DOI QR코드

DOI QR Code

일부 노인의 노쇠와 구강건강의 관련성

Relationship between frailty and oral health among the elderly

  • Jung, Eun-Ju (Department of Dental Hygiene, Cheongam College) ;
  • Song, Ae-Hee (Department of Dental Hygiene, Chunnam Techno University)
  • 투고 : 2020.03.23
  • 심사 : 2020.04.24
  • 발행 : 2020.06.30

초록

Objectives: The purpose of the study was to investigate the relationship between frailty and oral health among some elderly community residents. Methods: A self-reported questionnaire was completed by 240 elderly in the Gwangju-Jeonnam area from October 1, 2019, to November 30, 2019, based on convenience sampling. The questionnaire consisted of general characteristics of the subjects, frailty level (Kihon checklist), and Geriatric Oral Health Assessment Index. Results: There were 66 (27.5%) frail elderly, and the GOHAI group with a score less than 45 constituted 187 (77.9%), which was higher than the group with a score of 45 or higher. The distribution of the frail elderly was indicated to be higher in the people with older age (p<0.05), lower educational level (p<0.01), current economic inactivity (p<0.05), living alone (p<0.01), more chronic diseases (p<0.01), and GOHAI score below 45 (p<0.01). Compared to those with a good oral health-related quality of life, those with a poor quality of life showed a 3.03 times higher risk of frailty (95% CI=1.291-7.107)(p<0.05). Conclusions: By recognizing the need for oral health care of the elderly through these results and by identifying the relationship between frailty and oral health, it is possible to consider oral health as a predictor of frailty.

