Periodontology and Geriatric Dentistry, Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Spec Care Dentist. 2021 Mar;41(2):218-227. doi: 10.1111/scd.12548. Epub 2020 Dec 6.
To examine how physical ability and comorbidity associate with oral health.
The study population comprised 161 individuals belonging to the Oral Health GeMS study. Outcome variables were the number of teeth with dental caries and deepened periodontal pockets and self-perceived oral health (pain/discomfort in mouth). Physical ability was determined by measuring limitations in daily activities (activities of daily living [ADL] and instrumental activities of daily life [IADL]) and the number of comorbidities with Functional Comorbidity Index (FCI). Poisson's multivariate regression model was used to estimate prevalence rate ratio (PRR) and their 95% confidence intervals (CI). The physical ability or number of comorbidities did not associate consistently with oral diseases, but ADL, IADL and FCI associated all with self-perceived oral discomfort (PRR: 1.74, CI: 1.01-3.03; PRR: 1.20, CI: 1.06-1.35; PRR: 1.20, CI: 1.05-1.36, respectively). Furthermore, IADL associated also with poor self-perceived oral health (PRR: 1.27, CI: 1.03-1.57).
Older people with impaired physical ability and comorbidities are more likely to have oral discomfort and have poorer self-perceived oral health.
研究身体能力和合并症与口腔健康的关系。
本研究人群包括属于口腔健康 GeMS 研究的 161 名个体。结果变量为龋齿和牙周袋加深的牙齿数量以及自我感知的口腔健康（口腔疼痛/不适）。身体能力通过测量日常活动受限（日常生活活动 [ADL] 和工具性日常生活活动 [IADL]）和功能性合并症指数（FCI）的合并症数量来确定。采用泊松多元回归模型估计患病率比（PRR）及其 95%置信区间（CI）。身体能力或合并症数量与口腔疾病没有一致关联，但 ADL、IADL 和 FCI 均与自我感知的口腔不适相关（PRR：1.74，CI：1.01-3.03；PRR：1.20，CI：1.06-1.35；PRR：1.20，CI：1.05-1.36）。此外，IADL 也与自我感知的口腔健康较差相关（PRR：1.27，CI：1.03-1.57）。
身体能力受损和合并症较多的老年人更有可能出现口腔不适和自我感知的口腔健康较差。
