Sarkopenik veya Olası Sarkopenik Hastaların Ağız Sağlığı Durumunun Değerlendirilmesi

Year 2024, Volume: 11 Issue: 3, 277 - 281, 23.12.2024

Merve Mevlanaoğlu Uzun , Gulcan Coskun Akar , Esin Alpöz , Ayşe Daylan , Aslı Kılavuz , Fatma Özge Kayhan Koçak , Sumru Savaş

https://doi.org/10.15311/selcukdentj.1423437

Abstract

Amaç: Fiziksel yetersizlik, düşük yaşam kalitesi ve ölüm gibi kötü sonuçlara yol açabilen, jeneralize ve progresif kas kütlesi ve kuvvet kaybı ile karakterize bir sendrom olarak tanımlanan ve görülme sıklığı yaşla artış gösteren sarkopenik durumların ağız sağlığı üzerindeki etkisinin değerlendirilmesi amaçlandı.
Gereç ve Yöntemler: Çalışmaya Ocak 2021-2022 tarihleri arasında sarkopeni ön tanısı ile değerlendirilen yaşları 66-103 arasında değişen 27’si kadın (% 69.2) 39 olgu (olası sarkopeni 9 kişi, sarkopeni 8 kişi, normal 22 kişi) dahil edildi. Sarkopeni EWGSOP2 kriterlerine göre tanımlandı. Bölgesel değerlendirmelerde el kavrama gücü kesim noktaları erkeklerde 32 kg, kadınlarda ise 22 kg olarak alındı. Tüm olguların ağız içi değerlendirmeleri (ağız açma miktarı, ağız içi protez kullanım durumları ve çeşitleri) diş hekimi tarafından kaydedildi. Ağız içi algısı için Yaşlı Ağız Sağlığı Tanılama İndeksi (YASTİ) kullanıldı.
Bulgular: Tüm olgularda ağız açma miktarı normal değerlerde olup kontrol grubunun ağız açma miktarı sarkopeni grubunda daha yüksek olduğu gözlendi (p=0.013). Olgulardan sadece sekiz tanesi ağız protezi kullanmamakta, sarkopeni gruplarında yer almayan ve alt üst tam dişsiz olan bir olgunun protez gereksinimi bulunmaktadır. Ağız protezi gereksinimi olmayan sarkopeni ve olası sarkopeni grubunda yer alan birer olgunun indeks değerinin ‘orta’ olduğu, normal olarak değerlendirilen grupta ise ‘yüksek’ değer kaydedilmediği gözlendi. Sarkopeni ve YASTİ arasındaki ilişki anlamsız bulundu (p≥0.05).
Sonuçlar: Kısıtlı örneklem grubu üzerinde yapılan çalışmada sarkopeni verileri ile YASTİ arasında anlamlı korelasyon bulunmadı. Bununla birlikte sarkopenili hastaların ağız açıklığı miktarının daha düşük olduğu saptandı. Sarkopeninin YASTİ üzerindeki etkisini belirlemek için daha geniş popülasyon çalışmalarına ihtiyaç duyulmaktadır.
Anahtar Kelimeler: Olası Sarkopeni, Sarkopeni, Yaşlı Ağız Sağlığı Tanılama İndeksi

Keywords

Olası Sarkopeni, Sarkopeni, Yaşlı Ağız Sağlığı Tanılama İndeksi

Ethical Statement

Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.

Supporting Institution

Ege Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi

Project Number

TGA-2020-20601

Thanks

Yazarlar, Ege Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi'ne katkılarından dolayı teşekkür ederler.

Evaluation of Oral Health Status Among Probable Sarcopenic or Sarcopenic Patients

Abstract

Background: Sarcopenia is defined as a syndrome characterized by generalized and progressive loss of muscle strength and power, which can lead to severe disability, poor quality of life and death. The aim of the study is to evaluate the impact of sarcopenic conditions on oral health.
Methods: The patients over 65 years old with a preliminary diagnosis of sarcopenia between January 2021 and 2022 were evaluated. Sarcopenia was defined according to EWGSOP2 criteria. With respect to regional cut offs, hangrip strength cut off was 32 kg for men and 22 kg for women. The study included 39 patients (with an age range of 66-103 years old) 9 with possible sarcopenia, 8 with sarcopenia, 22 healthy people), 27 female (69.2 %). Intraoral evaluations of patients (amount of mouth opening and prosthetic restoration type) and Geriatric Oral Health Index (GOHAI) values were recorded.
Results: The amount of mouth opening was at normal range in all patients, while the amount of mouth opening was higher in the control group compared to the sarcopenia group (p=0.013). Only eight cases in the sarcopenia groups did not have prosthesis, , while only one patient who was in normal group was completely edentulous with a need of prosthetic rehabilitation. It was observed that the index degree of one participant in each sarcopenia and probable sarcopenia groups who did not need prothesis was ‘medium’, while 'high' values were not recorded in the normal group. The relationship between sarcopenia and GOHAI was found to be statistically not significant (p≥0.05).
Conclusion: In this study conducted on a limited sample group no significant correlation was found between sarcopenic data and GOHAI values. However it was found that sarcopenic patients have less mouth opening values compared to the control group . Further studies on large populations are necessary to determine the effect of sarcopenia on GOHAI.
Keywords: Geriatric Oral Health Index, Probable Sarcopenia, Sarcopenia

