农村老年人口腔衰弱与功能衰退的相关性及经济毒性研究进展

Research Progress on the Correlation between Oral Frailty and Functional Decline among Rural Older Adults, and Associated Financial Toxicity

摘要: 口腔衰弱作为近年来老年综合征的研究热点，与躯体功能衰退密切相关，受农村地域特征、传统观念、口腔医疗资源匮乏及经济基础薄弱等因素影响，农村老年人更易因口腔衰弱陷入“功能衰退–经济负担加重”的恶性循环，并可能引发显著的经济负担，甚至导致返贫。本文从口腔衰弱的概念入手，综述老年人口腔衰弱与功能衰退的相关性、作用机制、引发的经济毒性效应，以及现有的干预措施与公共政策，为基层研究老年群体口腔健康管理提供新视角，促进健康老龄化。

Abstract: As a research hotspot in the field of geriatric syndromes in recent years, oral frailty is closely associated with the decline in physical function. Influenced by factors such as rural geographical characteristics, traditional beliefs, limited access to oral healthcare services, and weak economic foundations, rural older adults are more likely to fall into a vicious cycle of “functional decline-increased economic burden” due to oral frailty. This may further lead to significant economic toxicity and even a return to poverty. This article begins with the concept of oral frailty and provides a review of the correlation between oral frailty and functional decline in older adults, the underlying mechanisms, the resulting economic toxicity, as well as existing interventions and public policies. It aims to offer new perspectives for primary care research on oral health management in older populations and to promote healthy aging.