지역사회 노인의 저작 능력이 노쇠에 미치는 영향에 관한 융합 연구
A convergence study of the influence of masticatory ability on frailty in the community elderly
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초록
본 연구는 노인의 저작 능력이 노쇠에 미치는 영향을 분석하고자 하였다. 65세 이상의 노인 224명을 대상으로 일반적 특성, 주관적 및 객관적 저작 능력, 노쇠수준을 조사하였다. 연구 결과는 다음과 같다. 첫째, 저작 능력은 연령, 교육 수준, 경제활동 여부, 거주 형태, 틀니 장착 여부에 따라 차이가 있었다. 둘째, 비노쇠 노인의 저작 능력은 노쇠 노인에 비해 통계적으로 유의하게 높았다. 셋째, 저작 능력이 좋은 대상자에 비해 저작 능력이 좋지 못한 대상자에서 노쇠가 있을 위험비는 2.33배 높았으며, 연령을 보정한 결과 저작 능력이 좋은 그룹에 비해 좋지 못한 그룹에서 노쇠가 있을 위험비는 2.30배 높게 나타났다. 이를 통해 노인의 저작 능력이 노쇠의 예측요인 중의 하나이며, 지역사회 차원의 구강건강 관리를 통해 노쇠를 예방하여 건강한 노화를 달성하는 노력이 필요할 것으로 생각한다.
Abstract
The purpose of this study was to analyze the effect of masticatory ability on frailty in the elderly. General characteristics, subjective and objective masticatory ability, and frailty level were investigated in 224 elderly. The major findings were as; There were differences in masticating ability according to age, education level, employment status, living arrangement, and maxillary & mandibular dentures. The masticatory ability of the non-frail elderly was significantly higher than the frail elderly. The risk ratio of frailty was 2.33 times higher in subjects with poor mastication compared to subjects with good mastication ability. Also, as a result of adjusting for age, the risk ratio of frailty in the poor group was 2.30 times higher than in the group with good mastication ability. Through this, it is thought that the masticatory ability of the elderly is one of the predictors of frailty, and efforts to achieve healthy aging by preventing senescence through oral health management at the community level are thought to be necessary.
참고문헌 (27)
- L. P. Fried, "Frailty in Older Adults: Evidence for a Phenotype", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), pp.M146~M157 (2001), Oxford University Press (OUP)[DOI]
- 조성은, "연령집단에 따른 노인의 허약(Frailty) 예측요인 분석", 보건사회연구, 37(3), pp.139~169 (2017), 한국보건사회연구원[DOI]
- M. Kanauchi, "Frailty, health‐related quality of life and mental well‐being in older adults with cardiometabolic risk factors", International Journal of Clinical Practice, 62(9), pp.1447~1451 (2008)
- K. E. Covinsky, "Reduced Employment in Caregivers of Frail Elders: Impact of Ethnicity, Patient Clinical Characteristics, and Caregiver Characteristics", The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(11), pp.M707~M713 (2001), Oxford University Press (OUP)[DOI]
- J.H. Son, "P-227: Physical frailty predicts medical expenses in community-dwelling, elderly patients: three-year prospective findings from living profiles of older people surveys in Korea", European Geriatric Medicine, 6, pp.S92~ (2015), Elsevier BV[DOI]
- B. W. Kang, "Preventive dentistry" (2019), Komoonsa
- Ejvind Budtz-Jørgensen, "Nutrition and oral health", Best Practice & Research Clinical Gastroenterology, 15(6), pp.885~896 (2001), Elsevier BV[DOI]
- B. Hutton, "Is there an association between edentulism and nutritional state?", Journal of Canadian Dental Association, 68(3), pp.182~187 (2002)
- H. H. Keller, "Nutrition and health-related quality of life in frail older adults", Journal of Nutrition, Health & Aging, 8(4), pp.245~252 (2004)
- Joyce M. Smith, "How dental conditions handicap the elderly", Community Dentistry and Oral Epidemiology, 7(6), pp.305~310 (1979), Wiley[DOI]
- "Statistics of Disease" (2018)[URL]
- Miyuki Nemoto, "Assessment of vulnerable older adults’ physical function according to the Japanese Long-Term Care Insurance (LTCI) system and Fried's criteria for frailty syndrome", Archives of Gerontology and Geriatrics, 55(2), pp.385~391 (2012), Elsevier BV[DOI]
- 원장원, "노쇠의 평가와 관리", 대한의사협회지, 60(4), pp.314~320 (2017), 대한의사협회[DOI]
- 이인숙, "전 · 후기 허약 고위험 노인을 대상으로 한 지역사회 중심의 다요인적 허약 예방 프로그램의 효과 평가", 지역사회간호학회지, 23(2), pp.201~211 (2012), 한국지역사회간호학회[DOI]
- Averria Sirkin Martin, "Associations of self-perceived successful aging in young-old versus old-old adults", International Psychogeriatrics, 27(4), pp.601~609 (2014), Cambridge University Press (CUP)[DOI]
- K. Ikebe, "Association of masticatory performance with age, pos-terior occlusal contacts, occlusal force, and salivary flow in older adults", The International Journal of Prosthodontics, 19(5), pp.475~481 (2006)
- 최미숙, "한국 노인의 치과보철물 상태 및 필요도와 저작기능의 관련성 연구 -제5기 국민건강영양조사자료 분석(2010-2012)-", 한국치위생학회지, 14(3), pp.293~302 (2014), 한국치위생학회[DOI]
- 강희철, "독거 여성 노인과 가족 동거 여성 노인의 양생 실천 수준과 불안, 우울, 인지기능에 대한 비교 연구", 동의신경정신과학회지, 25(2), pp.123~132 (2014), 대한한방신경정신과학회
- 정은주, "독거노인과 가족동거노인의 건강 및 구강건강이 건강 관련 삶의 질에 미치는 영향", 한국치위생학회지, 19(4), pp.577~589 (2019), 한국치위생학회[DOI]
- "2020Survey of the Elderly" (2020)[URL]
- 허익강, "일부 노인의 치과보철물 상태가 구강건강관련 삶의 질에 미치는 영향", 대한치과보철학회지, 48(02), pp.101~110 (2010), 대한치과보철학회[DOI]
- D. Markovic, "Specifics of mastication with complete dentures", Medicinski Pregled, 52(11-2), pp.464~468 (1999)
- R. Hubbard, "Effect of smoking on the accumulation of deficits, frailty and survival in older adults: a secondary analysis from the Canadian Study of Health and Aging", The Journal of Nutrition, Health and Aging, 13(5), pp.468~472 (2009)
- Poul Erik Petersen, "Improving the oral health of older people: the approach of the WHO Global Oral Health Programme", Community Dentistry and Oral Epidemiology, 33(2), pp.81~92 (2005), Wiley[DOI]
- 권송희, "Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th)", Nutrition Research and Practice, 11(2), pp.139~146 (2017), 한국영양학회
- Yumi Kimura, "Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly", Geriatrics & Gerontology International, 13(3), pp.718~725 (2012), Wiley[DOI]
- Ministry of Health and Welfare, "2014Community integrated health promotion program" (2014), Ministry of Health and Welfare