高齢者における咬合の安定性と併存疾患との関連性

• Material Type: 博士論文
• Title: 高齢者における咬合の安定性と併存疾患との関連性
• Author/Editor: 板倉, 進
• Author Heading: 板倉, 進 イタクラ, ススム
• Publication, Distribution, etc.: The Japanese Society of Internal Medicine
• Publication Date: 2018
• Publication Date (W3CDTF): 2018
• Alternative Title: The association of bite instability and comorbidities in elderly people
• Periodical title: Internal Medicine
• No. or year of volume/issue: 57
• Volume: 57
• Pages: 1569-1576
• Degree grantor/type: 鹿児島大学
• Date Granted: 2018-04-26
• Dissertation Number: 甲総研第458号
• Degree Type: 博士(医学); Doctor of Philosophy in Medical Science
• Text Language Code: eng
• Target Audience: 一般
• Note (General): 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
• Format (IMT): application/pdf
• Source: Diss_板倉_進_ISK458_2018 （fulltext）; https://ir.kagoshima-u.ac.jp/record/14397/files/Diss_%E6%9D%BF%E5%80%89_%E9%80%B2_ISK458_2018.pdf
• Access Restrictions: インターネット公開
• Rights (production): Ⓒ 2018 The Japanese Society of Internal Medicine
• Related Material: Internal Medicine; http://internmed.jp
• Is Version Of (URI): URI; https://doi.org/10.2169/internalmedicine.9830-17
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 鹿児島大学 : 鹿児島大学リポジトリ