Article record

口腔衰弱与日本中老年大师运动员健康相关生活质量的身体成分相关

Oral Frailty Is Associated With the Physical Component of Health-Related Quality of Life in Middle-Aged and Older Japanese Master Athletes.

临床研究咽喉科IF 3.3Q2

文献信息

PMID	42947439
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Eriko Nakata 查看其他 9 位作者 Keizo Yamamoto；Shinobu Mitamura；Naoko Oda；Hiromi Niina；Aya Nohara；Yumiko Hibi；Aya Uemura；Kensuke Takezawa；Mami Fujibayashi
作者单位	Faculty of Agriculture, Setsunan University, Hirakata, Osaka, Japan. 查看其他 5 条单位信息 Faculty of Contemporary Social Studies, Setsunan University, Neyagawa, Osaka, Japan.；Faculty of Pharmaceutical Sciences, Setsunan University, Hirakata, Osaka, Japan.；College of Gastronomy Management, Ritsumeikan University, Kusatsu, Shiga, Japan.；Hannan Chuo Hospital, Matsubara, Osaka, Japan.；Division of Physical and Health Education, Setsunan University, Neyagawa, Osaka, Japan.
期刊	Geriatrics & gerontology international
SCI 分区	Q2
IF	3.3
研究类型	临床研究 · 临床
所属专科	咽喉科

中文摘要

背景： 健康相关生活质量（HRQoL）与口腔健康之间的关联仍不明确，尤其是在身体活跃的成年人中。本研究旨在探讨日本中老年大师运动员的HRQoL与口腔衰弱之间的关联。
方法： 在这项横断面研究中，197名年龄≥35岁的日本大师运动员参与。HRQoL采用Short Form-8评估，并由此得出身体成分摘要评分（PCS）和心理成分摘要评分（MCS）。口腔衰弱采用口腔衰弱5项检查表评估。进行多变量回归分析以校正潜在混杂因素。
结果： 在参与者中，195人（中位年龄：59.0岁[四分位距：53.8-68.0]，41.0%为女性）纳入分析。口腔衰弱患病率在PCS第1三分位组为37.5%，而第2三分位组为16.9%，第3三分位组为16.7%；而MCS各三分位组间患病率相似。多变量回归分析显示，口腔衰弱与PCS独立且呈负相关（标准化β = -0.20，p = 0.006），但与MCS无关（标准化β = -0.12，p = 0.090）。在亚组分析中，咀嚼困难（标准化β = -0.15，p = 0.034）和吞咽困难（标准化β = -0.26，p < 0.001）与PCS相关，而牙齿较少（标准化β = -0.15，p = 0.035）和口干（标准化β = -0.21，p = 0.004）与MCS相关。
结论： 口腔衰弱与日本大师运动员的身体HRQoL显著相关。这些发现提示，将口腔衰弱评估纳入健康促进策略可能改善身体活跃成年人的HRQoL。

英文摘要

BACKGROUND: The association between health-related quality of life (HRQoL) and oral health remains unclear, especially in physically active adults. This study aimed to examine the association between HRQoL and oral frailty in middle-aged and older Japanese master athletes.
METHODS: In this cross-sectional study, 197 Japanese master athletes aged ≥ 35 years participated. HRQoL was assessed using the Short Form-8, from which physical (PCS) and mental (MCS) component summary scores were derived. Oral frailty was assessed using the Oral Frailty 5-Item Checklist. Multivariate regression analyses were conducted to adjust for potential confounders.
RESULTS: Of the participants, 195 individuals (median age: 59.0 years [interquartile range: 53.8-68.0], 41.0% women) were included in the analysis. The prevalence of oral frailty was 37.5% in PCS Tertile 1, compared with 16.9% in Tertile 2 and 16.7% in Tertile 3, while the prevalence was similar across MCS tertiles. Multivariate regression analysis revealed that oral frailty was independently and inversely associated with PCS (standardized β = -0.20, p = 0.006), but not MCS (standardized β = -0.12, p = 0.090). In the sub-analysis, difficulty chewing (standardized β = -0.15, p = 0.034) and swallowing (standardized β = -0.26, p < 0.001) were associated with PCS, whereas fewer teeth (standardized β = -0.15, p = 0.035) and dry mouth (standardized β = -0.21, p = 0.004) were associated with MCS.
CONCLUSION: Oral frailty was significantly associated with physical HRQoL in Japanese master athletes. These findings suggest that incorporating oral frailty assessment into health promotion strategies may enhance HRQoL in physically active adults.