社区居住老年人口腔功能和吞咽困难与虚弱和肌少症的关联:系统评价和荟萃分析。
Association of Oral Function and Dysphagia with Frailty and Sarcopenia in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.
机构信息
Comprehensive Unit for Health Economic Evidence Review and Decision Support (CHEERS), Research Organization of Science and Technology, Ritsumeikan University, Kyoto 600-8815, Japan.
Heisei Medical Welfare Group Research Institute, Tokyo 151-0053, Japan.
出版信息
Cells. 2022 Jul 14;11(14):2199. doi: 10.3390/cells11142199.
Studies investigating the associations of oral function and dysphagia with frailty and sarcopenia in community-dwelling older adults are increasing; however, they have not been systematically summarized. We conducted a systematic review to investigate these associations. We searched electronic databases and synthesized relevant data using conventional (frequentist-style) and Bayesian meta-analyses. Twenty-four studies were found to be eligible for our review, including 20 cross-sectional and four prospective cohort studies. Older adults with frailty or sarcopenia had lower tongue pressure, according to the results of conventional meta-analysis (mean difference [95% confidence interval or credible interval]: -6.80 kPa [-10.22 to -3.38] for frailty and -5.40 kPa [-6.62 to -4.17] for sarcopenia) and Bayesian meta-analysis (-6.90 kPa [-9.0 to -4.8] for frailty, -5.35 kPa [-6.78 to -3.89] for sarcopenia). People with frailty had a higher odds ratio (OR) for dysphagia according to the results of conventional meta-analysis (3.99 [2.17 to 7.32]) and Bayesian meta-analysis (1.38 [0.77 to 1.98]). However, the results were inconclusive for people with sarcopenia. A prospective association could not be determined because of the lack of information and the limited number of studies. Decreased oral function and dysphagia can be important characteristics of frailty and sarcopenia in community-dwelling older adults.
研究调查了社区居住的老年人的口腔功能和吞咽困难与虚弱和肌肉减少症之间的关联,此类研究正在增加;然而,这些研究尚未得到系统总结。我们进行了系统综述,以调查这些关联。我们搜索了电子数据库,并使用常规(经典风格)和贝叶斯荟萃分析综合了相关数据。有 24 项研究符合我们的综述标准,包括 20 项横断面研究和 4 项前瞻性队列研究。根据常规荟萃分析的结果(虚弱的平均差异[95%置信区间或可信区间]:-6.80 kPa [-10.22 至-3.38],肌肉减少症为-5.40 kPa [-6.62 至-4.17])和贝叶斯荟萃分析(虚弱的-6.90 kPa [-9.0 至-4.8],肌肉减少症为-5.35 kPa [-6.78 至-3.89]),患有虚弱症的老年人的舌压较低。根据常规荟萃分析的结果(3.99 [2.17 至 7.32])和贝叶斯荟萃分析(1.38 [0.77 至 1.98]),患有虚弱症的人患吞咽困难的比值比(OR)较高。然而,对于患有肌肉减少症的人,结果并不确定。由于信息缺乏和研究数量有限,无法确定前瞻性关联。在社区居住的老年人中,口腔功能下降和吞咽困难可能是虚弱和肌肉减少症的重要特征。