Oral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, Universidade de Santiago de Compostela, Entrerríos s/n, C.P. 15782, Santiago de Compostela, Spain.
Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.
Odontology. 2021 Jul;109(3):574-584. doi: 10.1007/s10266-020-00577-x. Epub 2021 Jan 11.
The objective of this paper is to clarify the rate of abdominal obesity (AO), waist-to-height ratio (WHtR), metabolic syndrome (MetS) and determine the relationship with the masticatory capacity (MC) in terms of total functional tooth units (t-FTU) in a representative sample of older Spanish adults. This cross-sectional study included 544 adult subjects aged 50 or over, who were prospectively selected and who had participated in a survey conducted in a primary dental care service in a Public Oral Health Service in Spain. Anthropometric, clinical variables and t-FTUs were obtained through a calibrated and well-established protocol. Univariate and multivariate binary and multinomial logistic regression analyses were developed. With regards to the t-FTU or MC, it was poor in 60.3%, good in 17.6%, and complete in 22.1% of the sample. The univariate odss ratio (OR) for MetS and AO increased as the MC decreased and as the age group increased. With regards to gender, women presented with an OR of 5.56 (CI 95% 3.70-8.38). With regards to the WHtR-a3 (WHtR grouped into three categories), the univariate ORs were all significant for morbid obesity compared to the healthy group, with a risk of 6.86 (CI 95% 3.23-14.58) for patients with poor MC compared to those with complete MC. Masticatory hypofunctionality could be associated with the presence of MetS. Clinical relevance: The number of t-FTUs is directly related to AO.
本文旨在明确腹部肥胖（AO）、腰高比（WHtR）、代谢综合征（MetS）的发生率，并确定其与总功能牙单位（t-FTU）方面咀嚼能力（MC）的关系，该研究为西班牙老年成年人的代表性样本。这是一项横断面研究，纳入了 544 名年龄在 50 岁及以上的成年受试者，他们是经过前瞻性选择并参与了西班牙公共口腔卫生服务中一项初级牙科护理服务的调查。通过校准和成熟的方案获得了人体测量、临床变量和 t-FTU。进行了单变量和多变量二元和多项逻辑回归分析。关于 t-FTU 或 MC，60.3%的样本较差，17.6%的样本较好，22.1%的样本完整。MC 下降和年龄组增加时，MetS 和 AO 的单变量优势比（OR）增加。关于性别，女性的 OR 为 5.56（95%CI 3.70-8.38）。关于 WHtR-a3（WHtR 分为三组），与健康组相比，所有肥胖组的单变量 OR 均有显著性意义，与 MC 完整的患者相比，MC 较差的患者患病风险为 6.86（95%CI 3.23-14.58）。咀嚼功能减退可能与 MetS 的存在有关。临床相关性：t-FTU 的数量与 AO 直接相关。
