口腔功能衰弱及其对口腔健康的影响

doi:10.12337/zgkqjxjyzz.2024.03.003

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (3): 206-213.DOI: 10.12337/zgkqjxjyzz.2024.03.003

口腔功能衰弱及其对口腔健康的影响

陈帅^#, 郭若妍^#, 黄晓晶^*

福建省口腔组织缺损性疾病临床医学研究中心,福建省口腔疾病研究重点实验室,福建医科大学附属口腔医院

出版日期:2024-05-31 发布日期:2024-12-18
通讯作者: ^*黄晓晶,联系方式：0591-83736419,电子邮箱：xiaojinghuang@fjmu.edu.cn,通讯地址：福建省福州市鼓楼区杨桥中路246号,350002
作者简介:^#共同第一作者
基金资助:
福建省卫生健康科技计划项目——中青年骨干人才培养项目（项目编号：2022GGA042）

Progress of Oral Frailty and Its Effect on Oral Health

Shuai Chen^#, Ruoyan Guo^#, Xiaojing Huang^*

Fujian Provincial Clinical Research Center of Oral Tissue Defective Diseases, Fujian Provincial Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, Fujian Province, P.R. China

Online:2024-05-31 Published:2024-12-18
Contact: Xiaojing Huang. Tel: 0591-83736419. Email: xiaojinghuang@fjmu.edu.cn. Address: No. 246 Yang Qiao Zhong Road, Gulou District, Fuzhou 350002, Fujian Province, P.R. China.
About author:^#These two authors contributed equally to this work.
Supported by:
Fujian Provincial Health Technology Project——Young and Middle-aged Talent Training Program(No.2022GGA042)

摘要/Abstract

摘要： 随着我国逐渐步入老龄化社会,老年人口腔健康问题日益凸显,关注老年人口腔健康已成为维护其整体健康和提升生活质量的关键环节。近年来,口腔功能衰弱这一概念被提出并逐渐受到关注。它涵盖了与衰老相关的口腔状况变化及进程,如：牙齿数量减少、口腔卫生问题以及口腔功能减退等。这些变化往往伴随着老年人对口腔健康维护意识的减弱和身心储备能力的下降,以及由此引发的进食障碍等,进而对全身健康产生不良影响。本文对口腔功能衰弱的临床表现、诊断方法以及干预措施进行综述,以期为提升老年人口腔健康水平提供有益参考。

关键词: 口腔功能衰弱, 老年人, 老龄化, 研究进展, 口腔健康

Abstract: With society gradually entering the aging stage, attention to the oral health of the elderly has become a crucial task for maintaining their overall health and improving their quality of life. Recently, the concept of oral frailty has been proposed, which refers to a series of aging-related phenomena or processes that leads to changes in oral conditions, such as decreased number of teeth, oral hygiene issues, and declining oral functions. Oral frailty is accompanied by weakened awareness of oral health maintenance and decline in physical and mental reserves in the elderly, leading to eating disorders and ultimately affecting their general health. This article reviewed the clinical manifestations, diagnosis, and intervention of oral frailty, with the aim of providing useful references for improving the oral health level of the elderly.

Key words: oral frailty, the elderly, aging, research progress, oral health

陈帅, 郭若妍, 黄晓晶. 口腔功能衰弱及其对口腔健康的影响[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 206-213.

Shuai Chen, Ruoyan Guo, Xiaojing Huang. Progress of Oral Frailty and Its Effect on Oral Health[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(3): 206-213.

