Relationship between weight loss and regular dental management for older individuals residing in long-term care insurance facilities : 1-Year multicenter longitudinal study

砂川, 裕亮

doi:https://doi.org/10.14943/doctoral.k15007

Relationship between weight loss and regular dental management for older individuals residing in long-term care insurance facilities : 1-Year multicenter longitudinal study

砂川, 裕亮

2022

Permalink : https://doi.org/10.14943/doctoral.k15007

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アクセス権	open access
DOI	https://doi.org/10.14943/doctoral.k15007
URI	https://hdl.handle.net/2115/86034
タイトル	Relationship between weight loss and regular dental management for older individuals residing in long-term care insurance facilities : 1-Year multicenter longitudinal study
タイトル	介護保険施設入所者への定期的歯科管理と体重減少との関連 : 1年間の多施設縦断研究
著者	著者名砂川, 裕亮
言語	英語
キーワード	Regular dental management
	Weight loss
	Long-term care
	Facility residents
	Regular diet
	Dysphasia diet
発行日	2022-03-24
出版者	Hokkaido University
抄録	Purpose This study aimed to determine the association between home visits by a dentist and regular oral hygiene management by a dental hygienist (regular dental management: RDM) and weight loss among older adults in long-term care facilities. Methods A total of 468 older residents from 26 Japanese long-term care facilities participated in two surveys in 2018 and 2019. Participants were divided into two groups based on their diet during the baseline survey (regular diet, n = 256; dysphagia diet, n = 212). Participants with a regular diet were further divided into those who exhibited a weight loss ≥ 5% over 1 year (weight loss group: n = 77) and those with a weight loss < 5% (consistent weight group: n = 179). The explanatory variables were age, sex, baseline weight, Barthel index, and clinical dementia rating, as well as the patients’ medical history of pneumonia, stroke, diabetes, and depression (which is reportedly associated with weight). Additionally, a Poisson regression with robust standard error, was carried out to analyze the explanatory variables, namely the prevalence of RDM noted during the study and functional teeth (which seemed to affect weight loss). Results A multivariate analysis revealed that older residents’ lack of RDM, clinical dementia assessment, and their history of pneumonia (prevalence rate ratio: 0.35, 95% confidence interval 0.24-0.95) were all significantly associated with weight loss when on a regular diet. Conclusion Thus, weight loss and RDM were related to each other. Weight loss may be suppressed by incorporating RDMs during the early nursing care for older residents on regular diets.
学位授与機関	識別子 10101 機関名北海道大学 Hokkaido University
学位授与年月日	2022-03-24
学位授与番号	甲第15007号
学位名	博士(歯学)
学位の審査委員	(主査) 教授山崎裕, 教授横山敦郎, 教授北川善政, 准教授渡邊裕
学位審査の研究科等	歯学院（口腔医学専攻）
資源タイプ	博士論文
出版タイプ	Version of Record
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s41999-021-00576-3 Title Sunakawa, Y., Tsugayasu, H., Watanabe, Y. et al. Relationship between weight loss and regular dental management of older adults residing in long-term care facilities: a 1-year multicenter longitudinal study. Eur Geriatr Med 13, 221–231 (2022).
関連情報 (isReferencedBy)	HDL https://hdl.handle.net/2115/86036