연령과 성별에 따른 구강 노쇠의 변화와 임상적 활용 방안의 제안
Changes in Oral Frailty and Suggestions for Clinical Use according to Age and Sex
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: This study aimed to identify and report the changes in oral frailty diagnosis among older Korean adults according to age and sex. Methods: The study included 217 individuals aged 60 years or older who visited senior centers. The final analysis included 100 individuals with complete data on the diagnostic items of oral frailty. After subdividing by age and sex, the average of each age group for diagnostic items was analyzed. Results: The items with oral hypofunction tended to increase sequentially with oral dryness, tongue pressure, occlusal force, and chewing ability as the age group increased. Individuals aged 65-69 years old were considered pre-orally frail and those over 70 years old were determined to be orally frail. The diagnosis of oral frailty and decline in oral function in females was observed to be much faster than in males. Conclusions: This study confirmed that the number of items with decreased oral function increased sequentially with age in older adults and these characteristics also differ according to sex. These findings can be used to prevent deterioration into oral hypofunction and serve as primary data for the phased early detection of oral frailty.
Abstract
Objective: This study aimed to identify and report the changes in oral frailty diagnosis among older Korean adults according to age and sex. Methods: The study included 217 individuals aged 60 years or older who visited senior centers. The final analysis included 100 individuals with complete data on the diagnostic items of oral frailty. After subdividing by age and sex, the average of each age group for diagnostic items was analyzed. Results: The items with oral hypofunction tended to increase sequentially with oral dryness, tongue pressure, occlusal force, and chewing ability as the age group increased. Individuals aged 65-69 years old were considered pre-orally frail and those over 70 years old were determined to be orally frail. The diagnosis of oral frailty and decline in oral function in females was observed to be much faster than in males. Conclusions: This study confirmed that the number of items with decreased oral function increased sequentially with age in older adults and these characteristics also differ according to sex. These findings can be used to prevent deterioration into oral hypofunction and serve as primary data for the phased early detection of oral frailty.
참고문헌 (32)
- Statistics Korea, "Statistics for the elderly 2023", Statistics Korea, 1~84 (2023)
- Jo HY, "The influence of demographic changes on economic growth : VARX approach in Korea(1987~2017)", Journal of Korean Economy Studies, 37(4), pp.113~141 (2019)[DOI]
- Fried LP, "Untangling the concepts of disability, frailty, and comorbidity : Implications for improved targeting and care", J Gerontol A Biol Sci Med Sci, 59(3), pp.255~263 (2004)[DOI]
- Tanaka T, "Oral Frailty as a risk factor for physical frailty and mortality in community-dwelling elderly", J Gerontol A Biol Sci Med Sci, 73(12), pp.1661~1667 (2018)[DOI]
- Cho SE, "Investigating the predictors of frailty : An age-dependent analysis", Health and Social Welfare Review, 37(3), pp.139~169 (2017)[DOI]
- Jung EJ, "Relationship between frailty and oral health among the elderly", J Korean Soc Dent Hyg, 20(3), pp.347~357 (2020)[DOI]
- Park JW, "Aging process in swallowing function", Journal of the Korean Dysphagia Society, 3(1), pp.17~19 (2013)[DOI]
- Aslam M, "Dysphagia in the elderly", Gastroenterol Hepatol, 9(12), pp.784~795 (2013)
- Holland G, "Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population : a self-reporting questionnaire survey", Dis Esophagus, 24(7), pp.476~480 (2011)[DOI]
- Zhang H, "Association between health literacy and dysphagia in the community-dwelling older population : A cross-sectional study", Aging Clin Exp Res, 35(10), pp.2165~2172 (2023)[DOI]
- Park HJ, "Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults", BMC Oral Health, 24(1), pp.441~451 (2024)[DOI]
- National Evidence-based Healthcare Collaborating Agency, the criteria for diagnosing domestic oral frailty and expert consensus on treatment, "NECA", NECA, 1~5 (2022)
- Horii N, "Validity of a dysphagia screening test following resection for head and neck cancer", Ir J Med Sci, 190(1), pp.67~77 (2021)[DOI]
- Tabaoka H, "Relationship between aspiration pneumonia and oral health assessment tool(OHAT)", Nihon Ronen Igakkai Zasshi, 60(4), pp.400~405 (2023)[DOI]
- "WHO BMI" (2024)[URL]
- Decade of healthy ageing: Baseline report, "WHO", WHO, 1~20 (2021)
- Choi YK, "A survey on the oral recognition and oral functional rehabilitation exercise program demand among elderly day and night care center worker", J Korean Soc Dent Hyg, 23(3), pp.147~156 (2023)[DOI]
- Hasegawa Y, "Does oral hypofunction promote social withdrawal in the older adults? A longitudinal survey of elderly subjects in rural Japan", Int J Environ Res Public Health, 17(23), pp.8904~ (2020)[DOI]
- Dibello V, "Oral frailty and its determinants in older age : A systematic review", Lancet Healthy Longev, 2(8), pp.e507~e520 (2021)[DOI]
- Lim HD, "The important consideration for healthy life of older age ; frailty and oral frailty", The Journal of the Korean Dental Association, 61(1), pp.59~66 (2022)[DOI]
- Tanaka T, "Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly", J Gerontol A Biol Sci Med Sci, 73(12), pp.1661~1667 (2018)[DOI]
- Shiraisi A, "Improvement in oral health enhances the recovery of activities of daily living and dysphagia after stroke", J Stroke Cerebrovasc Dis, 30(9), pp.105961~ (2021)[DOI]
- Nakamura M, "Association of oral hypofunction with frailty, sarcopenia, and mild cognitive impairment : A cross-sectional study of communitydwelling Japanese older adults", J Clin Med, 10(8), pp.1626~ (2021)[DOI]
- Kang KL, "Association between dementia and oral health", The Journal of the Korean Dental Association, 56(4), pp.218~230 (2018)[DOI]
- Kim SH, "Comparative analysis of orofacial myofunctional in adults and elderly people", Journal of Korea Academia-Industrial cooperation Society, 20(4), pp.303~310 (2019)[DOI]
- Shiga H, "Relationship between age and occlusal force in adults with natural dentition", Odontology, 111(2), pp.487~492 (2023)[DOI]
- Tanaka T, "Oral frailty five-item checklist to predict adverse health outcomes in community-dwelling older adults : A Kashiwa cohort study", Geriatr Gerontol Int, 23(9), pp.651~659 (2023)[DOI]
- Oguchi N, "The modified water swallowing test score is the best predictor of postoperative pneumonia following extubation in cardiovascular surgery : A retrospective cohort study", Medicine(Baltimore), 100(4), pp.e24478~ (2021)[DOI]
- Brodsky MB, "Screening accuracy for aspiration using bedside water swallow tests : A systematic review and meta-analysis", Chest, 150(1), pp.148~163 (2016)[DOI]
- Hasegawa Y, "Change in tongue pressure in patients with head and neck cancer after surgical resection", Odontology, 105(4), pp.494~503 (2017)[DOI]
- Nakamori M, "Prediction of pneumonia in acute stroke patients using tongue pressure measurements", PLoS One, 11(11), pp.e0165837~ (2016)[DOI]
- Prevalence of sarcopenia in the Republic of Korea, "Kim DY", Korea Disease Control and Prevention Agency, 1055~1067 (2024)