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口腔功能低下与蛋白质摄入的关系:本地社区居住成年人的横断面研究。

Relationship between Oral Hypofunction, and Protein Intake: A Cross-Sectional Study in Local Community-Dwelling Adults.

机构信息

Department of Maxillofacial Diagnostic and Surgical Science, Field of Oral and Maxillofacial Rehabilitation, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8544, Japan.

Department of Clinical Nutrition, Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka 583-8555, Japan.

出版信息

Nutrients. 2021 Dec 7;13(12):4377. doi: 10.3390/nu13124377.

Abstract

Few studies have investigated the relationship between nutritional status and comprehensive assessment of oral hypofunction, especially protein intake-related sarcopenia. Thus, we explored these relationships in a large-scale cross-sectional cohort study using the seven-item evaluation for oral hypofunction and Diet History Questionnaire for nutritional assessment. We used the data from 1004 individuals who participated in the 2019 health survey of the residents of Tarumizu City, Kagoshima Prefecture, Japan for analysis. We found that individuals with oral hypofunction were significantly older with a lower skeletal muscle index. Although there were few foods that had a significant difference between the groups with and without oral hypofunction, the consumption of beans and meats was significantly lower in women and men in the oral hypofunction group, respectively. According to the lower limit of the tentative dietary goal defined in Japan, comprehensive evaluation of oral hypofunction was significantly and independently associated with protein intake in both men and women (odds ratio, 1.70; 95% confidence interval, 1.21-2.35). In conclusion, we found that oral hypofunction was associated with targeted protein intake for sarcopenia and frailty prevention in middle-aged and older community-dwelling adults. Comprehensive evaluation of oral function with intervention in cases of hypofunction could inform clinicians to better prevent sarcopenia.

摘要

很少有研究调查营养状况与口腔功能全面评估之间的关系,特别是与蛋白质摄入相关的肌肉减少症。因此,我们使用 7 项口腔功能评估和饮食史问卷对营养评估进行了一项大规模的横断面队列研究,以探讨这些关系。我们对日本鹿儿岛县垂水市居民 2019 年健康调查的 1004 名参与者的数据进行了分析。我们发现,口腔功能低下的个体年龄明显较大,骨骼肌指数较低。尽管在口腔功能正常组和口腔功能低下组之间,有一些食物的摄入量存在显著差异,但在女性和男性中,口腔功能低下组的豆类和肉类摄入量分别显著较低。根据日本暂定膳食目标的下限,口腔功能全面评估与男女的蛋白质摄入均显著独立相关(比值比,1.70;95%置信区间,1.21-2.35)。总之,我们发现口腔功能低下与中年和老年社区居住成年人的肌肉减少症和虚弱的目标蛋白摄入有关。口腔功能低下的综合评估和干预可以为临床医生提供更好的预防肌肉减少症的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43fc/8705970/795e818906e9/nutrients-13-04377-g001.jpg

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