Negreiros Filho Zamir Vidal de, Silva Nizyara Costa da, Fé Rafaela Alcindo Silva de Sousa, Lourenço Mariella Agostinho Gonçalves, Pazinatto Rafael Barroso, Cabral Ana Estéfanny Alves, Melo Laércio Almeida de
Universidade Federal do Rio Grande do Norte, Departamento de Odontologia, Natal, RN, Brazil.
Universidade Federal de Juiz de Fora, Departamento de Odontologia Restauradora, Juiz de Fora, MG, Brazil.
Epidemiol Serv Saude. 2025 May 12;34:e20240614. doi: 10.1590/S2237-96222025v34e20240614.en. eCollection 2025.
This study aimed to assess types of lifestyle that may contribute to total tooth loss in the elderly.
This is a cross-sectional and population-based study, having as its target population elderly individuals aged 60 years or older. We used the database of the most recent edition of the National Health Survey, conducted in Brazil in 2019. Initially, the chi-square test was used and then the prevalence ratios were adjusted using the Poisson multiple regression model in order to identify associations between the variables.
The final sample analyzed consisted of 22,728 elderly individuals. Prevalence of complete tooth loss was 31.7% (95% confidence interval [95%CI] 31.1; 32.3). Multivariate analysis revealed that this condition was higher in females (p-value<0.001; prevalence ratio [PR] 1.05; 95%CI 1.04; 1.07), in the oldest old (p-value<0.001; PR 1.54; 95%CI 1.43; 1.61), in those without formal education (p-value<0.001; PR 1.06; 95%CI 1.04; 1.08), in those without dental insurance (p-value<0.001; PR 1.07; 95%CI 1.05; 1.09), in smokers (p-value<0.001; PR 1.04; 95%CI 1.02; 1.06), in individuals who consume soft drinks with high sugar content (p-value<0.001; PR 1.05; 95%CI 1.03; 1.07) and in those who do not do physical activities (p-value<0.001; PR 1.05; 95%CI 1.03; 1.06).
We concluded that complete tooth loss was greater in elderly people with unfavorable socioeconomic conditions, those who smoke, those who consume soft drinks with high sugar content and those who do not do physical activities regularly.
本研究旨在评估可能导致老年人全口牙齿缺失的生活方式类型。
这是一项基于人群的横断面研究，目标人群为60岁及以上的老年人。我们使用了2019年在巴西进行的最新版国家健康调查数据库。最初使用卡方检验，然后使用泊松多元回归模型调整患病率比，以确定变量之间的关联。
最终分析的样本包括22728名老年人。全口牙齿缺失的患病率为31.7%（95%置信区间[95%CI]31.1；32.3）。多变量分析显示，女性（p值<0.001；患病率比[PR]1.05；95%CI 1.04；1.07）、高龄老人（p值<0.001；PR 1.54；95%CI 1.43；1.61）、未接受正规教育者（p值<0.001；PR 1.06；95%CI 1.04；1.08）、没有牙科保险者（p值<0.001；PR 1.07；95%CI 1.05；1.09）、吸烟者（p值<0.001；PR 1.04；95%CI 1.02；1.06）、饮用高糖软饮料者（p值<0.001；PR 1.05；95%CI 1.03；1.07）以及不进行体育活动者（p值<0.001；PR 1.05；95%CI 1.03；1.06）的全口牙齿缺失情况更为严重。
我们得出结论，社会经济条件不利、吸烟、饮用高糖软饮料以及不经常进行体育活动的老年人全口牙齿缺失情况更为严重。
