Gerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo 060-8586, Japan.
Medical Corporation Shuwa-Kai Tsugayasu Dental Clinic, Obihiro 080-0020, Japan.
Int J Environ Res Public Health. 2022 Apr 24;19(9):5178. doi: 10.3390/ijerph19095178.
We aimed to clarify the relationship between oral function assessments regarding oral hypofunction and sarcopenia in patients who had completed treatment for organic dental problems, including oral pain, removable denture fit, and tooth loss. This cross-sectional study included 269 patients aged ≥65 years (mean age 74.9 ± 6.50 years, 133 men, 136 women) who visited a dental clinic between June 2019 and March 2021. We evaluated oral function and sarcopenia and analyzed their relationship using the Jonckheere-Terpstra test, Mantel-Haenszel trend test, and Poisson regression analysis. We diagnosed 132 (49.07%) patients with oral hypofunction, 30 (11.2%) with sarcopenia, and 24 (8.9%) with severe sarcopenia. The number of oral hypofunction items (prevalence rate ratio [PRR] = 1.39, 95%Wald = 0.11 to 0.56) was significantly associated with sarcopenia. For each of the items, tongue-lip motor function [ta] (PRR = 0.80, 95%Wald = -0.44 to -0.02)] [ka] (PRR = 0.76, 95%Wald = -0.53 to -0.03) and tongue pressure (PRR = 0.95, 95%Wald = -0.09 to -0.02) showed a significant association with sarcopenia. However, no significant association was found for other variables. Dentists should not only treat organic dental problems but also consider the relationship between oral function and sarcopenia.
我们旨在阐明在完成包括口腔疼痛、可摘义齿适配和牙齿缺失等有机牙科问题治疗的患者中，口腔功能评估与肌肉减少症之间的关系。这项横断面研究纳入了 269 名年龄≥65 岁的患者（平均年龄 74.9±6.50 岁，男性 133 名，女性 136 名），他们于 2019 年 6 月至 2021 年 3 月期间就诊于一家牙科诊所。我们评估了口腔功能和肌肉减少症，并使用 Jonckheere-Terpstra 检验、Mantel-Haenszel 趋势检验和泊松回归分析来分析它们之间的关系。我们诊断出 132 例（49.07%）口腔功能减退、30 例（11.2%）肌肉减少症和 24 例（8.9%）严重肌肉减少症。口腔功能减退项目的数量（患病率比 [PRR] = 1.39，95%Wald = 0.11 至 0.56）与肌肉减少症显著相关。对于每个项目，唇舌运动功能 [ta]（PRR = 0.80，95%Wald = -0.44 至 -0.02）[ka]（PRR = 0.76，95%Wald = -0.53 至 -0.03）和舌压（PRR = 0.95，95%Wald = -0.09 至 -0.02）与肌肉减少症显著相关。然而，其他变量之间没有发现显著关联。牙医不仅要治疗有机牙科问题，还要考虑口腔功能与肌肉减少症之间的关系。
