流行病学

老年人功能性牙列丧失的行为与系统相关因素及老年口腔健康脆弱评分探索

来源:BMC Oral Health · PMID 42968125 · DOI 10.1186/s12903-026-09515-9 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-03 期 · 全文级(file_id dGdXdaLpSURA,实际下载核验 387,231 B) · 全文已获取并通过三重归属校验

时间标签:数据日期 2026-11-03 · 生成时间 2026-11-03 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/10/31 – 2026/11/03 | 情报发生日期 2026-11-03

研究问题

The null hypothesis is that there is no significant association between oral hygiene behaviours, multimorbidity and functional tooth loss in adults aged ≥ 65 years.;The alternative hypothesis assumed that poor hygiene behaviours and higher multimorbidity are associated with an increased likelihood of functional tooth loss (< 20 teeth), therefore contributing to oral fragility.;Data collection and calibration Two independent examiners, both blinded to the study hypothesis, were trained and calibrated prior to data extraction (Cohen’s κ = 0.91 for tooth count; κ = 0.88 for periodontal stage).

方法

Methods Study design and ethical approval This was a cross-sectional, retrospective review of electronic health records from the University Dental Clinic, Pomeranian Medical University, Szczecin, Poland.;The study protocol received approval from the Bioethics Committee of the Pomeranian Medical University (KB 0012/14/2022) and was conducted in accordance with the Declaration of Helsinki.;Statistical analysis Continuous variables are expressed as mean ± standard deviation (SD) and categorical variables as percentages (n).

核心结论

Abbreviations: aPR, adjusted prevalence ratios; CI, confidence interval; p, p -values; N, number of participants These findings indicate that both behavioural and systemic health factors contribute substantially to compromised oral function in older adults.;While older adults in Scandinavian countries typically retain more than 22 natural teeth, those in Central and Eastern Europe - including Poland, Bulgaria, and Hungary - average around 18– 19 teeth, which closely aligns with our findings.;Collectively, these findings emphasise the clinical utility of the GOHVS as a feasible screening framework Page 11/19 that can be incorporated into preventive protocols or geriatric care pathways to identify individuals requiring intensified oral health support.

局限

Polypharmacy warrants particular attention [13].;Interdental cleaning remains particularly underutilised among older adults, where dexterity limitations and low preventive awareness persist [11, 36].

对本项目的价值

参考价值:属「生物标志物 / 建模方法学」方向;皮肤 / 感官 / 口腔老化栏目可用作本项目文献库与综述素材。 | 价值分 2.1/5(★★☆☆☆)

全文来源

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原文题录

  • 中文题名:老年人功能性牙列丧失的行为与系统相关因素及老年口腔健康脆弱评分探索
  • 英文标题:Behavioural and systemic correlates of functional tooth loss and exploratory derivation of the Geriatric Oral Health Vulnerability Score (GOHVS) in older adults: a cross-sectional study.
  • 期刊与标识:BMC Oral Health · PMID 42968125 · DOI 10.1186/s12903-026-09515-9 · EDAT 2026-11-01

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

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