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新全口义齿制作和简化饮食建议对 6 个月内无牙颌老年患者营养摄入的联合影响。

Combined effects of new complete denture fabrication and simplified dietary advice on nutrient intake in edentulous elderly patients for 6 months.

机构信息

Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, TMDU, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.

Oral Diagnosis and General Dentistry, University Hospital of Dentistry, Tokyo Medical and Dental University, TMDU, Tokyo, Japan.

出版信息

Clin Oral Investig. 2019 May;23(5):2245-2252. doi: 10.1007/s00784-018-2669-6. Epub 2018 Oct 3.

Abstract

OBJECTIVE

The aim was to evaluate the combined effects of a new complete denture fabrication and simple dietary advice (using unique pamphlets) by dentists on nutrient intake in edentulous elderly patients.

MATERIALS AND METHODS

A randomized controlled trial was performed on edentulous elderly patients who were randomly allocated to either an intervention or a control group. The intervention group received a new complete denture and simple dietary advice, whereas the control group received a new complete denture and denture care advice. The outcomes of this trial (nutrient intakes) were calculated using a brief-type self-administered diet history questionnaire (BDHQ) and assessed at three time points (pretreatment and 3 and 6 months post-treatment).

RESULTS

At 3 months post-treatment, the intake of several nutrients such as proteins (p = 0.004), magnesium (p < 0.001), and vitamin B1 (p = 0.014) was significantly higher in the intervention group than the control group, whereas at 6 months post-treatment, plant protein (p = 0.028) intake was significantly higher in the intervention group than the control group. On the contrary, animal protein (p = 0.049) and vitamin B12 (p = 0.028) intakes were significantly higher in the control group.

CONCLUSIONS

New complete denture fabrication with simple dietary advice might improve nutrient intake in elderly edentulous patients; however, the effect is probably short term.

CLINICAL SIGNIFICANCE

New complete denture fabrication along with simple dietary advice by dentists might improve nutrient intake in edentulous elderly patients. Therefore, regular use of these interventions in the dental setting might have long-term effects on nutrient intake in elderly edentulous patients.

TRIAL REGISTRATION

UMIN-CTR Clinical Trial, unique trial number: UMIN000017879.

摘要

目的

评估牙医制作新全口义齿和简单饮食建议(使用独特的小册子)对无牙老年人营养摄入的综合影响。

材料与方法

对无牙老年患者进行随机对照试验,将其随机分为干预组和对照组。干预组接受新全口义齿和简单饮食建议,对照组接受新全口义齿和义齿护理建议。本试验的结果(营养素摄入量)使用简短型自我管理饮食史问卷(BDHQ)计算,并在三个时间点(治疗前和治疗后 3 个月和 6 个月)进行评估。

结果

治疗后 3 个月,干预组的蛋白质(p=0.004)、镁(p<0.001)和维生素 B1(p=0.014)等多种营养素的摄入量明显高于对照组,而治疗后 6 个月,干预组的植物蛋白(p=0.028)摄入量明显高于对照组。相反,对照组的动物蛋白(p=0.049)和维生素 B12(p=0.028)摄入量明显更高。

结论

新全口义齿制作结合简单的饮食建议可能会改善无牙老年患者的营养摄入;然而,这种效果可能是短期的。

临床意义

牙医提供新全口义齿制作和简单饮食建议可能会改善无牙老年患者的营养摄入。因此,在牙科环境中定期使用这些干预措施可能会对无牙老年患者的营养摄入产生长期影响。

试验注册

UMIN-CTR 临床试验,独特的试验编号:UMIN000017879。

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