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65岁及以上老年人的口腔健康流行病学:患病率、危险因素及预防

Epidemiology of oral health in older adults aged 65 or over: prevalence, risk factors and prevention.

作者信息

Huang Xiao, Kang Lin, Bi Jianghan

机构信息

Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.

出版信息

Aging Clin Exp Res. 2025 Jun 23;37(1):193. doi: 10.1007/s40520-025-03110-8.

DOI:10.1007/s40520-025-03110-8
PMID:40549221
Abstract

Oral diseases have emerged as one of the most prevalent non-communicable diseases (NCDs) worldwide, with a high global average prevalence of 45%, affecting an estimated 3.5 billion people globally. With the acceleration of global aging, oral health issues among the older adults have become increasingly prominent. According to the global multi-country epidemiological survey and the WHO report, the prevalence of oral diseases in the elderly aged 65 and above showed a significant increase, and the burden of disease was concentrated on dental caries, periodontal disease and tooth loss. This article synthesizes recent epidemiological data on the rising prevalence of oral health problems in older adults(aged ≥ 65), including inflammatory or non-inflammatory oral diseases, such as dental caries, periodontal disease, tooth loss, oral cancer, dry mouth and dysphagia, illustrates their multidirectional connections with systemic health, their risk factors and prevention, finally advocates for integrating oral health into holistic geriatric care frameworks.

摘要

口腔疾病已成为全球最普遍的非传染性疾病之一,全球平均患病率高达45%,估计全球有35亿人受影响。随着全球老龄化加速,老年人的口腔健康问题日益突出。根据全球多国流行病学调查和世界卫生组织报告,65岁及以上老年人的口腔疾病患病率显著上升,疾病负担集中在龋齿、牙周病和牙齿缺失上。本文综合了关于老年人(年龄≥65岁)口腔健康问题患病率上升的最新流行病学数据,包括炎症性或非炎症性口腔疾病,如龋齿、牙周病、牙齿缺失、口腔癌、口干和吞咽困难,阐述了它们与全身健康的多方面联系、危险因素及预防措施,最后倡导将口腔健康纳入整体老年护理框架。

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Epidemiology of oral health in older adults aged 65 or over: prevalence, risk factors and prevention.65岁及以上老年人的口腔健康流行病学:患病率、危险因素及预防
Aging Clin Exp Res. 2025 Jun 23;37(1):193. doi: 10.1007/s40520-025-03110-8.
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本文引用的文献

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Reflections on The Lancet's Commission on dementia prevention, intervention, and care.对《柳叶刀》痴呆症预防、干预与照护委员会的思考
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Relationship between tooth loss and progression of frailty: Findings from the English longitudinal study of aging.牙齿缺失与虚弱进展的关系:来自英国老龄化纵向研究的发现。
Arch Gerontol Geriatr. 2024 Dec;127:105572. doi: 10.1016/j.archger.2024.105572. Epub 2024 Jul 9.
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