Ohshima Akiko, Nomura Rena, Nagaya Yurina, Kuze Eriko, Kojima Saori, Yokoya Ryuji, Hattori Keita, Azuma Tetsuji, Muramatsu Yasunori, Fujiwara Shu, Tomofuji Takaaki
Division of Dental Hygienists, Asahi University Medical and Dental Center.
Division of Dental Hygienists, Asahi University PDI Dental Clinic.
J Oral Sci. 2020;62(1):75-78. doi: 10.2334/josnusd.19-0019.
This cross-sectional study investigated the relationship between Oral Assessment Guide (OAG) scores and malnutrition in newly hospitalized patients. A total of 880 hospitalized adults were enrolled. Hypoalbuminemia was defined as serum albumin less than 3.5 g/dL. Patients with hypoalbuminemia were older (P < 0.001), had a higher prevalence of respiratory diseases (P < 0.01), a higher prevalence of digestive diseases (P < 0.01), a lower prevalence of oral feeding (P < 0.001), a lower body mass index (P < 0.001), and higher OAG scores (P < 0.001) than those without hypoalbuminemia. Multivariate logistic regression analyses showed that the prevalence of hypoalbuminemia was significantly related to age (odds ratio [OR] = 1.05, P < 0.001), absence of oral feeding (OR = 2.72, P < 0.001), presence of respiratory diseases (OR = 2.53, P < 0.01), presence of digestive diseases (OR = 1.64, P < 0.01), and OAG scores (OR = 1.14, P < 0.01). Regarding OAG scores, the OR of hypoalbuminemia was greater in patients with disorders (scores 2 or 3) of swallowing (vs. score 1, OR = 1.83, P < 0.05) and saliva (vs. score 1, OR = 1.51, P < 0.05). There appears to be a positive association between OAG scores and hypoalbuminemia in hospitalized patients.
这项横断面研究调查了新入院患者的口腔评估指南（OAG）评分与营养不良之间的关系。共纳入了880名住院成人。低白蛋白血症定义为血清白蛋白低于3.5 g/dL。与无低白蛋白血症的患者相比，低白蛋白血症患者年龄更大（P < 0.001），呼吸系统疾病患病率更高（P < 0.01），消化系统疾病患病率更高（P < 0.01），经口进食患病率更低（P < 0.001），体重指数更低（P < 0.001），OAG评分更高（P < 0.001）。多因素逻辑回归分析显示，低白蛋白血症的患病率与年龄（比值比[OR]=1.05，P < 0.001）、无经口进食（OR = 2.72，P < 0.001）、存在呼吸系统疾病（OR = 2.53，P < 0.01）、存在消化系统疾病（OR = 1.64，P < 0.01）和OAG评分（OR = 1.14，P < 0.01）显著相关。关于OAG评分，吞咽障碍（评分2或3）（与评分1相比，OR = 1.83，P < 0.05）和唾液问题（与评分1相比，OR = 1.51，P < 0.05）患者的低白蛋白血症OR更高。住院患者的OAG评分与低白蛋白血症之间似乎存在正相关。
