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

• 資料種別: 博士論文
• 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
• 著者・編者: 砂川, 裕亮
• 著者標目: 砂川, 裕亮
• 出版事項: Hokkaido University
• 出版年月日等: 2022-03-24
• 出版年（W3CDTF）: 2022-03-24
• 並列タイトル等: 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
• 寄与者: 山崎, 裕; 横山, 敦郎; 北川, 善政; 渡邊, 裕
• 授与機関名: 北海道大学
• 授与年月日: 2022-03-24
• 授与年月日（W3CDTF）: 2022-03-24
• 報告番号: 甲第15007号
• 学位: 博士(歯学)
• 博論授与番号: 甲第15007号
• 本文の言語コード: eng
• 件名標目: Regular dental management; Weight loss; Long-term care; Facility residents; Regular diet; Dysphasia diet
• NDC: 497
• 対象利用者: 一般
• 一般注記: 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.; (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; 歯学院（口腔医学専攻）; 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).
• DOI: 10.14943/doctoral.k15007; https://doi.org/10.14943/doctoral.k15007
• 国立国会図書館永続的識別子: info:ndljp/pid/12303025; https://dl.ndl.go.jp/pid/12303025
• 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）
• 受理日（W3CDTF）: 2022-07-05T02:30:21+09:00
• 作成日（W3CDTF）: 2022-03
• 記録形式（IMT）: 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
• 掲載誌（URI）: http://dx.doi.org/10.14943/doctoral.k15007; http://hdl.handle.net/2115/86034
• 異版（URI）: https://doi.org/10.1007/s41999-021-00576-3
• 参照（URI）: http://hdl.handle.net/2115/86036
• 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