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严重牙齿缺失与死亡风险:农村地区基于人群的纵向前瞻性研究。

Severe tooth loss and mortality risk: a population-based, longitudinal prospective study in a rural setting.

机构信息

School of Medicine and Research Center, Universidad Espíritu Santo, Km 2.5 vía Samborondon, Guayas, 092301, Ecuador.

Biostatistics/Epidemiology, Freenome Inc, 279 E Grand Ave. 5th floor, South San Francisco, CA 94080, USA.

出版信息

Int Health. 2023 Sep 1;15(5):611-613. doi: 10.1093/inthealth/ihad024.

DOI:10.1093/inthealth/ihad024
PMID:37042283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10472886/
Abstract

BACKGROUND

Information on the relationship between tooth loss and mortality among individuals living in rural settings is limited.

METHODS

In this prospective cohort study, Atahualpa residents ≥40 y of age (n=933) were followed for a mean of 7.3±3.2 y to estimate mortality risk according to whether they had severe tooth loss (<10 remaining teeth).

RESULTS

Overall, 151 individuals (16%) died, resulting in a crude mortality rate of 2.35 per 100 person-years of follow-up. Individuals with severe tooth loss were more likely to die (73/276) compared with those with mild-moderate tooth loss (78/657), after adjusting for relevant covariates (hazard ratio 1.45 [95% confidence interval 1.02 to 2.04]).

CONCLUSIONS

Severe tooth loss is associated with increased mortality in remote communities.

摘要

背景

关于生活在农村环境中的个体的牙齿缺失与死亡率之间的关系的信息有限。

方法

在这项前瞻性队列研究中,对 Atahualpa 年龄≥40 岁的居民(n=933)进行了平均 7.3±3.2 年的随访,以根据他们是否有严重的牙齿缺失(<10 颗剩余牙齿)来估计死亡率风险。

结果

总体而言,有 151 人(16%)死亡,导致随访期间每 100 人年的粗死亡率为 2.35。与轻度-中度牙齿缺失者(78/657)相比,严重牙齿缺失者(73/276)更有可能死亡(调整相关协变量后,危险比为 1.45[95%置信区间 1.02 至 2.04])。

结论

严重的牙齿缺失与偏远社区的死亡率增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78fe/10472886/48546470b0db/ihad024fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78fe/10472886/48546470b0db/ihad024fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78fe/10472886/48546470b0db/ihad024fig1.jpg

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本文引用的文献

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Association between missing tooth count and mortality: A systematic review.缺失牙数与死亡率的关系:系统评价。
J Prosthodont Res. 2018 Apr;62(2):134-151. doi: 10.1016/j.jpor.2017.08.003. Epub 2017 Aug 30.
2
Oily Fish Intake and Cognitive Performance in Community-Dwelling Older Adults: The Atahualpa Project.社区居住老年人的油性鱼类摄入量与认知表现:阿塔瓦尔帕项目
J Community Health. 2016 Feb;41(1):82-6. doi: 10.1007/s10900-015-0070-9.
3
Edentulism associates with worse cognitive performance in community-dwelling elders in rural Ecuador: results of the Atahualpa project.
在厄瓜多尔农村的社区老年人中,无牙与较差的认知表现相关:阿塔瓦尔帕项目的结果
J Community Health. 2014 Dec;39(6):1097-100. doi: 10.1007/s10900-014-9857-3.
4
Number of teeth and mortality risk in the Baltimore Longitudinal Study of Aging.巴尔的摩纵向衰老研究中的牙齿数量与死亡风险
J Gerontol A Biol Sci Med Sci. 2008 Jul;63(7):739-44. doi: 10.1093/gerona/63.7.739.
5
Tooth loss and subsequent disability and mortality in old age.老年时期的牙齿脱落及随之而来的残疾和死亡。
J Am Geriatr Soc. 2008 Mar;56(3):429-35. doi: 10.1111/j.1532-5415.2007.01602.x. Epub 2008 Jan 5.