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临床试验/NCT05129826
NCT05129826已完成不适用

The Association Between Periodontal Disease and Malnutrition in a Group of Elderly People in Thailand.

Mahidol University2 个研究点 分布在 1 个国家目标入组 78 人开始时间: 2019年11月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
78
试验地点
2
主要终点
Nutritional status

研究概览

简要总结

This study will be determine the association between periodontitis and malnutrition status in older adult.

详细描述

Ageing may accompany with an accumulation of diseases and impairments cause by physiological, socioeconomic and psychological changes. The older adults are more prone to nutritional deficiencies due to combination of factors such as ageing, excessive polypharmacy, general health decline, poor socioeconomic status, cognitive decline, poor appetite, impaired efficacy of swallowing and limit eating ability.

Periodontitis is a multifactorial disease predominantly a bacterial infection involving the dental biofilm or dental plaque. Periodontitis increases in extent and severity across a large proportion of the human population with ageing. The effects of ageing on the immune system include distinct alterations in both innate and adaptive immune-cell function and effector biomolecules, resulting in processes reflecting immunosenescence, immunoactivation and inflammaging. Moreover, genetic contribution alters immunity and inflammation that play a role in the dysregulation of host responses in ageing. The combination of chronic antigenic burden and uncontrolled inflammatory response can enhance immunosenescence and ageing-associated disease. Periodontitis also has an effect on food intake, nutritional status and quality of life in older adults.

However the relationship between chronic periodontitis and malnutrition in older adult is not clear and needs further study. In this study will be determine the association between periodontitis and malnutrition status in older adult.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Screening
盲法
None

盲法说明

The questionnaire is completed through by the 1st researcher and all clinical data collection will be recorded by the 2nd researcher.

入排标准

年龄范围
60 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subjects who has aged ≥ 60 years old.
  • Subjects who not receive periodontal treatment within the previous 6 months.
  • Subjects who are able to read Thai and express verbal communication.
  • Subjects who are functional independent older adults (get ≥ 12 points from Barthel Index for Activities of Daily Living) [50, 51].
  • Subjects who are cognitive functional independent older adults (get > 23 points from Thai Mental State Examination) [52].

排除标准

  • Subjects with completely edentulous area.
  • Subjects who require antibiotic prophylaxis for dental examination

结局指标

主要结局

Nutritional status

时间窗: 1 hour

The nutritional status of the participants will be measured by MNA (Mini Nutritional Assessment) questionnaire. The participants with scores ≥ 24 were classified as having a normal nutritional status, 17 to 23.5 were classified as at risk of malnutrition and \<17 were classified as malnutrition.

Periodontal status

时间窗: 2 hour

The probing pocket depth and clinical attachment level were collected by clinical data collection. The participants who had 4 or more teeth with 1 or more sites with PPD ≥ 4 mm and with clinical attachment loss ≥ 3 mm at the same site was diagnosed as periodontitis.

次要结局

  • Variables that associated with malnutrition in older adult.(1 month)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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