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食品补充剂对全口义齿修复的完全无牙女性的影响:一项随机对照试验。

The effect of food supplements on completely edentulous women rehabilitated with complete dentures: A randomized controlled trial.

机构信息

Department of Prosthodontics, King George's Medical University, Lucknow, Uttar Pradesh, India.

Health Research, Multidisciplinary Research Unit, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

J Indian Prosthodont Soc. 2023 Oct-Dec;23(4):347-355. doi: 10.4103/jips.jips_237_23.

Abstract

AIM

Neglected oral health is a major issue, especially in women of developing countries, leading to early loss of teeth which may further lead to malnutrition, degradation of overall health, and increased chances of osteoporosis. Thus, the aim of this study was to assess the effect of food supplement on masticatory performance, nutritional status, electromyography (EMG) (masseter and temporalis), and bone mineral density (BMD) among women rehabilitated with complete denture.

SETTINGS AND DESIGN

Hospital based randomized controlled trial.

MATERIALS AND METHODS

A randomized controlled trial with 106 women of 45-65 years rehabilitated with complete denture (56 received food supplement and 50 did not receive food supplement) and 52 healthy control was conducted. The outcomes were assessed at baseline and 3 and 6 months of follow up (after complete denture fabrication). Outcomes were measured via masticatory performance, nutritional status (hemoglobin, serum calcium, albumin, and Vitamin D level), EMG of masseter and temporalis muscles, and BMD.

STATISTICAL ANALYSIS USED

Friedman's analysis of variance test was used as a nonparametric test, and the Statistical Package for the Social Sciences version 21.0 at a significance level of 0.05 was used for statistical analysis.

RESULTS

A statistically significant change was observed during follow up for the group with food supplement for BMD, EMG, and masticatory performance. When biochemical parameters were assessed during follow up, no statistically significant change was observed for both groups (with and without food supplement), except for serum calcium level in group which received food supplement.

CONCLUSION

It was found that the magnitude of effect was remarkably meager in food supplement group which could be perhaps due to less time given for follow up period. Longer duration of trials would yield better results.

摘要

目的

被忽视的口腔健康是一个主要问题,尤其是在发展中国家的女性中,这会导致牙齿过早缺失,进而导致营养不良、整体健康状况恶化和骨质疏松症风险增加。因此,本研究旨在评估食物补充对全口义齿修复女性的咀嚼性能、营养状况、肌电图(咀嚼肌和颞肌)和骨密度(BMD)的影响。

设置和设计

基于医院的随机对照试验。

材料和方法

进行了一项随机对照试验,纳入了 106 名 45-65 岁的全口义齿修复女性(56 名接受食物补充,50 名未接受食物补充)和 52 名健康对照者。在基线和 3 个月及 6 个月的随访(全口义齿制作后)评估结局。结局通过咀嚼性能、营养状况(血红蛋白、血清钙、白蛋白和维生素 D 水平)、咀嚼肌肌电图和 BMD 进行测量。

统计学分析

采用 Friedman 方差分析非参数检验,采用社会科学统计软件包 21.0 版进行统计分析,显著性水平为 0.05。

结果

在接受食物补充的组中,BMD、EMG 和咀嚼性能在随访期间观察到有统计学意义的变化。在随访期间评估生化参数时,两组(有和没有食物补充)均未观察到统计学意义的变化,除了接受食物补充的组的血清钙水平。

结论

发现食物补充组的效应幅度非常小,这可能是由于随访时间较短。延长试验时间将产生更好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d8/10705003/17fca828b902/JIPS-23-347-g001.jpg

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