参考文献

[1] 国家卫生健康委员会, 全国老龄办. 2021年度国家老龄事业发展公报[2022-10-24]. 网址: . 2021年度国家老龄事业发展公报[2022-10-24]. 网址: http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=e09f046ab8f14967b19c3cb5c1d934b5; 访问日期: 2023年12月23日.
[2] 王兴. 第四次全国口腔健康流行病学调查[M]. 北京: 人民卫生出版社, 2018.
[3] 余一鸣, 吴玉莹, 吴雨煊, 等. 我国1990-2019年成人牙周病疾病负担现状分析及牙周病发病趋势预测[J]. 中华口腔医学杂志, 2023, 58(12):1265-1272.
[4] 吴补领, 刘洪臣, 范兵. 老年口腔医学[M]. 第2版. 陕西: 西安交通大学出版社, 2019:369-370.
[5] Dibello V, Lobbezoo F, Lozupone M, et al.Oral frailty indicators to target major adverse health-related outcomes in older age: a systematic review[J]. Geroscience. 2023; 45(2):663-706.
[6] Tanaka T, Takahashi K, Hirano H, et al.Oral Frailty as a Risk Factor for Physical Frailty and Mortality in Community-Dwelling Elderly[J]. J Gerontol A Biol Sci Med Sci. 2018; 73(12):1661-1667.
[7] Kugimiya Y, Watanabe Y, Ueda T, et al.Rate of oral frailty and oral hypofunction in rural community-dwelling older Japanese individuals[J]. Gerodontology. 2020; 37(4):342-352.
[8] Shiraishi A, Yoshimura Y, Wakabayashi H, et al.Prevalence of stroke-related sarcopenia and its association with poor oral status in post-acute stroke patients: Implications for oral sarcopenia[J]. Clin Nutr. 2018; 37(1):204-207.
[9] Minakuchi S, Tsuga K, Ikebe K, et al.Oral hypofunction in the older population: Position paper of the Japanese Society of Gerodontology in 2016[J]. Gerodontology. 2018; 35(4):317-324.
[10] Iwasaki M, Hirano H.Decline in Oral Function and Its Management[J]. Int Dent J. 2022; 72(4S):S12-S20.
[11] Botelho J, Machado V, Leira Y, et al.Economic burden of periodontitis in the United States and Europe: An updated estimation[J]. J Periodontol. 2022; 93(3):373-379.
[12] Preshaw PM, Bissett SM.Periodontitis and diabetes[J]. Br Dent J. 2019; 227(7):577-584.
[13] Fan Y, Shu X, Leung KCM, et al.Associations of general health conditions with masticatory performance and maximum bite force in older adults: A systematic review of cross-sectional studies[J]. J Dent. 2022; 123:104186.
[14] Uesugi H, Shiga H.Relationship between masticatory performance using a gummy jelly and masticatory movement[J]. J Prosthodont Res. 2017; 61(4):419-425.
[15] Kosaka T, Ono T, Kida M, et al.A multifactorial model of masticatory performance: the Suita study[J]. J Oral Rehabil. 2016; 43(5):340-347.
[16] Watanabe Y, Hirano H, Arai H, et al.Relationship Between Frailty and Oral Function in Community-Dwelling Elderly Adults[J]. J Am Geriatr Soc. 2017; 65(1):66-76.
[17] Morita K, Tsuka H, Kato K, et al.Factors related to masticatory performance in healthy elderly individuals[J]. J Prosthodont Res. 2018; 62(4):432-435.
[18] Yamada A, Kanazawa M, Komagamine Y, et al.Association between tongue and lip functions and masticatory performance in young dentate adults[J]. J Oral Rehabil. 2015; 42(11):833-839.
[19] Utanohara Y, Hayashi R, Yoshikawa M, et al.Standard values of maximum tongue pressure taken using newly developed disposable tongue pressure measurement device[J]. Dysphagia. 2008; 23(3):286-290.
[20] Tsuga K, Yoshikawa M, Oue H, et al.Maximal voluntary tongue pressure is decreased in Japanese frail elderly persons[J]. Gerodontology. 2012; 29(2):e1078-e1085.
[21] Yoshida M, Kikutani T, Tsuga K, et al.Decreased tongue pressure reflects symptom of dysphagia[J]. Dysphagia. 2006; 21(1):61-65.
[22] Sporns PB, Muhle P, Hanning U, et al. Atrophy of Swallowing Muscles Is Associated With Severity of Dysphagia and Age in Patients With Acute Stroke[J]. J Am Med Dir Assoc.2017; 18(7):635.e1-635.e7.
[23] Sawa Y, Kayashita J, Nikawa H.Occlusal support is associated with nutritional improvement and recovery of physical function in patients recovering from hip fracture[J]. Gerodontology. 2020; 37(1):59-65.
[24] Wakabayashi H, Matsushima M, Ichikawa H, et al.Occlusal Support, Dysphagia, Malnutrition, and Activities of Daily Living in Aged Individuals Needing Long-Term Care: A Path Analysis[J]. J Nutr Health Aging. 2018; 22(1):53-58.
[25] de Sire A, Ferrillo M, Lippi L, et al. Sarcopenic Dysphagia, Malnutrition, and Oral Frailty in Elderly: A Comprehensive Review[J]. Nutrients. 2022; 14(5):982.
[26] Belafsky PC, Mouadeb DA, Rees CJ, et al.Validity and reliability of the Eating Assessment Tool (EAT-10)[J]. Ann Otol Rhinol Laryngol. 2008; 117(12):919-924.
[27] Dibello V, Lozupone M, Manfredini D, et al.Oral frailty and neurodegeneration in Alzheimer's disease[J]. Neural Regen Res. 2021; 16(11):2149-2153.
[28] Izuno H, Hori K, Sawada M, et al.Physical fitness and oral function in community-dwelling older people: a pilot study[J]. Gerodontology. 2016; 33(4):470-479.
