisted after adjustments for demographic, psychosocial, medical and dental status.
The GOHAI scores and its pain and discomfort category score may be significant indicators of body muscle strength.
本研究旨在探讨老年口腔健康评估指数（GOHAI）与社区老年人一般身体状况之间的关系。
老年口腔健康评估指数是一种针对老年人的以患者为中心的口腔健康评估方法。我们假设 GOHAI 是老年人一般身体状况的重要指标。
本研究纳入了 354 名独立生活的成年人（年龄≥65 岁）。使用体重指数、握力和单腿睁眼站立时间来评估一般身体状况。采用 Spearman 等级相关系数来检验 GOHAI 评分及其三个细分类别（生理功能、心理功能和疼痛不适）与每个身体状况测量值之间的关系。采用逐步线性回归模型，以每个身体状况测量值为因变量，GOHAI 评分及其细分类别为主要自变量。
GOHAI 评分及其三个细分类别与握力呈正相关。生理功能类别与单腿站立时间呈正相关。GOHAI 和疼痛不适类别评分保留在握力逐步回归的最终模型中，且在调整了人口统计学、心理社会、医疗和牙科状况后，相关性仍然显著。
GOHAI 评分及其疼痛不适类别评分可能是身体肌肉力量的重要指标。
