한국치위생학회지 (Journal of Korean society of Dental Hygiene)

  • 제22권5호
  • /
  • Pages.333-340
  • /
  • 2022
  • /
  • 2287-1705(pISSN)
  • /
  • 2288-2294(eISSN)
한국치위생학회 (Korean Society of Dental Hygiene)
권호 표지
DOI QR코드

DOI QR Code

노인의 인지기능과 구강건강상태의 관련성: 고령화연구패널조사(Korean Longitudinal Study of Aging)를 중심으로

Relevance between cognitive function and oral health status in the elderly: Focusing on Korean Longitudinal Study of Aging

  • Kim, In-Ja (Department of Dental hygiene, Yeoju Institute of Technology) ;
  • Moon, Hee-Jung (Department of Dental hygiene, Yeoju Institute of Technology)
  • 투고 : 2022.09.21
  • 심사 : 2022.10.14
  • 발행 : 2022.10.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study aimed to confirm the association between cognitive function and oral health status in the elderly. Methods: In this study, 5,794 respondents, aged 55 or older, who had participated in the 7th aging research panel survey were used. Statistical analyses were performed using a complex samples cross-tabulation analysis, complex samples general linear model, and a complex sample multinomial logistic regression analysis. Results: After analyzing the cognitive function of the elderly according to their oral health conditions, it was found that suspicions of dementia (19.6%) and cognitive function decline (25.9%) were more common for those who wore dentures than for those who did not wear dentures (p<0.001). Compared to those who did not wear dentures, those who wore dentures were linked to a 1.665 times higher suspicion of dementia (p<0.001). In comparison, cognitive decline was 0.964 times lower when the number of natural teeth increased by 1, and it was 0.941 times lower when the oral health evaluation index for the elderly increased by 1 point (p<0.001). Conclusions: As a result of this study, it was confirmed that cognitive function and oral health status are related in the elderly. Therefore, systematic measures for oral health management and oral health promotion should be prepared in tandem with awareness of possible cognitive decline in the elderly.

