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한국 노인의 신체활동과 구강노쇠의 관련성

Relationship between physical activity and oral frailty among older adults in Korea

  • 김인자 (여주대학교 치위생과) ;
  • 김동애 (여주대학교 치위생과)
  • In-Ja Kim (Department of Dental Hygiene, Yeoju Institute of Technology) ;
  • Dong-Ae Kim (Department of Dental Hygiene, Yeoju Institute of Technology)
  • 투고 : 2024.07.29
  • 심사 : 2024.09.09
  • 발행 : 2024.10.30

초록

Objectives: This study aimed to investigate the effects of physical activity on oral frailty in older Korean adults. Methods: The data from 1,320 individuals aged 65 years and older, derived from the 8th Korean National Health and Nutrition Examination Survey (2019), were subjected to complex sample statistical analysis. Oral frailty was assessed based on the presence of one or more functional impairments according to the following five criteria: difficulty chewing, difficulty speaking, number of natural teeth, brushing frequency, and use of oral hygiene products. Results: Chewing discomfort and difficulty speaking were highest in the 76-80 age group at 44.5% and 18.1%, respectively (p<0.01). The proportion of patients with 20+ natural teeth decreased from 72.2% (65-70) to 45.3% (75-80) (p<0.001). The daily brushing rate was 50.2% in the 65-70 group. Chewing discomfort was reported by 26% of those who walked 4-6 days a week (p<0.01). Moderate-intensity activity was linked to lower chewing discomfort (22.9%) and speaking difficulty (7.4%) compared with higher levels in inactive individuals (30.4%, 14.9%) (p<0.01). Brushing three times daily was observed in 52.9% of walkers and 33.9% of non-walkers (p<0.001). Oral hygiene product use varied significantly according to activity level (p<0.05). Conclusions: Physical activity significantly affects oral frailty, highlighting the need for targeted training and policy development.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. 2022R1F1A107489213).