Keywords

Geriatric Oral Health Index, Probable Sarcopenia, Sarcopenia

Project Number

TGA-2020-20601

References

• 1. Cruz Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European Consensuson Definition and Diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412–423.
• 2. Papadopoulou SK, Tsintavis P, Potsaki G, Papandreou D. Differences in the Prevalence of Sarcopenia in Community Dwelling, Nursing Home and Hospitalized Individuals. A Systematic Review and Meta-Analysis. J Nutr Health Aging. 2020;24(1):83–90.
• 3. Papadopoulou SK, Papadimitriou K, Voulgaridou G, et al. Exercise and nutrition impact on Osteoporosis and Sarcopenia – incidence of Osteosarcopenia: A narrative review. Nutrients. 2021;13(12):4499.
• 4. Parisius KGH, Wartewig E, Schoonmade LJ, et al. Oral frailty dissected and conceptualized: A scoping review. Arch. Gerontol. Geriatr. 2022;100:104653.
• 5. Kobuchi R, Okuno K, Kusunoki T, et al. The relationship between sarcopenia and oral sarcopenia in elderly people. Oral Rehabil. 2020;47(5):636-642.
• 6. Venkatesan A, Sylvea A, Ramalingam S, et al. Evaluation of oral health status using the Geriatric Oral Health Assessment Index among the geriatric population in India: A pilot study. Cureus. 2020;12(3):e7344.
• 7. Namiki C, Hara K, Yanagida R, et al. Assosciation between tongue pressure and jaw-opening force in older adults. Int J Environ Res Public Health. 2022;19(16):9825.
• 8. Abu-Ghanem S, Graf A, Govind J. Diagnosis of sarcopenic dysphagia in the elderly: Critical review and future perspectives. Dysphagia. 2022;37(5):1093-1102.
• 9. Okuno K, Kobuchi R, Morita S, et al. Relationships between the nutrition status and oral measurements for sarcopenia in older Japanese adults. J Clin Med. 2022;11(24):7382.
• 10. Hatta K, Ikebe K. Association between oral health and sarcopenia: A literatüre review. J Prosthodont Res. 2021;65(2):131-136.
• 11. Chen LK, Woo J, Assantachai P, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020;21:300–307.e2.
• 12. Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and ageing. 2019;48(1):16-31.
• 13. Bahat G, Tufan A, Tufan F, et al. Cut-off points to identify sarcopenia according to European Working Group on Sarcopenia in Older People (EWGSOP) definition. Clinical nutrition (Edinburgh, Scotland). 2016;35(6):1557–1563.
• 14. Mezitis M, Rallis G, Zachariades N. The Normal Range of Mouth Opening. J. Oral. Maxillofac. Surg. 1989;47(10):1028–1029.
• 15. Khare N, Patil SB, Kale SM, et al. Normal mouth opening in an adult Indian population. J Maxillofac Oral Surg. 2012;11(3):309-313.
• 16. Ergül S, Akar GC. Reliability and validity of the Geriatric Oral Health Index in Turkey. J Gerontol Nurs 2008;34(9):33-39.
• 17. Sökmen ÜN, Dişçigil G. Yaşlılıkta sarkopeni. J Turk Fam Phy. 2017; 8(2):49-54.
• 18. Simsek H, Meseri R, Sahin S, et al. Prevalence of sarcopenia and related factors in community-dwelling elderly individuals. Saudi Med J. 2019;40(6):568-574.
• 19. Sakai K, Nakayama E, Yoneoka D, et al. Association of oral function and dysphagia with frailty and sarcopenia in community-dwelling older adults: A systemic review and meta-analysis. Cells. 2022 Jul 14;11(14):2199.
• 20. Kugimiya Y, Iwasaki M, Ohara Y, et al. Association between sarcopenia and oral functions in community- dwelling older adults: A cross-sectional study. J Cachexia Sarcopenia Muscle 2023;14(1):429-438
• 21. Gil-Montoya JA, Ferreira de Mello AL, Barrios R, et al. Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clin Interv Aging. 2015;10:461–467.
• 22. Musacchio E, Perissinotto E, Binotto P, et al. Tooth loss in the elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontol Scand. 2007;65(2):78–86.
• 23. Sharma A, Arora P, Wazir SS. Hinged and sectional complete dentures for restricted mouth opening: A case report and review. Contemp Clin Dent. 2013;4(1):74-77.
• 24. Gallagher C., Gallagher V., Whelton H., Cronin M. The normal range of mouth opening in an Irish population. J Oral Rehabil. 2004;31(2):110–116.
• 25. Felton DA. Complete Edentulism and Comorbid Diseases: An Update. J. Prosthodont. 2016;25(1):5–20.
• 26. Furuta M, Yamashita Y. Oral Health and Swallowing Problems. Curr Phys Med Rehabil Rep. 2013;1(4):216–222.
• 27. Mishellany A, Woda A, Labas R, Peyron M A. The challenge of mastication: Preparing a bolus suitable for deglutition. Dysphagia. 2006;21(2):87–94.
• 28. Hutton B, Feine J, Morais J. Is there an association between edentulism and nutritional state? J Can Dent Assoc. 2002;68(3):182–187.