Rapp L, Sourdet S, Vellas B, Lacoste-Ferré M-H
Dr. Marie-Hélène Lacoste-Ferré, DDS, PhD, Pôle Gériatrie, CHU de Toulouse, Gérontopôle, Toulouse, France , Faculté de Chirurgie Dentaire, Université Toulouse 3 - Paul Sabatier, Toulouse, France,
J Frailty Aging. 2017;6(3):154-160. doi: 10.14283/jfa.2017.9.
The relationships between oral health conditions and frailty have rarely been explored. A systematic review of frailty components and oral health concluded that differences in study population endpoint criteria and study design cannot establish a relationship between frailty and oral health.
This study aims to describe the distribution of the OHAT (Oral Health Assessment Tool) score in a population of frail subjects and to assess associated parameters (age, socio-economic status, living conditions, education level, nutritional habits, cognitive functioning, autonomy).
Cross-sectional observational study among patients referred to the Geriatric Frailty Clinic.
1314 patients participated in different standardized tests to evaluate their health status, cognitive and affective functioning, adaptation to usual daily activities, nutritional status, and oral health status.
The risk of oral health deterioration was higher with the appearance of frailty: the OHAT increased significantly with the Fried Frailty Score (p<0.001). Physical performance and oral health were correlated (p<0.001). The OHAT score and the MNA (Mini Nutritional Assessment) score were significantly correlated: oral status seemed better for malnourished subjects (p<0.001). Dementia significantly increased the risk of an unhealthy oral status (p<0.001). There was no significant correlation between oral status and depression, just a trend.
This pilot study establishes a relationship between the OHAT and Fried Frailty Criteria in a population of frail elderly. It must be expanded to follow the distribution of the different items composing the OHAT score (items assessing lips; tongue; gums and tissues; saliva; natural teeth; dentures; oral cleanliness; and dental pain) with different parameters (age, socio-economic status, living conditions, educational level, medical history, drug treatment, nutritional habits, cognitive functioning, disabilities and handicaps).
口腔健康状况与衰弱之间的关系鲜有研究。一项对衰弱因素和口腔健康的系统评价得出结论，研究人群终点标准和研究设计的差异无法确定衰弱与口腔健康之间的关系。
本研究旨在描述衰弱受试者群体中OHAT（口腔健康评估工具）评分的分布情况，并评估相关参数（年龄、社会经济地位、生活条件、教育水平、营养习惯、认知功能、自主性）。
对转诊至老年衰弱诊所的患者进行横断面观察性研究。
1314名患者参加了不同的标准化测试，以评估他们的健康状况、认知和情感功能、对日常活动的适应能力、营养状况和口腔健康状况。
随着衰弱的出现，口腔健康恶化的风险更高：OHAT评分随弗里德衰弱评分显著增加（p<0.001）。身体机能与口腔健康相关（p<0.001）。OHAT评分与MNA（微型营养评定法）评分显著相关：营养不良的受试者口腔状况似乎更好（p<0.001）。痴呆症显著增加了口腔不健康状态的风险（p<0.001）。口腔状况与抑郁症之间无显著相关性，仅有趋势。
这项初步研究在衰弱老年人群体中建立了OHAT与弗里德衰弱标准之间的关系。必须扩大研究范围，以跟踪构成OHAT评分的不同项目（评估嘴唇、舌头、牙龈和组织、唾液、天然牙、假牙、口腔清洁度和牙痛的项目）与不同参数（年龄、社会经济地位、生活条件、教育水平、病史、药物治疗、营养习惯、认知功能、残疾和障碍）的分布情况。
