Liu Manli, Wei Jingyi, Xie Wanqing, Zhang Xiaoshuang, Wang Yao, Wei Mimi, Liu Fan
( 610041) State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Sterile Supply, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2024 Sep 20;55(5):1336-1342. doi: 10.12182/20240960106.
With the increase in age, the oral function of older adults shows an age-related decline, which limits the types, quantity, and quality of their diet. Limited dietary intake can lead to a lack of basic nutrients needed for maintaining oral health, induce a series of oral diseases, and further aggravate the deterioration of oral functions. Oral frailty is the accumulation of mild oral function decline and is an emerging concept in the field of oral health. Currently, research on oral frailty and dietary intake mostly focuses on the impact of single-dimensional oral function decline on the dietary intake, dietary structure, and dietary satisfaction of older adults, as well as the impact of different dietary structures on the status of oral health among older adults. There is still a lack of large-sample, high-quality research on the relationship between comprehensive oral function decline and dietary intake. In addition, existing oral frailty intervention measures often place a narrow emphasis on the exercise and recovery of oral function without considering the impact of dietary intake and nutritional status on the development of oral frailty. Relevant research on taking dietary intake as an entry point or using it as a comprehensive intervention method also needs to be further explored by researchers. In the future, specialized assessment and screening of dietary status may be introduced in the routine health management practices for older adults. Furthermore, targeted intervention programs could also be proposed based on the characteristics of the oral status and the dietary intake habits of older adults, so as to prevent the functional decline related to dietary intake and nutritional supplementation. Herein, we reviewed the correlation between dietary intake and oral frailty to provide new ideas and directions for formulating comprehensive management strategies for oral frailty.
随着年龄的增长,老年人的口腔功能呈现出与年龄相关的衰退,这限制了他们饮食的种类、数量和质量。饮食摄入受限会导致维持口腔健康所需的基本营养素缺乏,引发一系列口腔疾病,并进一步加剧口腔功能的恶化。口腔脆弱是轻度口腔功能衰退的累积,是口腔健康领域中一个新兴的概念。目前,关于口腔脆弱与饮食摄入的研究大多集中在单维度口腔功能衰退对老年人饮食摄入、饮食结构和饮食满意度的影响,以及不同饮食结构对老年人口腔健康状况的影响。对于综合口腔功能衰退与饮食摄入之间的关系,仍然缺乏大样本、高质量的研究。此外,现有的口腔脆弱干预措施往往狭隘地侧重于口腔功能的锻炼和恢复,而没有考虑饮食摄入和营养状况对口腔脆弱发展的影响。以饮食摄入为切入点或作为综合干预方法的相关研究也有待研究人员进一步探索。未来,可能会在老年人的常规健康管理实践中引入对饮食状况的专门评估和筛查。此外,还可以根据老年人的口腔状况特点和饮食摄入习惯提出有针对性的干预方案,以预防与饮食摄入相关的功能衰退和进行营养补充。在此,我们综述了饮食摄入与口腔脆弱之间的相关性,为制定口腔脆弱的综合管理策略提供新的思路和方向。