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评《老年人牙齿缺失与老年综合征的关联:来自中国东部农村地区的队列研究》

Comment on "Association between tooth loss and geriatric syndromes in older adults: a cohort study from a rural area in eastern China".

作者信息

Somay Efsun

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Baskent University, 82. Street No: 26, Bahcelievler, 06490, Ankara, Turkey.

出版信息

Aging Clin Exp Res. 2025 Aug 29;37(1):261. doi: 10.1007/s40520-025-03177-3.

Abstract

I found the study by He et al. quite engaging, as it offers substantial longitudinal evidence linking dental health with various geriatric syndromes in a cohort of 1,094 individuals, specifically sarcopenia, malnutrition risk, frailty, and falls. The authors conducted rigorous clinical evaluations, including assessments of handgrip strength and body composition. They also utilized validated tools, such as the Mini Nutritional Assessment Short-Form (MNA-SF) and the FRAIL scale. The study's findings are significant: individuals with fewer than 10 teeth or those whose tooth loss has affected their daily activities demonstrated markedly increased odds of sarcopenia (OR 1.87-3.25), malnutrition risk (OR 2.31-3.64), and frailty. The absence of proper dentures significantly exacerbated these health risks, highlighting the importance of prosthetic rehabilitation, which, while beneficial, has its limitations in fully restoring oral function. This research strongly advocates for the prioritization of comprehensive oral health assessments and accessible denture provision as essential components of elderly care. The findings are particularly relevant to this rural cohort, emphasizing the need for targeted interventions in geriatric oral health, especially in resource-constrained environments where access to dental care might be limited. To further strengthen the study's relevance and scientific rigor, I propose several constructive recommendations that could enhance the research's overall impact.

摘要

我发现何等人的这项研究相当引人入胜,因为它提供了大量纵向证据,将1094名个体队列中的牙齿健康与各种老年综合征联系起来,特别是肌肉减少症、营养不良风险、虚弱和跌倒。作者进行了严格的临床评估,包括对手握力和身体成分的评估。他们还使用了经过验证的工具,如微型营养评定简表(MNA-SF)和衰弱量表。该研究的结果很显著:牙齿少于10颗或牙齿缺失影响其日常活动的个体,肌肉减少症(比值比1.87 - 3.25)、营养不良风险(比值比2.31 - 3.64)和虚弱的几率显著增加。没有合适的假牙会显著加剧这些健康风险,凸显了修复康复的重要性,尽管修复康复有益,但在完全恢复口腔功能方面有其局限性。这项研究强烈主张将全面的口腔健康评估和可获得的假牙供应作为老年护理的重要组成部分加以优先考虑。这些发现与这个农村队列特别相关,强调了在老年口腔健康方面进行有针对性干预的必要性,尤其是在获得牙科护理可能有限的资源受限环境中。为了进一步加强该研究的相关性和科学严谨性,我提出了一些建设性建议,这些建议可以增强该研究的整体影响力。

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