⻭の喪失が⽣物学的⽼化を加速する可能性を解明−英国⾼齢者コホート研究で 2 年後の⽣物学的年齢上昇を確認−

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2026-02-25 東京科学大学

東京科学大学大学院医歯学総合研究科の研究グループは、英国の高齢者コホート「ELSA」1,889名の縦断データを解析し、歯を全て失った無歯顎者は、歯が残存する人に比べ2年後の生物学的年齢が平均0.82歳高いことを示した。解析では開始時点の生物学的年齢を統計調整し、因果の順序を検証。心血管・呼吸・代謝機能や握力、歩行速度など複数指標から老化度を算出した。結果は口腔の健康維持が全身の老化抑制と健康寿命延伸に重要である可能性を示し、歯の喪失予防を含む口腔保健推進の公衆衛生的意義を裏付けた。成果はJournal of Clinical Periodontologyに掲載された。

⻭の喪失が⽣物学的⽼化を加速する可能性を解明−英国⾼齢者コホート研究で 2 年後の⽣物学的年齢上昇を確認−
図. 無歯顎者と歯のある人における生物学的年齢の差

<関連情報>

無歯症とその後の生物学的年齢との関連:コホート研究 Association of Edentulism With Subsequent Biological Age: A Cohort Study

Yusuke Matsuyama, Sakura Kiuchi, Jun Aida
Journal of Clinical Periodontology  Published: 09 February 2026
DOI:https://doi.org/10.1111/jcpe.70106

ABSTRACT

Background

Biological ageing is characterised by a gradual decline in physiological functions, resulting in increased susceptibility to diseases and mortality. We investigated the relationship between edentulism and biological ageing among adults in England.

Methods

Data were drawn from participants in the English Longitudinal Study of Ageing who completed three consecutive biennial waves (waves 2–3–4 or 4–5–6), yielding 1889 individuals providing 2390 three-wave panel observations (mean age at baseline 68.1; men 47.7%). Edentulism was assessed in waves 3 and 5. Biological ageing was estimated using the Klemera and Doubal method, integrating multiple biomarkers assessed in waves 2, 4 and 6. Linear regression with clustered standard errors was employed to evaluate the association between edentulism and biological age in the subsequent wave (i.e., 2 years after the assessment of edentulism). Models were adjusted for pre-exposure confounders, including biological age, gender, socioeconomic status, existing health conditions and functional limitation assessed in the prior wave (i.e., 2 years before the assessment of edentulism).

Results

Participants with edentulism exhibited a 5.8-year greater biological age than those with some remaining teeth in the subsequent waves. After adjusting for confounding variables, edentulism was associated with a 0.82-year greater biological age than those with some remaining teeth (95% confidence interval: 0.40–1.24) in the subsequent waves.

Conclusion

Edentulism was longitudinally associated with a greater biological age. Strategies that incorporate oral health promotion, particularly the prevention of tooth loss, may contribute to healthy ageing.

医療・健康
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