Department of Family Medicine, CHA Bundang Medical Center, CHA University, Gyeonggi 13496, Korea.
Department of Food and Nutrition, Kunsan National University, Jeonbuk 54150, Korea.
Int J Environ Res Public Health. 2021 Jun 7;18(11):6158. doi: 10.3390/ijerph18116158.
Unlike younger adults, depression in older adults is sometimes related to chewing problems. This study examined the risk factors related to depression associated with chewing problems in 3747 elderly individuals using the Korean National Health and Nutrition Examination Survey. Approximately 41.2% of the total subjects reported chewing problems. There were significant differences in age, education, marital status, individual income, current smoking status, and aerobic physical activity in relation to chewing problems ( < 0.001 for all). The subjects who experienced chewing problems showed a higher score on the EuroQoL 5 Dimension index ( < 0.001) but a lower health-related quality of life than those with no chewing problems ( < 0.001). The prevalence of depression, which was classified by the patient health questionnaire-9, in subjects with chewing problems was approximately 2 times higher than that in those with no chewing problems ( < 0.001). Subjects with chewing problems were found to have a 1.945-fold higher adjusted risk of depression than those who did not have chewing problems (95% CI = 1.583-2.390, < 0.001), and subjects with high protein consumption showed a 1.410-fold greater risk of depression (95% CI = 1.144-1.739, = 0.001) than those with low protein consumption.
与年轻人不同，老年人的抑郁症有时与咀嚼问题有关。本研究使用韩国国家健康和营养检查调查，调查了 3747 名老年人中与咀嚼问题相关的抑郁的相关危险因素。大约 41.2%的总受试者报告存在咀嚼问题。在年龄、教育程度、婚姻状况、个人收入、当前吸烟状况和有氧运动方面，存在与咀嚼问题相关的显著差异（均<0.001）。有咀嚼问题的受试者在 EuroQoL 5 维度指数上的得分更高（<0.001），但健康相关生活质量低于无咀嚼问题的受试者（<0.001）。根据患者健康问卷-9 进行分类，有咀嚼问题的受试者中抑郁的患病率约为无咀嚼问题的受试者的两倍（<0.001）。有咀嚼问题的受试者患抑郁症的调整风险是无咀嚼问题的受试者的 1.945 倍（95%CI=1.583-2.390，<0.001），而高蛋白质摄入的受试者患抑郁症的风险是低蛋白质摄入的受试者的 1.410 倍（95%CI=1.144-1.739，=0.001）。
