社区老年人口腔衰弱现状及与肌少症的相关性研究

    Current situation of oral frailty and its correlation with sarcopenia in elderly people in the community

    • 摘要: 目的: 调查社区老年人口腔衰弱的现状及影响因素,并分析口腔衰弱与肌少症的相关性,为社区制定口腔健康和肌少症防控策略提供参考。方法: 采用便利抽样法,选取449名参与体检的老年人为研究对象,根据亚洲肌少症工作组诊断标准诊断肌少症,采用自制一般资料调查表、口腔衰弱指数量表、微型营养评价量表精简法和老年抑郁量表对其进行调查。结果: 社区老年人口腔衰弱发生率为35.6%,肌少症患病率为17.6%。单因素分析结果显示,性别、年龄、文化程度、慢病数量、肌肉质量和肌肉力量、吸烟、抑郁症状和肌少症是社区老年人口腔衰弱的影响因素(P<0.05~P<0.01)。Spearman相关分析结果显示,口腔衰弱与肌少症呈明显正相关关系(r=0.364,P<0.01),与肌肉质量和肌肉力量呈明显负相关关系(r=-0.345、-0.420,P<0.01)。逐步logistic回归分析显示,高龄、男性、文化程度低、多种慢病共存、抑郁和肌少症是社区老年人口腔衰弱的风险因素(P<0.05~P<0.01)。结论: 社区老年人口腔衰弱发生风险较高,与肌少症呈显著正相关,医护人员应加强对社区老年人口腔健康和肌少症的早期评估与管理,以促进老年人整体健康。

       

      Abstract: Objective: To investigate the current situation and influencing factors of oral frailty in elderly people in the community, and analyze its correlation between oral frailty and sarcopenia, thereby providing reference for developing oral health and sarcopenia prevention in the community. Methods: A convenience sampling method was used to select 449 elderly people undergoing physical examination as the study subjects.Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia criteria.A self-made general information questionnaire, oral frailty index scale, mini nutritional assessment-short form, and the 5-item geriatric depression scale were applied to conduct a survey in the subjects. Results: The incidence of oral frailty and sarcopenia in elderly people in the community was 35.6% and 17.6%, respectively.The results of univariate analysis showed that gender, age, education level, number of chronic diseases, muscle mass and strength, smoking, depression, and sarcopenia were the influencing factors of oral frailty in elderly people in the community (P < 0.05 to P < 0.01).The Spearman correlation analysis results showed that oral frailty was significantly positively correlated with sarcopenia (r=0.364, P < 0.01), and significantly negatively correlated with muscle mass and strength (r=-0.345, -0.420, P < 0.01).Stepwise logistic regression analysis showed that advanced age, male, low education level, coexistence of multiple chronic diseases, depression, and sarcopenia were risk factors for oral frailty in elderly people in the community (P < 0.05 to P < 0.01). Conclusions: Elderly people in the community have a higher risk of developing oral frailty, which is significantly positively correlated with sarcopenia.Healthcare professionals should strengthen early assessment and management of oral health and sarcopenia in elderly people in the community to promote their overall health.

       

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