West China School of Nursing, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, Chengdu, China.
Front Public Health. 2022 Oct 27;10:1021104. doi: 10.3389/fpubh.2022.1021104. eCollection 2022.
Along with an aging population, exploring the impact of oral health on holistic health and determining exact outcomes in elderly individuals are important in both scientific research and clinical practice. Significant increase in the number of systematic reviews shows that oral health can directly or indirectly affect the overall health of elderly people physically, mentally and socially. To systematically collate, appraise, and synthesize the current evidence, we carried out an umbrella review of the impacts of oral health on holistic health in elderly individuals.
A systematic reviews and meta-analyses search was performed in the major databases PubMed, MEDLINE, Web of Science and the Cochrane Library from inception to February 1, 2022, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The JBI (Joanna Briggs Institute) Critical Appraisal Checklist for Systematic Reviews and Research Syntheses was referred to assess methodological quality, and the GRADE (Grading of Recommendations, assessment, Development, and Evaluation working group classification) was used to assess the quality of evidence for each outcome included in the umbrella review.
Out of 1,067 records, a total of 35 systematic reviews were included. Respiratory diseases, malnutrition, age-related oral changes, frailty, cognitive impairment, depression and poor quality of life were identified as seven key outcomes that affect the physical, mental and social health of elderly individuals. Meanwhile, three intervention measures of oral health were summarized as (i) more rigorous and universal scales, (ii) dental cleaning and denture installation, and (iii) improving self-awareness regarding oral care.
Evidence showed that oral health can significantly affect holistic health, and the diverse oral diseases directly lead to multiple health outcomes in elderly individuals. Clear high-quality evidence revealed that oral health is strongly associated with seven health outcomes covering physical, mental, and social levels, which directly corresponds to holistic health, and impacts the quality of life of elderly individuals. Such the results remind the importance of oral care in public health, and further studies need to be conducted to verity more specific association between oral health and other chronic diseases.
https://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier: CRD42022315315.
随着人口老龄化，探索口腔健康对整体健康的影响，并确定老年人的确切结果，在科学研究和临床实践中都很重要。系统评价数量的显著增加表明，口腔健康可以直接或间接地影响老年人的身体、精神和社会健康。为了系统地整理、评估和综合现有证据，我们对口腔健康对老年人整体健康的影响进行了伞式综述。
根据系统评价和荟萃分析的首选报告项目（PRISMA）声明，我们在主要数据库 PubMed、MEDLINE、Web of Science 和 Cochrane Library 中进行了系统评价和荟萃分析检索，检索时间从成立到 2022 年 2 月 1 日。参考 JBI（乔安娜·布里格斯研究所）系统评价和研究综合的批判性评估清单来评估方法学质量，并使用 GRADE（推荐评估、制定和评价工作组分类）对伞式综述中包含的每个结果的证据质量进行评估。
在 1067 条记录中，共有 35 项系统评价被纳入。确定了 7 个关键结果，分别是：呼吸系统疾病、营养不良、与年龄相关的口腔变化、虚弱、认知障碍、抑郁和生活质量差，这些结果会影响老年人的身体、精神和社会健康。同时，总结了 3 种口腔健康干预措施，分别是（i）更严格和通用的量表，（ii）牙齿清洁和义齿安装，以及（iii）提高对口腔护理的自我意识。
证据表明，口腔健康会显著影响整体健康，而各种口腔疾病直接导致老年人的多种健康结果。明确的高质量证据表明，口腔健康与涵盖身体、心理和社会层面的 7 项健康结果密切相关，这与整体健康直接相关，影响老年人的生活质量。这些结果提醒人们注意口腔保健在公共卫生中的重要性，需要进一步研究以验证口腔健康与其他慢性疾病之间更具体的关联。
https://www.crd.york.ac.uk/PROSPERO/#recordDetails，标识符：CRD42022315315。
