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中国太原2型糖尿病老年患者口腔脆弱状况及影响因素分析

Analysis of the current status and influencing factors of oral frailty in elderly patients with type 2 diabetes mellitus in Taiyuan, China.

作者信息

Tian Chun, Li Na, Gao Ya, Yan Yan

机构信息

Department of Stomatology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.

School of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

BMC Geriatr. 2025 Jun 7;25(1):416. doi: 10.1186/s12877-025-06052-y.

Abstract

BACKGROUND

This study aimed to investigate the current status of oral frailty in elderly patients with type 2 diabetes mellitus (T2DM) and analyze its influencing factors.

METHODS

We recruited 464 elderly T2DM patients from a tertiary hospital in Taiyuan, Shanxi Province (June-October 2024) using convenience sampling. General information questionnaire, Oral Frailty Index-8 (OFI-8), Fatigue, Resistance, Ambulation, Illness and Loss of weight Scale (FRAIL Scale), Oral Health Assessment Tool (OHAT), and Mini-Nutritional Assessment Short Form (MNA-SF) were used to collect data. Binary logistic regression analysis was performed to identify the factors influencing oral frailty.

RESULTS

The prevalence of oral frailty was 45.9% among the 464 elderly T2DM patients. Regression analysis identified the following influencing factors (p < 0.05): age, smoking history, weekly frequency of physical activity, duration of diabetes mellitus, polypharmacy, frailty, and oral health score.

CONCLUSIONS

Oral frailty is highly prevalent in elderly T2DM patients. Clinical staff should screen this population for oral frailty early and develop a comprehensive, integrated oral health care program to prevent or delay its onset and progression.

CLINICAL TRIAL NUMBER

not applicable.

摘要

背景

本研究旨在调查老年2型糖尿病(T2DM)患者口腔衰弱的现状,并分析其影响因素。

方法

我们于2024年6月至10月采用便利抽样法,从山西省太原市一家三级医院招募了464例老年T2DM患者。使用一般信息问卷、口腔衰弱指数-8(OFI-8)、疲劳、抵抗力、活动能力、疾病和体重减轻量表(FRAIL量表)、口腔健康评估工具(OHAT)和微型营养评定简表(MNA-SF)收集数据。采用二元逻辑回归分析确定影响口腔衰弱的因素。

结果

464例老年T2DM患者中口腔衰弱的患病率为45.9%。回归分析确定了以下影响因素(p<0.05):年龄、吸烟史、每周体育活动频率、糖尿病病程、多重用药、衰弱和口腔健康评分。

结论

口腔衰弱在老年T2DM患者中高度流行。临床工作人员应尽早对该人群进行口腔衰弱筛查,并制定全面、综合的口腔保健计划,以预防或延缓其发生和发展。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c9/12144712/eb9bfd82d326/12877_2025_6052_Fig1_HTML.jpg

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