社区居住的老年人口腔虚弱与跌倒风险的关联：一项横断面、观察性研究。
The association of oral frailty with fall risk in community-dwelling older adults: a cross-sectional, observational study.
机构信息
School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.
Graduate School of Medical Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.
出版信息
Eur Geriatr Med. 2024 Feb;15(1):279-283. doi: 10.1007/s41999-023-00863-1. Epub 2023 Sep 11.
PURPOSE
This cross-sectional study examined the direct association of oral frailty with falls in community-dwelling older adults, controlling for the effects of sarcopenia and physical performance.
METHODS
The participants were 237 community-dwelling older people (age: 76.0 ± 5.7 years, male: 23.6%). Oral frailty was assessed using the Oral Frailty Index-8. History of falls, timed up and go test (TUG), and sarcopenia were also assessed. The association between oral frailty and fall incidence was analyzed using multivariate logistic regression analysis adjusted for TUG and sarcopenia.
RESULTS
Forty-six (19.4%) participants fell, and 130 (54.9%) had a risk of oral frailty. On multivariate logistic regression analysis, oral frailty was significantly associated with fall incidence (odds ratio = 2.38, 95% confidence interval 1.11-5.07), even after adjusting for TUG and sarcopenia.
CONCLUSION
Oral frailty is a possible fall risk factor, independent of sarcopenia and physical performance, in community-dwelling older people.
目的
本横断面研究旨在控制肌少症和身体表现的影响，检验口腔虚弱与社区居住的老年人跌倒之间的直接关联。
方法
参与者为 237 名社区居住的老年人（年龄：76.0±5.7 岁，男性：23.6%）。使用口腔虚弱指数-8 评估口腔虚弱。还评估了跌倒史、计时起立行走测试（TUG）和肌少症。使用调整 TUG 和肌少症的多变量逻辑回归分析，分析口腔虚弱与跌倒发生率之间的关联。
结果
46 名（19.4%）参与者跌倒，130 名（54.9%）有口腔虚弱的风险。在多变量逻辑回归分析中，口腔虚弱与跌倒发生率显著相关（优势比=2.38，95%置信区间 1.11-5.07），即使调整了 TUG 和肌少症。
结论
口腔虚弱是社区居住的老年人跌倒的一个可能的危险因素，独立于肌少症和身体表现。
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