Wang Yanan, Fan Lifang, Zhou Hui, Zhang Meimei, Wang Tianyan, Sheng Ying, Zhu Yuelan
Nursing Department, The First People's Hospital of Kunshan, Suzhou, China.
Scientific Research Department, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Int J Nurs Pract. 2025 Feb;31(1):e70001. doi: 10.1111/ijn.70001.
The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.
This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.
A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.
The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = -0.038); (b) cognitive function (effect = -0.021); (c) nutritional status and cognitive function combined (effect = -0.038). The total mediating effect accounted for 50.26% of the overall effect.
These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.
本研究的目的是调查老年人群中牙齿数量与衰弱之间的关联。
本横断面研究于2021年5月至2021年9月在复旦大学附属上海市第五人民医院进行。
分析纳入了538名年龄在60岁及以上的社区居住老年人。分别采用蒂尔堡衰弱指标、简易精神状态检查表和微型营养评定简表来评估衰弱、认知功能和营养状况。使用统计软件SPSS v21.0及其过程插件进行统计分析,并采用自助抽样检验法和过程插件检验中介效应的显著性。
牙齿数量通过三条中介途径影响衰弱:(a)营养状况(效应=-0.038);(b)认知功能(效应=-0.021);(c)营养状况和认知功能综合作用(效应=-0.038)。总中介效应占总效应的50.26%。
这些发现凸显了提高老年人口腔保健意识以及实施综合干预措施以促进积极老龄化和改善其总体健康状况的必要性。