护理学报 ›› 2024, Vol. 31 ›› Issue (12): 21-25.doi: 10.16460/j.issn1008-9969.2024.12.021
老年人咀嚼功能临床研究现状
黄春艳1, 欧阳晓俊2
- 1.南京医科大学 护理学院,江苏 南京 210000;
2.南京医科大学附属老年医院 老年医学科,江苏 南京 210000
摘要： 目的 对老年人咀嚼功能的临床研究进行综述,旨在为老年人咀嚼功能维持和改善提供切实可行、可持续的指导依据。方法 检索国内外文献,对老年人咀嚼功能现状、影响因素、评估方法及预防干预等进行归纳总结。结果 老年人咀嚼功能受损发生率高,易受口腔、咀嚼方式、食物、疾病、社会心理等因素影响,严重影响老年人的身心健康。目前现存的预防干预措施包括口腔健康管理、义齿修复、功能锻炼、建立跨专业协作和多学科团队合作模式、健全多层口腔医疗保障体系等。结论 未来咀嚼功能评估应作为老年综合评估和慢性病初级保健筛查的一部分,并组建护理师、营养师、康复师、口腔医师等多学科的合作团队。此外,结合老年人咀嚼功能的现状和影响因素,参考国外成熟的咀嚼功能干预方案或管理制度,以期在国内建立标准化的老年人咀嚼功能防治策略或方针。
中图分类号:
- R473.78
| [1] Kim S, Kwon YS, Hong KH.What is the relationship between the chewing ability and nutritional status of the elderly in Korea?[J]. Nutrients, 2023, 15(9): 2042. DOI:10.3390/nu15092042. [2] Milagres CS, Tôrres LHDN, Almeida TBD, et al.Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA study[J]. Rev Saúde Pública, 2022, 56: 104. DOI:10.11606/s1518-8787.2022056004195. [3] Nascimento GG, Li H, Malhotra R, et al. Chewing disability is associated with cognitive impairment among older adults: a population-based cohort study[J]. J Gerontol A Biol Sci Med Sci, 2024, 79(5): glae074. DOI:10.1093/gerona/glae074. [4] 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. DOI:10.1111/j.1741-2358.2011.00594.x. [5] Kugimiya Y, Watanabe Y, Ueda T, et al.Rate of oral frailty and oral hypofunction in rural community-dwelling older Japanese individuals[J]. Gerodontol, 2020, 37(4): 342-352. DOI:10.1111/ger.12468. [6] Cho MJ, Kim EK.Subjective chewing ability and health-related quality of life among the elderly[J]. Gerodontol, 2019, 36(2): 99-106. DOI:10.1111/ger.12385. [7] Wang S, Wang K, Luo L, et al.Chewing difficulty and frailty trajectories in Chinese nursing home residents: a prospective cohort study[J]. Geriatr Gerontol Int, 2023, 23(11): 803-808. DOI:10.1111/ggi.14683. [8] Lu TY, Chen JH, Du JK, et al.Dysphagia and masticatory performance as a mediator of the xerostomia to quality of life relation in the older population[J]. BMC Geriatr, 2020, 20(1):521. DOI:10.1186/s12877-020-01901-4. [9] Ueno M, Yanagisawa T, Shinada K, et al.Category of functional tooth units in relation to the number of teeth and masticatory ability in Japanese adults[J]. Clin Oral Investig,2010, 14(1):113-119. DOI:10.1007/s00784-009-0270-8. [10] Kugimiya Y, Watanabe Y, Igarashi K, et al.Factors associated with masticatory performance in community-dwelling older adults: a cross-sectional study[J]. J Am Dent Assoc,1939, 2020, 151(2):118-126. DOI:10.1016/j.adaj.2019.10.003. [11] Sagawa K, Furuya H, Ohara Y, et al.Tongue function is important for masticatory performance in the healthy elderly: a cross-sectional survey of community-dwelling elderly[J]. J Prosthodont Res, 2019, 63(1): 31-34. DOI:10.1016/j.jpor.2018.03.006. [12] Komagamine Y, Kanazawa M, Yamada A, et al.Association between tongue and lip motor functions and mixing ability in complete denture wearers[J]. Aging Clin Exp Res,2019,31(9):1243-1248. DOI:10.1007/s40520-018-1070-2. [13] Shu X, He S, Lo ECM, et al.A systematic review and meta-analysis of the effect of oral exercises on masticatory function[J]. J Dent Res, 2022, 101(5): 515-525. DOI:10.1177/00220345211050326. [14] Leung KCM, Chu CH.Dental care for older adults[J]. Int J Environ Res Public Health, 2022, 20(1):214. DOI:10.3390/ijerph20010214. [15] Farias Gomes SG, Custodio W, Moura Jufer JS, et al.Correlation of mastication and masticatory movements and effect of chewing side preference[J]. Braz Dent J,2010,21(4):351-355. DOI:10.1590/s0103-64402010000400011. [16] Silvester CM, Kullmer O, Hillson S.A dental revolution: the association between occlusion and chewing behaviour[J]. PloS One,2021,16(12):e0261404.DOI:10.1371/journal.pone.0261404. [17] Jockusch J, Hopfenmüller W, Nitschke I.Chewing function and related parameters as a function of the degree of dementia: is there a link between the brain and the mouth?