社区老年人营养不良与低舌压之间的关联：一项基于人群的队列研究。
Association between malnutrition and low tongue pressure in community-dwelling older people: a population-based cohort study.
作者信息
Takaoka Ryota, Nishi Keitaro, Nakamura Maya, Yoshinaga Haruka, Noma Yusaku, Hayashi Yodai, Yuda Sayaka, Mishima Yumiko, Ishikawa Momoko, Yanagita Yusei, Yamashiro Kouta, Kume Kenichi, Matsuda Yuhei, Kanno Takahiro, Makizako Hyuma, Takenaka Toshihiro, Kubozono Takuro, Ohishi Mitsuru, Okui Tatsuo
机构信息
Department of Maxillofacial Diagnostic and Surgical Science, Field of Oral and Maxillofacial Rehabilitation, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, 890-8544, Japan.
Department of Oral and Maxillofacial Surgery, Kagoshima Prefectural Oshima Hospital, 1-18 Manatsu-cho, Amami, 894-0015, Kagoshima, Japan.
出版信息
Sci Rep. 2025 Jul 14;15(1):25420. doi: 10.1038/s41598-025-11229-x.
The aim of this study was to analyze the data from a cohort study of community-dwelling older people to clarify the impact of low tongue pressure on the onset of malnutrition. The analysis was divided into a baseline and a longitudinal analysis. The baseline analysis included 765 people (median age: 74 years; 276 men and 489 women), and the longitudinal analysis included 100 people (median age: 72 years; 33 men and 67 women). The baseline analysis showed that tongue pressure and the diagnosis of low tongue pressure using a cut-off of 30 kPa were associated with the risk of malnutrition (tongue pressure: odds ratio [OR] = 0.972, 95% confidence interval [95% CI] = 0.953-0.992, p = 0.006; the diagnosis of low tongue pressure: OR = 1.555, 95% CI = 1.050-2.302, p = 0.027). In the longitudinal analysis, tongue pressure and the diagnosis of low tongue pressure at baseline were associated with the onset of the risk of malnutrition after 4 years (tongue pressure: OR = 0.952, 95% CI = 0.907-0.998, p = 0.041; the diagnosis of low tongue pressure: OR = 2.698, 95% CI = 1.148-6.341; p = 0.023). In community-dwelling older people, low tongue pressure could increase the risk of future malnutrition.
本研究旨在分析一项针对社区老年人队列研究的数据，以阐明低舌压对营养不良发生的影响。该分析分为基线分析和纵向分析。基线分析纳入765人（年龄中位数：74岁；男性276人，女性489人），纵向分析纳入100人（年龄中位数：72岁；男性33人，女性67人）。基线分析表明，舌压以及采用30 kPa临界值诊断的低舌压与营养不良风险相关（舌压：比值比[OR]=0.972，95%置信区间[95%CI]=0.953 - 0.992，p = 0.006；低舌压诊断：OR = 1.555，95%CI = 1.050 - 2.302，p = 0.027）。在纵向分析中，基线时的舌压和低舌压诊断与4年后营养不良风险的发生相关（舌压：OR = 0.952，95%CI = 0.907 - 0.998，p = 0.041；低舌压诊断：OR = 2.698，95%CI = 1.148 - 6.341；p = 0.023）。在社区居住的老年人中，低舌压可能会增加未来发生营养不良的风险。
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