Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2023 Aug 11;21:eAO0103. doi: 10.31744/einstein_journal/2023AO0103. eCollection 2023.
This study aimed to correlate oral and general health in frail and non-frail older adults.
This observational study included 52 older adults, of whom 35 were frail (Frail Group), and 17 were non-frail (Non-Frail Group), according to Fried's self-reported test addressing oral health variables, number of systemic diseases, and medications in use. The geriatric oral health assessment index was used to assess the oral hygiene of the groups.
The number of preserved teeth in dentulous older adults was significantly higher in the Non-Frail Group (p=0.048). No significant differences were observed between the two groups in the use of dental prostheses or in the detection of soft tissue lesions. Overall, 74.3% of the Frail Group had a "bad" geriatric oral health index score, which significantly differed from that of the Non-Frail Group (p=0.045). The numbers of systemic diseases and medicines used were higher in the Frail Group than in the Non-Frail Group (p<0.001), demonstrating the pathophysiological characteristics of multimorbidity and polypharmacy in frailty syndrome.
The results showed a clear correlation between oral and general health conditions and frailty syndrome.
本研究旨在探讨虚弱和非虚弱老年人的口腔健康和整体健康之间的相关性。
这是一项观察性研究，共纳入 52 名老年人，其中 35 名虚弱（虚弱组），17 名非虚弱（非虚弱组），根据 Fried 自我报告的测试评估口腔健康变量、系统疾病数量和使用的药物。使用老年口腔健康评估指数评估两组的口腔卫生状况。
在有牙的老年人中，非虚弱组保留的牙齿数量明显更高（p=0.048）。两组在使用牙修复体或发现软组织病变方面无显著差异。总体而言，虚弱组有 74.3%的老年人口腔健康指数评分“差”，与非虚弱组有显著差异（p=0.045）。虚弱组的系统疾病数量和使用的药物数量高于非虚弱组（p<0.001），表明虚弱综合征存在多种合并症和多种药物治疗的病理生理特征。
结果表明，口腔健康和整体健康状况与虚弱综合征之间存在明显的相关性。
