Abstract:

Oral frailty has been recently suggested as a novel construct defined as a decrease in oral function with a coexisting decline in cognitive and physical functions, which is associated with many adverse events in older adults, such as frailty, sarcopenia, disability, and mortality. We reviewed the definition, symptoms, diagnosis criteria, assessment tools of oral frailty in older people, and summarized its recent research status as well as possible influencing factors, then suggested that future research on oral frailty in older Chinese adults could be carried out in aspects involving developing oral frailty assessment tools appropriate for older Chinese people, implementing survey studies on oral frailty, enriching study designs and contents and enhancing oral frailty intervention studies.

Key words: Frailty, Aged, Oral frailty, Oral health, Oral and Maxillofacial Frailty Index, Root cause analysis, Review

摘要：

口腔衰弱作为一个新概念在衰弱领域被提出，指伴随认知及身体功能衰退的口腔功能低下，与衰弱、肌少症、残疾及死亡等诸多老年人不良事件有关。本文回顾分析了口腔衰弱的定义、临床特征及诊断标准，对口腔衰弱的研究现状、评估工具及相关影响因素进行归纳总结，提出老年人口腔衰弱未来的研究方向可结合我国实际情况从开发适合我国老年人口腔衰弱的评估工具、开展口腔衰弱的调查性研究、丰富研究设计内容和方法以及加强干预研究四方面开展。

关键词: 衰弱, 老年人, 口腔衰弱, 口腔保健, 口腔颌面衰弱指数, 影响因素分析, 综述