Faculty of Dentistry, Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong.
Faculty of Dentistry, Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong.
J Dent. 2022 Aug;123:104186. doi: 10.1016/j.jdent.2022.104186. Epub 2022 Jun 9.
To give an overview of the current evidence on the associations of general health conditions with masticatory performance and maximum bite force in older adults.
DATA/SOURCES: Three electronic databases (Medline via PubMed, Embase via Ovid and CINAHL Plus via EBSCOhost) were searched up to September 2021 for cross-sectional studies on general health conditions and masticatory performance or maximum bite force in older adults. Methodological quality of the included studies was independently evaluated based on Joanna Briggs Institute critical appraisal checklist for analytical cross-sectional studies. Data on the associations between general health conditions and masticatory performance or maximum bite force were extracted.
Of the 5133 records identified, 39 studies (43 articles) were included in this review. Significant negative associations were found between masticatory performance and stroke, sarcopenia, amyotrophic lateral sclerosis, chronic obstructive pulmonary disease, dyspepsia, dysphagia, anorexia, and carotid atherosclerosis. Significant negative association was found between maximum bite force and sarcopenia. There were equivocal results on the association between masticatory performance and diabetes mellitus, and between maximum bite force and stroke, and amyotrophic lateral sclerosis. There was no significant association between masticatory performance and metabolic syndrome, and between maximum bite force and progress of Parkinson's disease. Most studies revealed positive associations of physical function with masticatory performance and maximum bite force.
Negative associations between masticatory function of older adults and presence of several systemic diseases have been reported in a number of studies while there are positive associations between masticatory function and some physical function indicators.
This study provides valuable information on the association of masticatory function with general health, which draws clinicians' attention to the masticatory function of older adults who suffer from certain systemic diseases or physical dysfunction, and to the need to improve their masticatory ability to achieve healthy aging.
概述当前关于老年人一般健康状况与咀嚼性能和最大咬合力之间关联的证据。
截至 2021 年 9 月，通过 Medline（PubMed）、Embase（Ovid）和 CINAHL Plus（EBSCOhost）三个电子数据库，检索了关于老年人一般健康状况与咀嚼性能或最大咬合力的横断面研究。根据 Joanna Briggs 研究所分析性横断面研究的批判性评价清单，独立评估纳入研究的方法学质量。提取了一般健康状况与咀嚼性能或最大咬合力之间关联的数据。
在 5133 条记录中，有 39 项研究（43 篇文章）纳入本综述。咀嚼性能与中风、肌少症、肌萎缩侧索硬化症、慢性阻塞性肺疾病、消化不良、吞咽困难、厌食症和颈动脉粥样硬化之间存在显著负相关。最大咬合力与肌少症之间存在显著负相关。咀嚼性能与糖尿病之间以及最大咬合力与中风和肌萎缩侧索硬化症之间的关联结果存在争议。咀嚼性能与代谢综合征之间以及最大咬合力与帕金森病进展之间没有显著关联。大多数研究表明，老年人的咀嚼功能与某些身体功能指标呈正相关。
多项研究报道了老年人咀嚼功能与几种系统性疾病之间存在负相关，而咀嚼功能与一些身体功能指标之间存在正相关。
本研究提供了关于咀嚼功能与一般健康状况之间关联的有价值信息，这引起了临床医生对患有某些系统性疾病或身体功能障碍的老年人咀嚼功能的关注，需要提高他们的咀嚼能力，以实现健康老龄化。
