Objective To investigate the current status of oral frailty in maintenance hemodialysis (MHD) patients and to explore its influencing factors. Method The convenient sampling method was used to select patients from the Hemodialysis Center of Lu'an Hospital of Anhui Medical University in the period from October 2022 to June 2023. This survey was conducted using a general information questionnaire, an oral frailty index-8, a simplified nutritional appetite questionnaire, and an age-charlson comorbidity index (aCCI). Results The incidence of oral frailty in the 238 MHD patients was 41.2%. Binary logistic regression showed that educational level (OR=0.591, 95% CI:0.400～0.875, P=0.009), grip strength (OR=0.922, 95% CI:0.880～0.967, P=0.001), aCCI score (OR=1.820, 95% CI:1.498～2.212, P＜0.001), and simplified nutritional appetite survey scale score (OR=0.895, 95% CI: 0.803～0.998, P=0.046) were the influencing factors for oral frailty in MHD patients. Conclusion The prevalence of oral frailty is relatively high in MHD patients. Medical professionals should pay attention to the oral health problems in MHD patients and develop targeted intervention measures based on their conditions.
DOU Jun-Kai
,
LI Li
,
MEI Yan
,
YANG Liang
,
LIU Huan
,
SHI Xue-Zhi
. Current situation and influencing factors of oral frailty in maintenance hemodialysis patients[J]. Chinese Journal of Blood Purification, 2024
, 23(02)
: 86
-90
.
DOI: 10.3969/j.issn.1671-4091.2024.02.002
[1]吴丽贞,黄丽华,王招娣,等.老年口腔衰弱影响因素及评估工具的研究进展[J].护理与康复,2022,21(9):93-96.
[2]Watanabe Y, Okada K, Kondo M,et al. Oral health for achieving longevity[J]. Geriatr Gerontol Int. 2020,20(6):526-538.
[3]Iwasaki M, Motokawa K, Watanabe Y,et al. Association between Oral Frailty and Nutritional Status among Community-Dwelling Older Adults: the Takashimadaira Study[J]. J Nutr Health Aging. 2020;24(9):1003-1010.
[4]屠杭佳,张书怡,方雨慧,等.社区老年人口腔衰弱现状及影响因素分析[J].中华护理杂志,2023,58(11):1351-1356.
[5]唐吉,唐小艳,曾黎,等.贵州省农村地区老年人口腔衰弱的流行现况及影响因素分析[J].中国慢性病预防与控制,2023,31(5):327-331.
[6]Iwasaki M, Motokawa K, Watanabe Y, et al. Oral hypofunction and malnutrition among community-dwelling older adults: Evidence from the Otassha study[J]. Gerodontology. 2022,39(1):17-25.
[7]Nagatani M, Tanaka T, Son BK,et al. Oral frailty as a risk factor for mild cognitive impairment in community-dwelling older adults: Kashiwa study[J]. Exp Gerontol. 2023,172:112075.
[8]Yoshida M, Hiraoka A, Takeda C,et al. Oral hypofunction and its relation to frailty and sarcopenia in community-dwelling older people[J]. Gerodontology. 2022,39(1):26-32.
[9]Tanaka T, Takahashi K, Hirano H, et al. Oral Frailty as a Risk Factor for Physical Frailty and Mortality in Community-Dwelling Elderly[J]. J Gerontol A Biol Sci Med Sci. 2018,73(12):1661-1667.
[10]Tanaka T, Hirano H, Ohara Y, et al. Frailty Index-8 in the risk assessmentof new-onset oral frailty and functional disability among community-dwelling older adults[J]. Arch Gerontol Geriatr. 2021,94:104340.
[11]Charlson M, Szatrowski TP, Peterson J,et al. Validation of a combined comorbidity index[J]. J Clin Epidemiol. 1994,47(11):1245-51.
[12]Wilson MM, Thomas DR, Rubenstein LZ, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents[J]. Am J Clin Nutr. 2005,82(5):1074-81.
[13]Iwasaki M, Motokawa K, Watanabe Y, et al. A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults[J]. Int J Environ Res Public Health. 2020,18(1):213.
[14]K?l?? Ak?a N, Efe Arslan D, ?n H. Examination of factors affecting oral health in patients receiving haemodialysis[J]. J Ren Care. 2022,48(4):262-271.
[15]田青,姜亚芳,向晶,等.血液透析患者健康素养现状及其影响因素分析[J].中国护理管理,2018,18(4):492-496.
[16]Mitsionis G, Pakos EE, Stafilas KS,et al. Normative data on hand grip strength in a Greek adult population[J]. Int Orthop. 2009,33(3):713-7.
[17]杨玉洁,何茂芯,曾英,等.维持性血液透析患者体能水平现状调查及影响因素研究[J].中国血液净化,2020,19(7):496-499.
[18]胡美玲,罗棉,覃勋,等.维持性血液透析患者握力与营养指标的相关性[J].广东医学,2019,40(11):1589-1593.
[19]肖露微,冷娟娟,汪张毅,等.维持性血液透析患者衰弱现状调查与影响因素分析[J].护理实践与研究,2023,20(6):825-830.
[20]闫文静.单中心腹膜透析患者早期退出原因及危险因素分析[D].苏州大学,2022.
[21]王玉春,郝旭仲,张积友,等.老年慢性阻塞性肺病患者衰弱影响因素研究[J].广州中医药大学学报,2022,39(11):2483-2490.
[22]陶代娣,顾朋颖,丁西平,等.住院共病老年患者衰弱现状及其危险因素研究[J].中国临床保健杂志,2022,25(2):179-183.
[23]Lau S, Pek K, Chew J,et al. The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults[J]. Nutrients. 2020,12(9):2885.
[24]Ritchie CS, Joshipura K, Hung HC,et al. Nutrition as a mediator in the relation between oral and systemic disease: associations between specific measures of adult oral health and nutrition outcomes[J]. Crit Rev Oral Biol Med. 2002,13(3):291-300.
