대전 일부 노인의 치매와 구강건강의 관계
The Relationship between Dementia and Oral Health in Some Elderly in Daejeon
0
조회
0
다운로드
19
인용
0
참고문헌
키워드
초록
The elderly population with dementia is rapidly growing in South Korea. The aim of this study was to investigate the relationship between dementia and oral health in 197 subjects aged ≥65 years. The questionnaire included questions on subjective health status, subjective health concern, subjective oral health status and behavior, mastication ability, Oral Health Impact Profile-14 (OHIP-14), and Korean Dementia Screening Questionnaires (KDSQ). Oral examination was conducted by a single dentist to evaluate upper or lower denture use, and determine the numbers of remaining and functioning teeth, including implant and fixed prosthesis. The subjects who required a dementia test (KDSQ-C [cognition] of ≥6) had significant differences in systemic disease prevalence rate, subjective health status, subjective health concern, KDSQ-V (vascular disease) score, KDSQ-D (depression) score, subjective oral treatment need, key food mastication ability and OHIP-14 score compared to the healthy subjects. The proportion of denture wearers, total remaining teeth, total functioning teeth, toothbrushing frequency, oral pain severity, symptoms of periodontal disease, subjective oral health status, and subjective oral health concern showed no significant differences between the two groups. KDSQ-C and OHIP-14 scores showed a strong positive relationship, while KDSQ-C score and total remaining teeth or key food mastication abilityshowed a weak negative relationship. In the multiple regression analysis, the KDSQ-D, KDSQ-V, and OHIP-14 scores influenced the KDSQ-C scores. We suggest a relationship between oral health and cognitive impairment.
Abstract
The elderly population with dementia is rapidly growing in South Korea. The aim of this study was to investigate the relationship between dementia and oral health in 197 subjects aged ≥65 years. The questionnaire included questions on subjective health status, subjective health concern, subjective oral health status and behavior, mastication ability, Oral Health Impact Profile-14 (OHIP-14), and Korean Dementia Screening Questionnaires (KDSQ). Oral examination was conducted by a single dentist to evaluate upper or lower denture use, and determine the numbers of remaining and functioning teeth, including implant and fixed prosthesis. The subjects who required a dementia test (KDSQ-C [cognition] of ≥6) had significant differences in systemic disease prevalence rate, subjective health status, subjective health concern, KDSQ-V (vascular disease) score, KDSQ-D (depression) score, subjective oral treatment need, key food mastication ability and OHIP-14 score compared to the healthy subjects. The proportion of denture wearers, total remaining teeth, total functioning teeth, toothbrushing frequency, oral pain severity, symptoms of periodontal disease, subjective oral health status, and subjective oral health concern showed no significant differences between the two groups. KDSQ-C and OHIP-14 scores showed a strong positive relationship, while KDSQ-C score and total remaining teeth or key food mastication abilityshowed a weak negative relationship. In the multiple regression analysis, the KDSQ-D, KDSQ-V, and OHIP-14 scores influenced the KDSQ-C scores. We suggest a relationship between oral health and cognitive impairment.
참고문헌 (24)
- Fernández MM, "Risk factors for dementia in the epidemiological study of Munguialde County (Basque Country-Spain)", BMC Neurol, 15, pp.39~ (2008)
- "2012 National survey of dementia elderly" (2013)[URL]
- Kalaria RN, "Alzheimer's disease and vascular dementia in developing countries:prevalence, management, and risk factors", Lancet Neurol, 7, pp.812~826 (2008)
- Chang JW, "Recent trends and strategies in stem cell therapy for Alzheimer’s disease", Hanyang Med Rev, 32, pp.141~144 (2012)
- 이병희, "신체활동 프로그램이 치매노인의 인지, 신체적 수행능력, 보행, 삶의 질 및 우울에 미치는 효과", 특수교육재활과학연구, 50(2), pp.307~328 (2011), 특수교육재활과학연구소
- Ono Y, "Occlusion and brain function: mastication as a prevention of cognitive dysfunction", J Oral Rehabil, 37, pp.624~640 (2010)
- Teixeira FB, "Masticatory deficiency as a risk factor for cognitive dysfunction", Int J Med Sci, 11, pp.209~214 (2014)
- Miura H, "Relationship between cognitive function and mastication in elderly females", J Oral Rehabil, 30, pp.808~811 (2003)
- Wu B, "Cognitive function and oral health among community-dwelling older adults", J Gerontol A Biol Sci Med Sci, 63, pp.495~500 (2008)
- Syrjälä AM, "Relationship between cognitive impairment and oral health:results of the Health 2000 Health Examination Survey in Finland", Acta Odontol Scand, 65, pp.103~108 (2007)
- 양동원, "Korean Dementia Screeing Questionnaire (KDSQ)의 개발과 타당도 및 신뢰도의 평가", 대한신경과학회지, 20(2), pp.135~141 (2002), 대한신경과학회
- 황수정, "일부 한국 노인 구강건강 관련 삶의 질 평가를 위한 핵심 음식 선택", 치위생과학회지, 16(5), pp.361~369 (2016), 한국치위생과학회
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- 조민정, "노인들의 의치 사용이 MMSE-K 점수에 미치는 영향", 한국치위생학회지, 16(2), pp.295~301 (2016), 한국치위생학회[DOI]
- 조민정, "경로당 여성 노인들의 치매와 잔존 치아 수와의 관련성", 디지털융복합연구, 14(2), pp.279~286 (2016), 한국디지털정책학회[DOI]
- 김은숙, "일부 치매 및 치매의심환자들의 인지기능에 따른 구강보건인식 조사", 한국치위생학회지, 15(2), pp.217~223 (2015), 한국치위생학회[DOI]
- 전영지, "국민건강보험공단 일반 검진 설문지에 포함된 인지기능 선별문항(KDSQ‐P)의 유용성", Korean Journal of Health Promotion, 10(2), pp.45~52 (2010), 대한임상건강증진학회
- Weyant RJ, "Medical and cognitive correlates of denture wearing in older community-dwelling adults", J Am Geriatr Soc, 52, pp.596~600 (2004)
- 전미진, "전남 일부지역 장기요양노인의 치매 유병에 따른 구강건강상태 비교연구", 대한구강보건학회지, 32(3), pp.299~308 (2008), 대한예방치과·구강보건학회
- 김희진, "알츠하이머병 환자에서의 삶의 질 평가", 대한신경과학회지, 26(4), pp.308~313 (2008), 대한신경과학회
- Barca ML, "Factors associated with depression in norwegian nursing homes", Int J Geriatric Psychiatry, 23, pp.1058~1065 (2008)
- 김다혜, "일부 노인의 저작강도별 음식섭취능력과 잔존치아수가 구강건강관련 삶의 질에 미치는 영향", 치위생과학회지, 16(1), pp.53~61 (2016), 한국치위생과학회
- 김미화, "노인 구강건강 수준과 구강건강관련 삶의 질의 관련성", 치위생과학회지, 14(4), pp.488~494 (2014), 한국치위생과학회
- 주온주, "한국 노인의 치아건강도와 선호식품과의 관련성", 치위생과학회지, 15(6), pp.712~720 (2015), 한국치위생과학회