키워드

참고문헌

  1. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56(3):146-56. https://doi.org/10.1093/gerona/56.3.m146
  2. Ma SH, Jeung KY, Hong SH, Shim EY, Yoo SH, Kim MY, et al. Correlation between frailty level and disability of the elderly and frailty related factors. Korean J Fam Med 2009;30(8):588-97. https://doi.org/10.4082/kjfm.2009.30.8.588
  3. World Health Organization. World Report on Ageing and Health. Geneva: World Health Organization; 2015: 25-39.
  4. Kim CO, SunWoo D. A frailty instrument to predict disability, institutionalization, and mortality: Findings from the living profiles of older people survey. J Kor Gerontol Soc 2015;35(2):451-74.
  5. Health Insurance Review & Assessment Service. 2018 National health insurance statistical yearbook[Internet]. Health Insurance Review & Assessment Service; 2018. [cited 2020 May 02]. Available from:http://www.hira.or.kr/bbsDummy.do?pgmid =HIRAA020045020000&brdScnBltNo=4&brdBltNo=2311&pageIndex=1.
  6. Kang BW, Kim KS, Kim YK, Kim YH, Moon SE, Sung MK, et al. Preventive dentistry. 2nd ed. Komoonsa; 2019: 376.
  7. Health Insurance Review & Assessment Service. 2017 Disease statistics[Internet]. Health Insurance Review & Assessment Service; 2017. [cited 2020 May 17]. Available from:http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=9452#none.
  8. Lee HR, Lee HM, Kim HJ, Oh KY. Trends in oral health status among adults over 65 years old in Korea, 2007-2013. Public Health Weekly Report 2015;8(31):735-6.
  9. Sjogren P, Nilsson E, Forsell M, Johansson O, Hoogstraate J. A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes: effect estimates and methodological quality of randomized controlled trials. J Am Geriatr Soc 2008;56(11):2124-30. https://doi.org/10.1111/j.1532-5415.2008.0192
  10. Par M, Badovinac A, Plancak D. Oral hygiene is an important factor for prevention of ventilatorassociated pneumonia. Acta Clin Croat 2014;53(1):72-8.
  11. Listl S. Oral health conditions and cognitive functioning in middle and later adulthood. BMC Oral Health 2014;14:70. https://doi.org/10.1186/1472-6831-14-70
  12. Jung EJ. Effects of general and oral health on quality of life in the elderly living alone and with family. J Korean Soc Dent Hyg 2019;19(4):577-89. https://doi.org/10.13065/jksdh.20190040
  13. Cho SE, Choi EY, Oh YS, Kim YS, Kim SB. Investigating the predictors of frailty: An age-dependent analysis. Health and Social Welfare Review 2017;37(3):139-69. https://doi.org/10.15709/hswr.2017.37.3.139
  14. Kim JG. An analysis on income-related health inequality of the aged applied to EQ-5D. J Kor Gerontol Soc 2012;32(3):759-76.
  15. Tomata Y, Hozawa A, Ohmori-Matsuda K, Nagai M, Sugawara Y, Nitta A, et al. Validation of the Kihon Checklist for predicting the risk of 1-year incident long-term care insurance certification: the Ohsaki Cohort 2006 Study. Nihon Koshu Eisei Zasshi 2011;58(1):3-13.
  16. Sunwoo D, Lee SH, Park JS, Bae SS, Cho YH, Kim CB, et al. Analysis of the effects of muscle strength exercise onphysical function and quality of life in the frail elderly. J Kor Soc Health Edu and Promotion 2008;25(1):39-53.
  17. Nemoto M, Yabushita N, Kim MJ, Matsuo T, Seino S, Tanaka K. Assessment of vulnerable older adults' physical function according to the Japanese Long-Term Care Insurance(LTCI) system and Fried's criteria for frailty syndrome. Arch Gerontol Geriatr 2012;55(2):385-91. https://doi.org/10.1016/j.archger.2011.10.004
  18. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ 1990;54(11):680-7. https://doi.org/10.1002/j.0022-0337.1990.54.11.tb02481.x
  19. Shin SJ, Jung SH. A Korean version of the geriatric oral health assessment index(GOHAI) in elderly populations: validity and reliability. J Kor Acad Oral Health 2011;35(2):187-95.
  20. Cho MJ. Associations between oral health-related index and MMSE of the elderly[Doctoral dissertation]. Daegu: Univ. of Kyungpook National, 2016.
  21. Jung Y, Bae JE, Song ES, Kim NS. Frailty and health care utilization among community-dwelling older adults. J Kor Gerontol Soc 2018;38(4):837-51. https://doi.org/10.31888/JKGS.2018.38.4.837
  22. Statistics Korea. Korea's Social Trends 2018[Internet]. Statistics Korea; 2018. [cited 2020 May 16]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/15/index.board?bmode=read&aSeq=372006.
  23. Ikebe K, Hazeyama T, Enoki K, Murai S, Okada T, Kagawa R, et al. Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese. Community Dent Oral Epidemiol 2012;40(5):406-14. https://doi.org/10.1111/j.1600-0528.2012.00683.x
  24. Wong CH, Weiss D, Sourial N, Karunananthan S, Quail JM, Wolfson C, et al. Frailty and its association with disability and comorbidity in a community-dwelling sample of seniors in Montreal: a crosssectional study. Aging Clin Exp Res 2010;22(1):54-62. https://doi.org/10.3275/6675
  25. Bortz WM. A conceptual framework of frailty: a review. J Gerontol A Biol Sci Med Sci 2002;57(5):283-8. https://doi.org/10.1093/gerona/57.5.M283
  26. Tanner EK. Recognizing late-life depression: why is this important for nurses in the home setting? Geriatr Nurs 2005;26(3):145-9. https://doi.org/10.1016/j.gerinurse.2005.03.020
  27. St John PD, Tyas SL, Montgomery PR. Depressive symptoms and frailty. Int J Geriatr Psychiatry 2013;28(6):607-14. https://doi.org/10.1002/gps.3866
  28. Chimeddamba O, Peeters A, Walls HL, Joyce C. Noncommunicable disease prevention and control in Mongolia: A policy analysis. BMC Public Health 2015;15:660. https://doi.org/10.1186/s12889-015-2040-7
  29. Wilhelm-Leen ER, Hall YN, K Tamura M, Chertow GM. Frailty and chronic kidney disease: the Third National Health and Nutrition Evaluation Survey. Am J Med 2009;122(7):664-71. https://doi.org/10.1016/j.amjmed.2009.01.026
  30. Ministry Health Welfare. 2016 Korea national health and nutrition examination survey. Seoul: Ministry Health Welfare; 2016: 61.
  31. Kwon SH, Park HR, Lee YM, Kwon SY, Kim OS, Kim HY, et al. 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). Nutr Res Pract 2017;11:139-46. https://doi.org/10.4162/nrp.2017.11.2.139
  32. Ramos MI, Allen LH, Mungas DM, Jagust WJ, Haan MN, Green R, et al. Low folate status is associated with impaired cognitive function and dementia in the sacramento area latino study on aging. Am J Clin Nutr 2005;82(6):1346-52. https://doi.org/10.1093/ajcn/82.6.1346
  33. Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Takiguchi T, Wada T, et al. Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly. Geriatr Gerontol Int 2013;13(3):718-25. https://doi.org/10.1111/ggi.12006
  34. Kim SJ, Shim HK, Lee JN, Shim ES, Park JY, Park II, et al. The oral cavity administered by Japanese elderly care institutions health service survey. Seoul: Dental Medical Policy Research Institute; 2016: 30.