Jo Won-Jae, Kim Jung-Min, Choi Eun-Seo, Lee Seung-U, Ryu Ju Seok
Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea.
National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yangpyeong 12564, Republic of Korea.
Healthcare (Basel). 2025 Jun 17;13(12):1448. doi: 10.3390/healthcare13121448.
: Research on oral dysfunctions as contributing factors to obstructive sleep apnea (OSA) is needed to prevent and treat OSA. This study aimed to explore the association of OSA with oral dysfunction and examine its impact on nutrient intake, physical activity, and handgrip strength. : This cross-sectional study analyzed data from the Eighth cycle Korea National Health and Nutrition Examination Survey (KNHANES, 2019-2021). The OSA group included diagnosed individuals and those over 40 years with symptoms such as snoring, fatigue, or witnessed breathing pauses during sleep. The non-OSA group included individuals not meeting these criteria. Using 1:1 propensity score matching to control for confounders (sex, age, lifestyle factors), 7636 participants were included. Oral dysfunction was assessed based on chewing problems, complaints of chewing discomfort, and speech difficulties. Nutrient intake, physical activity, and handgrip strength were analyzed using the Rao-Scott χ test, complex sample -test, and complex sample logistic regression. : The OSA group demonstrated significantly more oral dysfunction elements than the non-OSA group ( < 0.001). Higher energy intake was observed in the OSA group, with no significant differences in macronutrient intake. Physical activity levels were similar between groups; however, OSA participants without oral problems had higher handgrip strength ( < 0.05). Regression analysis showed increased OSA risk correlated with greater oral dysfunction and lower protein intake. : This study revealed a strong association between oral dysfunction and OSA risk. Focusing on the assessment and early intervention of oral dysfunctions that influence OSA risk factors may aid in the early detection and prevention of OSA.
为了预防和治疗阻塞性睡眠呼吸暂停（OSA），需要对口腔功能障碍作为OSA的促成因素进行研究。本研究旨在探讨OSA与口腔功能障碍之间的关联，并研究其对营养摄入、身体活动和握力的影响。：这项横断面研究分析了第八轮韩国国家健康与营养检查调查（KNHANES，2019 - 2021年）的数据。OSA组包括已确诊的个体以及40岁以上有打鼾、疲劳或睡眠中呼吸暂停症状的人。非OSA组包括不符合这些标准的个体。使用1:1倾向评分匹配来控制混杂因素（性别、年龄、生活方式因素），纳入了7636名参与者。根据咀嚼问题、咀嚼不适主诉和言语困难来评估口腔功能障碍。使用Rao - Scott χ检验、复杂样本t检验和复杂样本逻辑回归分析营养摄入、身体活动和握力。：OSA组的口腔功能障碍因素明显多于非OSA组（<0.001）。OSA组的能量摄入量较高，宏量营养素摄入量无显著差异。两组之间的身体活动水平相似；然而，没有口腔问题的OSA参与者握力更高（<0.05）。回归分析表明，OSA风险增加与口腔功能障碍加重和蛋白质摄入量降低相关。：本研究揭示了口腔功能障碍与OSA风险之间存在密切关联。关注影响OSA风险因素的口腔功能障碍的评估和早期干预可能有助于OSA的早期发现和预防。