[29] Okamoto N, Amano N, Nakamura T, et al.Relationship between tooth loss, low masticatory ability, and nutritional indices in the elderly: a cross-sectional study[J]. BMC Oral Health. 2019; 19(1):110.
[30] Xu F, Laguna L, Sarkar A.Aging-related changes in quantity and quality of saliva: Where do we stand in our understanding?[J]. J Texture Stud. 2019; 50(1):27-35.
[31] Hakeem FF, Bernabé E, Sabbah W.Association between oral health and frailty: A systematic review of longitudinal studies[J]. Gerodontology. 2019; 36(3):205-215.
[32] Zupo R, Castellana F, Bortone I, et al.Nutritional domains in frailty tools: Working towards an operational definition of nutritional frailty[J]. Ageing Res Rev. 2020; 64:101148.
[33] Gondivkar SM, Gadbail AR, Gondivkar RS, et al.Nutrition and oral health[J]. Dis Mon. 2019; 65(6):147-154.
[34] Hämäläinen P, Rantanen T, Keskinen M, et al.Oral health status and change in handgrip strength over a 5-year period in 80-year-old people[J]. Gerodontology. 2004; 21(3):155-160.
[35] Yamaguchi K, Tohara H, Hara K, et al.Relationship of aging, skeletal muscle mass, and tooth loss with masseter muscle thickness[J]. BMC Geriatr. 2018; 18(1):67.
[36] Furuta M, Komiya-Nonaka M, Akifusa S, et al.Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities[J]. Community Dent Oral Epidemiol. 2013; 41(2):173-181.
[37] Iwasaki M, Watanabe Y, Motokawa K, et al.Oral frailty and gait performance in community-dwelling older adults: findings from the Takashimadaira study[J]. J Prosthodont Res. 2021; 65(4):467-473.
[38] Komatsu R, Nagai K, Hasegawa Y, et al.Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults[J]. Int J Environ Res Public Health. 2021; 18(6):2931.
[39] Puranen T, Hiltunen K, Kautiainen H, et al.Relationship between oral frailty, health-related quality of life, and survival among long-term care residents[J]. Eur Geriatr Med. 2023; 14(6):1307-1315.
[40] Shiraishi A, Yoshimura Y, Wakabayashi H, et al.Hospital dental hygienist intervention improves activities of daily living, home discharge and mortality in post-acute rehabilitation[J]. Geriatr Gerontol Int. 2019; 19(3):189-196.
[41] Barnett T, Hoang H, Stuart J, et al.Non-dental primary care providers' views on challenges in providing oral health services and strategies to improve oral health in Australian rural and remote communities: a qualitative study[J]. BMJ Open. 2015; 5(10):e009341.
[42] Shimpi N, Schroeder D, Kilsdonk J, et al.Medical Providers' Oral Health Knowledgeability, Attitudes, and Practice Behaviors: An Opportunity for Interprofessional Collaboration[J]. J Evid Based Dent Pract. 2016; 16(1):19-29.
[43] Sippli K, Rieger MA, Huettig F.GPs' and dentists' experiences and expectations of interprofessional collaboration: findings from a qualitative study in Germany[J]. BMC Health Serv Res. 2017; 17(1):179.
[44] Zbinden A, Bostanci N, Belibasakis GN.The novel species Streptococcus tigurinus and its association with oral infection[J]. Virulence. 2015; 6(3):177-182.
[45] Sakayori T, Maki Y, Hirata S, et al.Evaluation of a Japanese “Prevention of long-term care” project for the improvement in oral function in the high-risk elderly[J]. Geriatr Gerontol Int. 2013; 13(2):451-457.
[46] Cho EP, Hwang SJ, Clovis JB, et al.Enhancing the quality of life in elderly women through a programme to improve the condition of salivary hypofunction[J]. Gerodontology. 2012; 29(2):e972-980.
[47] 刘洪臣. 重视全民口腔健康标准知识的普及[J]. 口腔颌面修复学杂志, 2019, 20(4):245-246.
[48] Iwao Y, Shigeishi H, Takahashi S, et al.Improvement of physical and oral function in community-dwelling older people after a 3-month long-term care prevention program including physical exercise, oral health instruction, and nutritional guidance[J]. Clin Exp Dent Res. 2019; 5(6):611-619.
[49] Miyoshi S, Shigeishi H, Fukada E, et al.Association of Oral Function With Long-Term Participation in Community-Based Oral Exercise Programs in Older Japanese Women: A Cross-Sectional Study[J]. J Clin Med Res. 2019; 11(3):165-170.
[50] Kim HJ, Lee JY, Lee ES, et al.Improvements in oral functions of elderly after simple oral exercise[J]. Clin Interv Aging. 2019; 14:915-924.
[51] Park JS, An DH, Kam KY, et al.Effects of resistive jaw opening exercise in stroke patients with dysphagia: A double- blind, randomized controlled study[J]. J Back Musculoskelet Rehabil. 2020; 33(3):507-513.
[52] Cho YS, Oh DH, Paik YR, et al.Effects of bedside self-exercise on oropharyngeal swallowing function in stroke patients with dysphagia: a pilot study[J]. J Phys Ther Sci. 2017; 29(10):1815-1816.
[53] Choi JB, Shim SH, Yang JE, et al.Effects of Shaker exercise in stroke survivors with oropharyngeal dysphagia[J]. NeuroRehabilitation. 2017; 41(4):753-757.

