高齢者における咬合の安定性と併存疾患との関連性

• 資料種別: 博士論文
• タイトル: 高齢者における咬合の安定性と併存疾患との関連性
• 巻次・部編番号: 57
• 著者・編者: 板倉, 進
• 著者標目: 板倉, 進
• 出版事項: The Japanese Society of Internal Medicine
• 出版年月日等: 2018; 57
• 出版年（W3CDTF）: 2018
• 並列タイトル等: The association of bite instability and comorbidities in elderly people
• タイトル（掲載誌）: Internal Medicine
• 掲載ページ: 1569-1576
• 授与機関名: 鹿児島大学
• 授与年月日: 2018-04-26
• 授与年月日（W3CDTF）: 2018-04-26
• 報告番号: 甲総研第458号
• 学位: 博士(医学)
• 本文の言語コード: eng
• 対象利用者: 一般
• 一般注記: 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨; Objective: The purpose was to evaluate the association between bite instability and comorbidities, comprehensive geriatric evaluations, or disabilities in elderly people.Methods: A dentist examined the oral function, such as the bite stability, number of teeth, and the use of dentures, in 119 patients (93 women, mean age: 86.7±7.8) in 2 nursing homes for the elderly. The association between the oral function and the prevalence of diseases, including hypertension, diabetes mellitus, and dementia, was analyzed.Results: The median number of teeth was 0 [0,4]. The patients were divided into a bite-stable group (n=78, 66%) and bite-unstable group (n=41, 34%). The prevalence of hypertension was significantly higher in the bite-stable group than in the bite-unstable group (83% vs. 63%, respectively; p=0.0149), whereas the prevalence of diabetes mellitus was significantly lower in the bite-stable group than in the bite-unstable group (10% vs. 27%, respectively; p=0.0190). The prevalence of a cognitive function decline was significantly lower in the bite-stable group as well (59% vs. 83%, p=0.0082). According to the simplified comprehensive geriatric assessment 7, the bite-stable group scored significantly higher for instrumental activities of daily living (ADL) than the bite-unstable group (54% vs. 24%, respectively; p=0.0021). A multivariate logistic regression analysis demonstrated that bite instability was in dependently correlated with hypertension, diabetes mellitus, and instrumental activities of daily living.Conclusion: Bite instability was independently associated with a decreased prevalence of hypertension or increased prevalence of diabetes mellitus and low levels of instrumental ADL in the elderly.; 博士論文全文の著者: Susumu Itakura, Masaaki Miyata, Atsushi Kuroda, Manabu Setoguchi, Atsushi Kusumoto, Daisuke Hokonohara and Mitsuru Ohishi; 機関リポジトリ記載の権利情報: Ⓒ 2018 The Japanese Society of Internal Medicine
• 国立国会図書館永続的識別子: info:ndljp/pid/11123203; https://dl.ndl.go.jp/pid/11123203
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 記録形式（IMT）: PDF; text/html; application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: http://internmed.jp
• 掲載誌（URI）: http://hdl.handle.net/10232/00030301
• 異版（URI）: https://doi.org/10.2169/internalmedicine.9830-17
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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