Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Petrus Driessenstraat 3, 9714 CA Groningen, The Netherlands.
FAITH Research, Petrus Driessenstraat 3, 9714 CA Groningen, The Netherlands.
Int J Environ Res Public Health. 2022 Jun 23;19(13):7654. doi: 10.3390/ijerph19137654.
The aim of this study was to explore the association between oral health and frailty in community-dwelling Dutch adults aged 55 years and older. Included were 170 participants (n = 95 female [56%]; median age 64 years [IQR: 59−69 years]). Frailty was assessed by the Groningen Frailty Indicator. Oral health was assessed by the Oral Health Impact Profile-14-NL (OHIP-NL14). OHIP-NL14 item scores were analyzed for differences between frail and non-frail participants. Univariate and multivariate logistic regression analyses were performed to assess the association between oral health and presence of frailty. The multivariate analysis included age, gender, and depressive symptoms as co-variables. After adjustment, 1 point increase on the OHIP-NL14 scale was associated with 21% higher odds of being frail (p = 0.000). In addition, significantly more frail participants reported presence of problems on each OHIP-NL14 item, compared to non-frail participants (p < 0.003). Contrast in prevalence of different oral health problems between frail and non-frail was most prominent in ‘younger’ older adults aged 55−64 years. In conclusion: decreased oral health was associated with frailty in older adults aged ≥55 years. Since oral health problems are not included in most frailty assessments, tackling oral health problems may not be sufficiently emphasized in frailty policies.
本研究旨在探讨荷兰 55 岁及以上社区居住的成年人中口腔健康与虚弱之间的关联。共纳入 170 名参与者（n=95 名女性[56%]；中位年龄 64 岁[IQR：59-69 岁]）。虚弱程度采用格罗宁根虚弱指标进行评估。口腔健康采用口腔健康影响量表-14-NL（OHIP-NL14）进行评估。分析 OHIP-NL14 项目得分在虚弱和非虚弱参与者之间的差异。进行单变量和多变量逻辑回归分析，以评估口腔健康与虚弱存在之间的关联。多变量分析包括年龄、性别和抑郁症状作为协变量。调整后，OHIP-NL14 量表增加 1 分，与虚弱的可能性增加 21%相关（p=0.000）。此外，与非虚弱参与者相比，虚弱参与者报告在每个 OHIP-NL14 项目上存在问题的比例显著更高（p<0.003）。在“年轻”的 55-64 岁老年人群体中，虚弱和非虚弱个体之间不同口腔健康问题的患病率差异最为明显。总之：在 55 岁及以上的老年人中，口腔健康状况下降与虚弱有关。由于口腔健康问题不包括在大多数虚弱评估中，因此在虚弱政策中可能没有充分强调解决口腔健康问题。
