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
• Volume: 57
• Author/Editor: 板倉, 進
• Author Heading: 板倉, 進
• Publication, Distribution, etc.: The Japanese Society of Internal Medicine
• Publication Date: 2018; 57
• Publication Date (W3CDTF): 2018
• Alternative Title: The association of bite instability and comorbidities in elderly people
• Periodical title: Internal Medicine
• Pages: 1569-1576
• Degree Grantor: 鹿児島大学
• Date Granted: 2018-04-26
• Date Granted (W3CDTF): 2018-04-26
• Dissertation Number: 甲総研第458号
• Degree Type: 博士(医学)
• 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; 機関リポジトリ記載の権利情報: Ⓒ 2018 The Japanese Society of Internal Medicine
• Persistent ID (NDL): info:ndljp/pid/11123203; https://dl.ndl.go.jp/pid/11123203
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 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
• Acquisition Basis: 博士論文（自動収集）
• Format (IMT): PDF; text/html; application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Related Material (URI): http://internmed.jp
• Periodical Title (URI): http://hdl.handle.net/10232/00030301
• Is Version Of (URI): https://doi.org/10.2169/internalmedicine.9830-17
• Data Provider (Database): 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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