Lee I-C, Yang Y-H, Ho P-S, Lee I-C
Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Oral Rehabil. 2014 Feb;41(2):79-86. doi: 10.1111/joor.12115. Epub 2013 Nov 29.
In the literature, most researchers evaluate individuals' nutritional status and chewing ability by types of foods chosen or blood test. However, most of previous researches enrolled small sample size and the results might be influenced by personal preference of foods as well as the individuals' response to invasive examination. In this study, researchers assessed individuals' nutritional status and chewing ability with non-invasive test and excluded the personal preference of foods. This study had two aims: first, to explore associations between chewing ability, edentulous or dentulous, self-perceived oral health and individuals' nutritional status and quality of life; second, to assess whether the association proposed by Locker's model is valid. This study used the database of Phase I 'Publicly-funded Denture Installation Plan for the Elderly' of Kaohsiung City Government. Nine hundred and fifty-four subjects aged 65 years and older completed the questionnaires for data analysis. The research results supported and verified the theoretical model proposed by Locker. Individual's chewing ability associated significantly with his/her nutritional status and quality of life. The results demonstrated that better chewing ability of the elderly leads to better nutritional status and quality of life. The appropriateness of the indicators and measurements of individual's chewing ability and nutritional status used in this study has been evaluated and presented. These indicators and measurements are suggested to be generally used for clinical or research application on future-related issues. Consequently, the maintenance or improvement in the chewing ability of the elderly is extremely beneficial to healthy ageing.
在文献中,大多数研究人员通过所选择食物的类型或血液检测来评估个体的营养状况和咀嚼能力。然而,以前的大多数研究纳入的样本量较小,结果可能会受到食物个人偏好以及个体对侵入性检查的反应的影响。在本研究中,研究人员通过非侵入性测试评估个体的营养状况和咀嚼能力,并排除了食物的个人偏好。本研究有两个目的:第一,探讨咀嚼能力、有无牙齿、自我感知的口腔健康与个体营养状况和生活质量之间的关联;第二,评估洛克模型提出的关联是否有效。本研究使用了高雄市政府“老年人公费装假牙计划”第一阶段的数据库。954名65岁及以上的受试者完成了问卷调查以进行数据分析。研究结果支持并验证了洛克提出的理论模型。个体的咀嚼能力与他/她的营养状况和生活质量显著相关。结果表明,老年人更好的咀嚼能力会带来更好的营养状况和生活质量。本研究中使用的个体咀嚼能力和营养状况指标及测量方法的适宜性已得到评估并呈现。建议将这些指标和测量方法普遍用于未来相关问题的临床或研究应用。因此,维持或改善老年人的咀嚼能力对健康老龄化极为有益。