口腔功能衰弱及其对口腔健康的影响

Progress of Oral Frailty and Its Effect on Oral Health

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 10

编辑推荐

Metrics

本文评价

[1]	吴红崑, 范兵, 范伟, 程兴群. 老年人口颌面疼痛的临床特点与诊断要点[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 193-199.
[2]	王倩倩, 尹兴喆, 卫彦, 周崇阳. 过长后牙意向性冠髓切断术的临床应用[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 219-224.
[3]	江星, 傅升, 尹昌凡, 樊丽娜. 中西医结合治疗颌面部间隙感染的研究进展[J]. 中国口腔医学继续教育杂志, 2023, 26(5): 356-360.
[4]	梁蓉, 侯玉霞. 唇腭裂新生儿术前鼻-牙槽塑形的数字化研究进展[J]. 中国口腔医学继续教育杂志, 2023, 26(3): 186-190.
[5]	朱磊, 帅逸, 金磊. 头颈部恶性肿瘤放疗患者口腔健康维护1例[J]. 中国口腔医学继续教育杂志, 2022, 25(6): 388-396.
[6]	丁慧, 张建丽, 陈奕帆, 周庆, 李玥晓, 李晓丽, 张石楠. 优化教育模式提升口腔本科生口腔健康教育能力的实践探究[J]. 中国口腔医学继续教育杂志, 2022, 25(2): 119-122.
[7]	邢海霞, 乔迪. 一例干燥综合征患者的序列口腔健康管理[J]. 中国口腔医学继续教育杂志, 2021, 24(2): 89-95.
[8]	马丽娜, 张智超. 一例龋高易感患者的管理及牙体缺损修复方式的选择[J]. 中国口腔医学继续教育杂志, 2021, 24(2): 96-106.
[9]	吴慧竞, 张珊珊, 郑树国. 一项有关芬兰青少年的学业成绩和口腔健康行为的全国调查[J]. 中国口腔医学继续教育杂志, 2020, 23(4): 228-235.
[10]	张凡柯, 李小兵. 一例混合牙列牙弓发育不足患儿的早期口腔健康管理[J]. 中国口腔医学继续教育杂志, 2020, 23(3): 187-192.