키워드

참고문헌

  1. The science times. Health and medicine[Internet]. Cognitive decline, a warning signal for stroke. [cited 2022 Feb 08]. Available From: http://www.sciencetimes.co.kr/news/%EC%9D%B8%EC%A7%80%EA%B8%B0%EB%8A%A5-%EC%A0%80%ED%95%98-%EB%87%8C%EC%A1%B8%EC%A4%91-%EA%B2%BD%EA%B3%A0%EC%8B%A0%ED%98%B8/.
  2. Cancer answer. living health[Internet]. Dementia, the 'enemy of an aging society' (10) The difference between cognitive impairment and dementia. [cited 2022 Feb 23]. Available From:http://www.canceranswer.co.kr/news/articleView.html?idxno=1820.
  3. Ministry of Health and Welfare. 4th Korean national dementia plans. Sejong:Ministry of Health and Welfare;2020:2-3.
  4. Jeon HS. An exploratory study on the predictors of cognitive improvement among older adults: using Korean longitudinal study of aging (KLoSA).Health and Social WelfareReview 2013;33(2):461-88. https://doi.org/10.15709/hswr.2013.33.2.461
  5. Kim ES, Hong MH. Perceived oral health awareness in dementia and dementia - suspected depending on KMME. J Korean Soc Dent Hyg 2015;15(2):217-23. https://doi.org/10.13065/jksdh.2015.15.02.217
  6. Choi MI, Noh HJ, HanSY, MunSJ. Effectof cognitive function and oral health status on mastication ability in elderly individuals. J Korean Soc Dent Hyg 2019;19(1):65-78. https://doi.org/10.13065/jksdh.20190003
  7. Hannele Syrjala AM, Ylostalo P, Sulkava R, Knuuttila M. Relationship between cognitive impairment and oral health: results of the Health 2000 Health Examination Survey in Finland. Acta Odontol Scand 2007;65(2):103-8. https://doi.org/10.1080/00016350601083521
  8. Syrjala AMH, Ylostalo P, Ruoppi P, Komulainen K, Hartikainen S, Sulkava R, et al. Dementia and oral health among subjects aged 75 years or older. Gerodontology 2012;29(1):36-42. https://doi.org/10.1111/j.1741-2358.2010.00396.x
  9. Cho MJ. The relationship between dementia and the number of remaining tooth of the elderly women on senior center. J Digit Converg 2016;14(2):279-86. https://doi.org/10.14400/JDC.2016.14.2.279
  10. GoHB, KimMG, KimJY, KimHS, ParkYS, SeoSH, etal. The relationship between dementia and oral health in some elderly in Daejeon. J Dent Hyg Sci 2016;16(6):481-7. https://doi.org/10.17135/jdhs.2016.16.6.481
  11. Park MJ. The cognition, balance, and quality of life in the elderly. J Korean Biol Nurs Sci 2011;13(2):185-92.
  12. Lee HJ, Kang SK. Age and gender differences in cognitive functioning among elderly. Ment Health Soc Work 2011;37:255-78.
  13. Kim NY. Unmet dental care needs among Korean adults [Master's thesis]. Seoul: Univ.of Seoul National, 2012.
  14. Shin BM, Bae SM, Ryu DY, Choi YK. The relationship between the numbers of natural teeth and nutritional status of elderly in Korea - based on 2007 ~ 2009 national health and nutrition survey data -. J Korean Soc Dent Hyg 2012;12(3):521-31. https://doi.org/10.13065/jksdh.2012.12.3.521
  15. Kong YH. The inequality and trend of self-rated oral health status and unmet dental care for economic reasons according to the educational and income levels of Korean adults: 2007 - 2018 Korea national health and nutritional examination survey[Master's thesis]. Seoul: Univ. of, Hanyang,2021.
  16. Jeon JE, Chung WG, Kim NH. The reason of unmet dental need related socioeconomic status in Korea: using the 4th Korea National Health and Nutritional Examination Survey. J Korean Acad Oral Health 2012;36(1):73-81.
  17. Moon SE, Song AH. Factors affecting unmet dental care needs of Korean: the 6th Korean National Health and Nutritional Examination Survey. J Korean Soc Dent Hyg 2016;16(5):767-74. https://doi.org/10.13065/jksdh.2016.16.05.767
  18. Lee MK, Jin HJ. The prevalence and association factors of unmet dental care needs in Korean adults: the 5th Korea national health and nutritional examination survey. J Korean Soc Dent Hyg 2015;15(5):787-95. https://doi.org/10.13065/jksdh.2015.15.05.787
  19. Tsakos G, Watt RG, Rouxel PL, Oliveira C, Demakakos P. Tooth loss associated with physical and cognitive decline in older adults. J Am Geriatr Soc 2015;63(1):91-9. https://doi.org/10.1111/jgs.13190
  20. Yoon JH, Kim YT, Kim MY, Yoo JJ, Kim JH, Park SG, et al. Effects of tooth loss, tooth decay, and periodontal disease on senile dementia. Goyang:National Health Insurance Service Ilsan Hospital;2017:2-5.
  21. Kaye EK, Valencia A,Baba N, Spiro A, Dietrich T, Garcia RI. Tooth loss and periodontal disease predict poor cognitive function in older men. J Am Geriatr Soc 2010;58(4):713-8. https://doi.org/10.1111/j.1532-5415.2010.02788.x
  22. Musacchio E, Perissinotto E, Binotto P, Sartori L, Silva-Netto F, Zambon S, et al. Tooth loss in the elderly and its association with nutritional status, socio-economic and life style factors. Acta Odontol Scand 2007;65(2):78-86. https://doi.org/10.1080/00016350601058069
  23. Ju OJ. A study on the self - perceived relationship of dental caries and periodontal diseases in the Korean elderly [Doctoral dissertation]. Gwangju: Univ.of Chosun,2009.
  24. Cho MJ, Park DO, Song KB. Influence of denture wearing on a mini - mental state examination (MMSE-K) in the elderly. J Korean Soc Dent Hyg 2016;16(2):295-301. https://doi.org/10.13065/jksdh.2016.16.02.295