Hironaka Mikiko, Kayama Yoshiko, Misaka Yoshie, Akifusa Sumio
Kagomachi Hironaka Dental Clinic, Kumamoto, Japan.
Kumamoto Health Science University, Japan.
Gerontol Geriatr Med. 2015 Sep 1;1:2333721415603193. doi: 10.1177/2333721415603193. eCollection 2015 Jan-Dec.
The aim of the present study was to elucidate the influence of self-rated masticatory ability on independent living in community-dwelling older adults. A total of 1,377 subjects aged 65 and over who lived in Kumamoto City, Japan were participated in a survey to investigate critical factors for self-reliance in older adults. In this study, we defined independent life in older adults as self-perceived adequate health without long-term care certification. Logistic regression analysis was used to assess self-perceived masticatory ability in relation to the independent life. The population with adequate self-rated masticatory ability included a significantly higher proportion of subjects with good self-perceived health without long-term care (72.7%) than the remaining subjects (27.3%). A logistic regression analysis revealed that there was significant relationship between subjective adequate mastication and living a self-reliant healthy life ( < .001). Our results showed that satisfactory masticatory function was positively related to a self-reliant life with subjective healthy conditions in community-dwelling older adults, which was associated with an extended active life expectancy.
本研究的目的是阐明自我评定的咀嚼能力对社区居住的老年人独立生活的影响。共有1377名年龄在65岁及以上、居住在日本熊本市的受试者参与了一项调查,以探究老年人自立的关键因素。在本研究中,我们将老年人的独立生活定义为自我感觉健康良好且无长期护理认证。采用逻辑回归分析来评估自我评定的咀嚼能力与独立生活之间的关系。自我评定咀嚼能力良好的人群中,自我感觉健康良好且无长期护理的受试者比例(72.7%)显著高于其余受试者(27.3%)。逻辑回归分析显示,主观咀嚼能力良好与过着自立健康的生活之间存在显著关系(<0.001)。我们的结果表明,令人满意的咀嚼功能与社区居住的老年人在主观健康状况下的自立生活呈正相关,这与延长的积极预期寿命相关。