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ワカバヤシ ヒデタカ
Wakabayashi Hidetaka
若林 秀隆 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Association of poor oral health status and faecal incontinence in patients with dysphagia: A cross-sectional analysis from the Sarcopenic Dysphagia Database. |
| 掲載誌名 | 正式名：Journal of oral rehabilitation 略 称：J Oral Rehabil ISSNコード：13652842/0305182X |
| 掲載区分 | 国外 |
| 巻・号・頁 | 50(4),pp.286-292 |
| 著者・共著者 | Shimizu Akio, Maki Hiroki, Ohno Tomohisa, Nomoto Akiko, Fujishima Ichiro, Kayashita Jun, Momosaki Ryo, Nishioka Shinta, Wakabayashi Hidetaka |
| 担当区分 | 最終著者 |
| 発行年月 | 2023/04 |
| 概要 | BACKGROUND:Poor oral health status may alter oral and gut microbiota. Previous studies have shown that poor oral health can exacerbate gut inflammation. Therefore, poor oral health status may be related to faecal incontinence via changes in the gut.OBJECTIVE:To investigate the association between poor oral health status and faecal incontinence in inpatients with dysphagia.METHODS:This multicentre cross-sectional study included 423 patients (mean age 79.8 ± 11.5 years, 48.2% female) with dysphagia. Oral health status was assessed at each facility using the Oral Health Assessment Tool (OHAT) or the Revised Oral Assessment Guide (ROAG). Poor oral health status was defined as an OHAT score of ≥3 or a ROAG score of ≥13. A multivariate logistic model was used to analyse the association between poor oral health status and faecal incontinence.RESULTS:A total of 351 (83.0%) patients had poor oral health and 97 (22.7%) had faecal incontinence. Patients with poor oral health status had a higher proportion of faecal incontinence than those with normal oral health status (25.4% vs. 11.1%, p = .009). A multivariate logistic model revealed an association between faecal incontinence and poor oral health status (adjusted odds ratio = 2.501, 95% confidence interval = 1.065-5.873, p = .035).CONCLUSIONS:Poor oral health status assessed by OHAT or ROAG in inpatients with dysphagia may adversely affect faecal incontinence. Further studies are needed to determine the causal relationship between poor oral health status and faecal incontinence. |
| DOI | 10.1111/joor.13413 |
| PMID | 36609695 |