참고문헌

  1. United States. Public Health Service. Office of the Surgeon General.; National Center for Chronic Disease Prevention and Health Promotion (U.S.); President's Council on Physical Fitness and Sports (U.S.) Physical activity and health: a report of the surgeon general. Atlanta: U.S. Dept. of health and human services, centers for disease control and prevention. National Center for Chronic Disease Prevention and Health Promotion; 1996: 1-278.
  2. Singh MAF. Exercise comes of age: rationale and recommendations for a geriatric exercise prescription. J Gerontol A Biol Sci Med Sci 2002;57(5):M262-82. https://doi.org/10.1093/gerona/57.5.m262
  3. Ministry of health and welfare, Korea health promotion institute. Physical activity guidelines for Koreans revised edition. Sejong & Seoul: Ministry of health and welfare & Korea health promotion institute; 2023: 1-81.
  4. Kim YK, Koo KM. The effect of elderly's participation in physical activity on subjective health status. Korean Journal of Adapted Physical Activity 2021;29(1):169-77.
  5. Kwak KI, Baek CH, Ryu SY. Relationship between the physical activity levels and health care utilization in Korean elderly. JKAIS 2015;16(1):617-26. https://doi.org/10.5762/KAIS.2015.16.1.617
  6. Lim HD. The important consideration for healthy life of older age; frailty and oral frailty. JKDA 2022;61(1):59-66. https://doi.org/10.22974/jkda.2022.61.1.004
  7. National Evidence-based Healthcare Collaborating Agency. Notification yard, Press release [Internet]. Diagnostic criteria and treatment of oral senility in Korea[cited 2024 Apr 20]. Available from: https://www.neca.re.kr/lay1/bbs/S1T12C38/F/38/view.do?article_seq=9022&cpage=2&rows=10&condition=&keyword=&show=&cat=.
  8. Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, et al. Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly. J Gerontol A Biol Sci Med Sci 2018;73(12):1661-7. https://doi.org/10.1093/gerona/glx225
  9. Ramsay SE, Papachristou E, Watt RG, Tsakos G, Lennon LT, Papacosta AO, et al. Influence of poor oral health on physical frailty: a population-based cohort study of older british men. J Am Geriatr Soc 2018;66(3):473-9. https://doi.org/10.1111/jgs.15175
  10. Singh NA, Maria AF. Exercise and depression in the older adult. Nutrition Clinical Care 2000;3(4):197-208. https://doi.org/10.1046/j.1523-5408.2000.00052.x
  11. Iwao Y, Shigeishi H, Takahashi S, Uchida S, Kawano S, Sugiyama M. 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. Clin Exp Dent Res 2019;5(6):611-9. https://doi.org/10.1002/cre2.226
  12. Kang HK. A study on the relationship between physical activity, mental health, oral health and quality of life according to chewing difficulty. Journal of Oral Health Science 2019;7(2):1-8. https://doi.org/10.33615/jkohs.2019.7.2.1
  13. Kim YR. The convergence effects of walking days on health-related quality of life (HINT-8) and oral health-related behaviors: national health and nutrition examination survey (2019). J Korea Converg Soc 2021;12(12):107-15. https://doi.org/10.15207/JKCS.2021.12.12.107
  14. NamKoong EJ, Ryu DY. Relationship between the degree of physical activity and oral health behaviors of adolescents. J Kor Dent Hyg Sci 2021;4(1):79-87. https://doi.org/10.22753/JKDHS/2021.4.1.79
  15. Park SY, Lim SA. Effects of physical activity and depression on oral health behavior and awareness symptoms in postmenopausal women. J Korean Soc Dent Hyg 2021;21(5):595-600. https://doi.org/10.13065/jksdh.20210057
  16. Sanchez GFL, Smith L, Koyanagi A, Grabovac I, Yang L, Veronese N, et al. Associations between self-reported physical activity and oral health: a cross-sectional analysis in 17,777 Spanish adults. Br Dent J 2020;228(5):361-5. https://doi.org/10.1038/s41415-020-1306-3
  17. Kim IJ. Correlation between oral frailty and health-related quality of life (HINT-8) among older adults in Korea. J Korean Soc Dent Hyg 2024;24(2):109-19. https://doi.org/10.13065/jksdh.20240012
  18. Chodzko-Zajko WJ, David NP, Maria A FS, Minson CT, Claudio RN, George JS, et al. American college of sports medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009;41(7):1510-30. https://doi.org/10.1249/MSS.0b013e3181a0c95c
  19. Landi F, Angela MA, Provinciali M, Corsonello A, Bustacchini S, Manigrasso L, et al. Moving against frailty: does physical activity matter? Biogerontology 2010;11(5):537-45. https://doi.org/10.1007/s10522-010-9296-1
  20. Blondell SJ, Hammersley-Mather R, Veerman JL. Does physical activity prevent cognitive decline and dementia?: a systematic review and meta-analysis of longitudinal studies. BMC Public Health 2014;14:510. https://doi.org/10.1186/1471-2458-14-510
  21. Son NK, Sung HY, Kim YS. The association between resistance exercise frequency, aerobic physical activity level, and health-related quality of life in Korean older adults: findings from the Seventh Korea National Health and Nutrition Examination Survey, 2018. Korean J Sports Med 2021;39(1):19-26. https://doi.org/10.5763/kjsm.2021.39.1.19
  22. Korea health promotion institute, Comprehensive National Health Promotion Plan, Detailed indicator HP2030, Healthy lifestyle practice, Physical activity [Internet]. Korea Disease Control and Prevention Agency[cited 2024 Jul 17]. Available from: https://www.khepi.or.kr/hpn/hpnIdx/selectIdxDetailList2030.do?menuId=MENU01424.
  23. Park JS, Kim IJ. Oral health behavior according to perceived oral symptoms in the elderly. J Korean Soc Dent Hyg 2016;16(6):955-68. https://doi.org/10.13065/jksdh.2016.16.06.955
  24. Ju OJ, Kim IJ, Son JL. Influence of health-related quality of life (EQ-5D) on oral health problems in the elderly in the national health and nutrition survey. J Korea Converg Soc 2020;11(1):309-15. https://doi.org/10.15207/JKCS.2020.11.1.309