Abstract
Background: The objective of this study is to evaluate the effect of the dental and general health in relation to the state of dentition and chewing ability by surveying oral condition and anthropometric measure in order to provide primary statistics for the development of a program which may lead to an improvement in the long-lived elderly health status in a rural community. Materials and Methods: The subjects of this study were 97 rural long-lived elderly(27 males and 70 females) who were over 85 years-old (average age of subjects are $88.14{\pm}3.20$ year old) in Sungju-Gun, Kyungpook Province. Data were collected by using questionnaires and direct measurement of anthropometrics, and oral examination from all 97 subjects on July, 1999. Results: The following results were obtained: 1. 53.6% of all subjects believe that they are healthy. The average values of height, weight, BMI, body fat, lean body fat and total water were $148.8{\pm}11.2cm$, $46.9{\pm}10.5kg$, $21.2{\pm}3.5kg/m^2$, $26.7{\pm}6.9%$, $73.0{\pm}7.1%$, and $53.4{\pm}5.2%$, respectively. 2. The average number of teeth remaining in the subjects were $3.50{\pm}5.71$; the number of maxillary teeth remaining were $1.08{\pm}2.88$; and the number of mandibular teeth remaining were $2.41{\pm}3.76$. The maximum number of teeth remaining among subjects were 22 teeth, and the fully edentulous(no natural teeth) people were 76.3%. The oral conditions of the subjects were 52.6% using denture, 23.7% using natural teeth, and 23.7% masticating edentulous ridge without denture. 3. In terms of oral condition in self-assessment of health, digestive ability, and chewing ability ; On self-assessment of health, 47.1% of those wearing denture group responded as feeling good, 56.5% of those in the group of edentulous without denture, and 65.2% in group of natural teeth only. On self-assessment of digestive ability, 82.4% of those in group of denture responded as feeling good, 65.2% of those in group of no teeth and no denture, and 73.9% of those in group of natural teeth only. On self-assessment of chewing ability, 90.2% of those in the group wearing a denture, 60. 9% of those in the group of no teeth and no denture, and 65.2% of those in the group of natural teeth only. 4. In terms of oral condition in anthropometric measurements; The height, weight, body fat, lean body mass, and total water according to oral conditions were $150.0{\pm}10.7cm$, $49.0{\pm}10.9kg$, $26.9{\pm}6.6%$, $72.7{\pm}7.0%$, $53.2{\pm}5.1%$, respectively, in group wearing a denture, $142.7{\pm}6.0cm$, $43.2{\pm}5.5kg$, $29.5{\pm}7.2%$, $70.8{\pm}6.9%$, $51.8{\pm}5.0%$, respectively, in the group of no teeth and no denture, and $152.3{\pm}14.1cm$, $45.9{\pm}12.6kg$, $23.4{\pm}6.0%$, $75.9{\pm}6.9%$, $55.6{\pm}5.1%$, respectively, in the group of natural teeth only. Conclusion: The subjective measurements of good health were higher denture user, and natural teeth.
본 연구는 구강보건측면에서의 장수를 위한 노인생활지침을 설정하기 위한 기초자료를 제공하기 위해 85세 이상 노인들의 구강검진을 통하여 구강내 실태조사와 저작능력의 상태를 파악하고 구강상태에 따른 건강상태 및 신체계측치를 비교함으로 다음과 같은 결과를 얻었다. 1. 전체 97명 중 남자가 27.8%, 여자가 72.2%이었고, 평균연령은 $88.14{\pm}3.20$세 이었다. 조사대상자의 노인들이 53.6%가 건강하다고 하였다. 조사 대상자의 평균키는 $148.8{\pm}11.2cm$, 평균몸무게는 $46.9{\pm}10.5kg$, 평균BMI는 $21.2{\pm}3.5kg/m^2$, 평균체지방율은 $26.7{\pm}6.9%$, 평균제지방율은 $73.0{\pm}7.1%$, 평균체수분율은 $53.4{\pm}5.2%$로 나타났다. 2. 잔존치아수는 $3.50{\pm}5.71$개로 상악이 $1.08{\pm}2.88$개, 하악이 $2.41{\pm}3.76$개로 나타났고 최대 잔존치아 수는 22개이었고, 치아가 없는 노인이 전체의 76.3%나 되었다. 저작양상은 상,하 의치를 사용하는 노인이 전체의 52.6%, 자기치아만으로 저작(자연치 교합)하는 노인이 23.7%, 치아도 없으며 의치도 사용하지 않는 노인이 23.7%로 나타났다. 3. 저작양상에 따른 주관적 건강상태와 소화상태, 저작능력을 보면 의치 교합군에서 47.1%, 치아도 없이 의치도 사용 안하는 군에서는 56.5%, 자연치교합군에서는 65.2%가 건강하다고 했고, 소화상태도 의치군이 82.4%, 치아도 없이 의치도 사용 안하는 군이 65.2%, 자연치 교합군이 73.9%로 좋다고 했고, 저작능력도 의치군이 90.2%, 치아도 없이 의치도 사용 안하는 군이 60.9%, 자연치 교합군이 65.2%로 좋다고 하였다. 4. 저작영상에 따른 키, 몸무게, 체지방율, 제지방율, 총수분량을 비교하면 의치교협군에서 $150.0{\pm}10.7cm$, $49.0{\pm}10.9kg$, $26.9{\pm}6.6%$, $72.7{\pm}7.0%$, $53.2{\pm}5.1%$이며 치아도 없이 의치도 사용 안하는 군에서는 $142.7{\pm}6.0cm$, $43.2{\pm}5.5kg$, $29.5{\pm}7.2%$, $70.8{\pm}6.9%$, $51.8{\pm}5.0%$이고 자연치교합군에서는 $152.3{\pm}14.1cm$, $45.9{\pm}12.6kg$, $23.4{\pm}6.0%$, $75.9{\pm}6.9%$, $55.6{\pm}5.1%$로 나타났다. 저작양상 대한 신체계측치는 키, 체지방율, 제지방율, 총수분율에서 의치를 사용하는 군, 자연치교합군, 치아도 없이 의치도 사용 안하는 군의 순으로 유의하게 양호한 것으로 나타났다.