一般社団法人日本老年歯科医学会 第33回学術大会

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一般演題(ポスター発表) » [ポスター発表5] 加齢変化・基礎研究

ポスター発表5 加齢変化・基礎研究

[P5-06] Oral and intestinal bacterial flora in centenarians and octogenarians with low functional independence in nursing homes

○Ma Xiangtao1、Ikeda Takefumi1,2、Asahina Hironao3、Ogasawara Tadashi4、Yoshinari Nobuo1 (1. Department of Operative Dentistry, Endodontology and Periodontology, School of Dentistry, Matsumoto Dental University, Shiojiri, Japan、2. Ikeda dental clinic、3. Department of Special Needs Dentistry, School of Dentistry, Matsumoto Dental University, Shiojiri, Japan、4. Department Oral Health Promotion, Graduate School of Oral Medicine, Matsumoto Dental University, Shiojiri, Japan)

【抄録(Abstract)】
Aim: The purpose of this study is to analyze the oral and intestinal bacterial flora of low-functioning octogenarians and centenarians.
Methods: Saliva and fecal samples were collected from nursing home residents who all received meals from the same catering company. Ten octogenarians (84–89 years old) and 8 centenarians (100–103 years old) with Barthel Index (BI) scores < 60 were included. A dentist counted the number of teeth, and evaluated the denture and nutritional status by Mini Nutritional Assessment Short Form. Bacterial DNA was extracted and multiplex 16S rRNA (V3–V4) sequencing was performed using the Illumina MiSeq platform. Composition and diversity were analyzed by the Mann-Whitney U test and weighted PCoA.
Results: The oral microbial diversity of centenarians was slightly higher than that of octogenarians but fecal samples displayed an opposite pattern; however, the differences were not significant. Oral flora composition differed between the two groups, likely due to the lower number of teeth in centenarians. Despite having a similar number of teeth, there is a significant difference in the Mini Nutritional Assessment Short Form between healthy and unhealthy Octogenarians(P<0.001), but this difference is not reflected compared with centenarians(P=0.596) which may be caused by almost all centenarians used dentures that helped restore posterior occlusion.
Conclusions: Age and physical health can affect the changes in the oral and intestinal flora of the elderly. However, restoration of masticatory function by dentures may help maintain nutritional status, regardless of age.

The author’s declaration: No conflict of interest (COI), in any way. Matsumoto Dental University Ethics Committee Approval Number 0302.