[J]. J Oral Rehabil, 2021, 48(10): 1160-1172. DOI:10.1111/joor.13231. [18] Shu X, Fan Y, Leung KCM, et al.Masticatory function of stroke patients: a systematic review with Meta-analysis[J]. Gerodontol, 2022. DOI:10.1111/ger.12653. [19] Kugimiya Y, Iwasaki M, Ohara Y, et al.Association between sarcopenia and oral functions in community-dwelling older adults: a cross-sectional study[J]. J Cachexia Sarcopenia Muscle, 2023, 14(1): 429-438. DOI:10.1002/jcsm.13145. [20] Hong SW, Kang JH.Relationship between skeletal bone mineral density and subjective masticatory difficulty[J]. BMC Oral Health, 2022, 22(1):136. DOI:10.1186/s12903-022-02172-8. [21] Mikami Y, Watanabe Y, Motokawa K, et al.Association between decrease in frequency of going out and oral function in older adults living in major urban areas[J]. Geriatr Gerontol Int, 2019, 19(8):792-797. DOI:10.1111/ggi.13715. [22] Chun H, Doo M.Factors related to depression associated with chewing problems in the korean elderly population[J]. Int J Environ Res Public Health, 2021, 18(11): 6158. DOI:10.3390/ijerph18116158. [23] Cavalcanti RVA, Magalhães Junior HV, Pernambuco LDA, et al.Screening for masticatory disorders in older adults (SMDOA): an epidemiological tool[J]. J Prosthodont Res, 2020, 64(3): 243-249. DOI:10.1016/j.jpor.2019.07.011. [24] Fan Y, Shu X, Lo ECM, et al.Development and validation of a chewing function questionnaire for Chinese older adults[J]. J Dent, 2021, 104: 103520. DOI:10.1016/j.jdent.2020.103520. [25] Vu H, Lee JK, Kim HD.Development a new chewing problem directory and its validation for Korean elders[J]. BMC Oral Health, 2022, 22(1): 255. DOI:10.1186/s12903-022-02290-3. [26] Liedberg B, ÖWall B.Oral bolus kneading and shaping measured with chewing gum[J]. Dysphagia, 1995, 10(2): 101-106. DOI:10.1007/BF00440079. [27] Hayakawa I, Watanabe I, Hirano S, et al.A simple method for evaluating masticatory performance using a color-changeable chewing gum[J]. Int J Prosthodont, 1998. [28] 丁治国, 孟庆慧, 唐鲁, 等. 美日荷三国口腔卫生士发展现状及对我国护理的启示[J]. 解放军护理杂志, 2020, 37(6): 54-57. [29] Florêncio Costa RT, Leite Vila-Nova TE, Barbosa de França AJ, et al. Masticatory performance of denture wearers with the use of denture adhesives: a systematic review[J]. J Prosthet Dent, 2022, 127(2): 233-238. DOI:10.1016/j.prosdent.2020.10.011. [30] Shirobe M, Watanabe Y, Tanaka T, et al.Effect of an oral frailty measures program on community-dwelling elderly people: a cluster-randomized controlled trial[J].Gerontol,2022,68(4):377-386. DOI:10.1159/000516968. [31] 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. DOI:10.1016/j.jebdp.2016.01.002. [32] 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. DOI:10.1002/cre2.226. [33] Qu X, Qi X, Wu B.Disparities in dental service utilization among adults in chinese megacities: do health insurance and city of residence matter?[J]. Int J Environ Res Public Health, 2020, 17(18): 6851. DOI:10.3390/ijerph17186851. [34] Xu M, Cheng M, Gao X, et al.Factors associated with oral health service utilization among adults and older adults in China, 2015-2016[J]. Community Dent Oral Epidemiol, 2020, 48(1): 32-41. DOI:10.1111/cdoe.12497. [35] 杨金铭, 瞿星, 周学东, 等. 建立健全我国多层次口腔医疗保险的思考和建议[J]. 中华口腔医学杂志,2023,58(2):189-195.DOI:10.3760/cma.j.cn112144-20220601-00294. |
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