Associations between oral health and depressive symptoms: Findings from the Concord Health and Ageing in Men Project

Wright, F. A. C.; Takehara, Sachiko; Stanaway, Fiona; Naganathan, Vasi; Blyth, Fiona; Hirani, Vasant; Couteur, David G. Le; Handelsman, David J.; Waite, Louise M.; Seibel, Markus J.; Cumming, Robert

doi:10.1111/ajag.12763

Cited by 11 publications

(4 citation statements)

References 18 publications

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“…As a result, tooth loss is very common in older adults with a global prevalence of 23.7% [ 7 ]. Oral disease can lead to oral dysfunction, resulting in discomfort, pressure, nutritional deficiencies and poor quality of life [ 8 , 9 , 10 ], and psychological atrophy and reduced social interaction in older adults [ 11 ], which effectively affects the occurrence of depressive symptoms in the older adults [ 6 ]. Despite its critical relevance to people’s quality of life and well-being, the prevention and management of oral diseases has long been under-emphasized in the overall health agenda [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Oral Health and Depressive Symptoms in Chinese Older Adults: The Mediating Role of Dietary Diversity

Lou,

Wang,

et al. 2024

Nutrients

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Diet is a modifiable factor in healthy population aging. Additionally, oral health and diet are important factors affecting depressive symptoms. To assess the mediating role of dietary diversity (DD) in oral health and depressive symptoms in older adults, we selected 8442 participants aged ≥ 65 years from the 2018 Chinese Longitudinal Health Longevity Survey (CLHLS) for a cross-sectional study. Depressive symptoms were determined based on scores on the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10). Dietary diversity scores (DDS) were established based on the frequency of intake of food groups. Oral health was measured by denture use and toothbrushing frequency. Stepwise multiple linear regression and PROCESS macros were used for mediated effects analysis and testing. The sample had a positive detection rate of 44.1% for depressive symptoms, 40.8% for denture use, and 41.9% for once-a-day toothbrushing. Denture use (ρ = −0.077, p < 0.01) and toothbrushing frequency (ρ = −0.115, p < 0.01) were negative predictors of depressive symptoms in older adults. DD significantly mediated the association between denture use (indirect effect −0.047; 95%CI: −0.068–0.028; p < 0.001), toothbrushing frequency (indirect effect −0.041; 95%CI: −0.054–0.030; p < 0.001), and depressive symptoms. Denture use and toothbrushing frequency not only directly reduce the risk of depressive symptoms in older adults, but also indirectly affect depressive symptoms through DD.

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Section: Introductionmentioning

confidence: 99%

Association between Oral Health and Depressive Symptoms in Chinese Older Adults: The Mediating Role of Dietary Diversity

Lou,

Wang,

et al. 2024

Nutrients

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“…Previous studies have suggested an association between tooth loss and the incidence of depressive symptoms among older adults (5,6). Depression is associated with untreated tooth decay, loss of natural teeth, and frequency of dental visits (7,8). Some studies reported that reductions in subjective mastication and pronunciation ability, and oral dryness are risk factors for depression (9,10).…”

Section: Introductionmentioning

confidence: 99%

Association Between Changes in Oral Health-Related Quality of Life and Depressive Symptoms in the Korean Elderly Population

Park¹,

Lee²,

Kwon³

et al. 2023

Int J Public Health

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Objectives: The aim of this study was to examine the association between changes in oral health related quality of life (OHRQoL) and depressive symptoms in the elderly South Koreans.Methods: We used the 2018 and 2020 Korean Longitudinal Study of Ageing data. Our study population was a total of 3,604 participants aged over 65 in 2018. The independent variable of interest was the changes in the Geriatric Oral Health Assessment Index as OHRQoL between 2018 and 2022. The dependent variable was depressive symptoms in 2020. Multivariable logistic regression analyzed the associations between changes in OHRQoL and depressive symptoms.Results: Participants with improvement in OHRQoL over 2-year period were likely to have fewer depressive symptoms in 2020. Especially, changes in the oral pain and discomfort dimension score was associated with depressive symptoms. A decline in oral physical function, such as difficulty in chewing and speaking, was also associated with depressive symptoms.Conclusion: Negative change in OHRQoL is a risk factor for depression in elderly. This results suggest the importance of maintaining good oral health in later life, as a protective factor against depression.

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“…This is exacerbated by a shortage of dental services and poor utilization of these services even where available [4] mainly due to high costs [5,6]. The poor oral health resulting from poor use of preventive dental services, is associated with mental health distress across all income levels, globally [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Moderating effects of resilience and self-esteem on associations between self-reported oral health problems, quality of oral health, and mental health among adolescents and adults in Nigeria

et al. 2023

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Background There is an intersection between oral and mental health though the studies on these intersections are few. This study investigated associations between self-reported oral health problems, quality of oral health, and depression and general anxiety among adolescents and adults in Nigeria; and analysed the moderating effects of resilience and self-esteem on these associations. Methods In this secondary analysis, data were extracted from the database of an online survey conducted among participants 13 years and older and living in Nigeria about their self-reported psychological wellbeing. The data was collected between September and October 2020. Dependent variables were self-reported presence of oral health problems (yes/no) and self-reported quality of oral health (using a five-item scale ranging from “very good” to “very poor”). Independent variables were depressive and anxiety symptoms. Moderating factors evaluated were resilience and self-esteem. Multivariable logistic regression analysis was used to determine the associations between the dependent and independent variables after adjusting for confounders (age, sex, employment status and educational status). A path analysis was conducted to determine the moderating effects of self-esteem and resilience on associations between dependent and independent variables. Results We extracted data for 2,757 adolescents and adults aged 13 to 62 years, of which 2,062 (74.8%) reported having oral health problems and 925 (33.6%) reported poor quality of oral health. Higher levels of depressive symptoms were significantly associated with higher odds of oral health problems (AOR: 1.07; 95% CI: 1.04–1.10; p<0.001). Higher levels of depressive symptoms (AOR: 1.05; 95% CI: 1.03–1.07; p<0.001), and higher levels of anxiety symptoms (AOR: 1.07; 95% CI: 1.04–1.11; p<0.001) were significantly associated with poor quality of oral health. Resilience significantly moderated the association between anxiety symptoms and oral health problems (AOR = -0.004; 95% CI: -0.006 –-0.001; p = 0.002). Conclusion Depression may be a risk indicator for self-reported oral health problems, while depression and anxiety appear to be risk indicators for self-reported poor quality of oral health. These factors could be included as confounders in future studies on oral health problems and quality of oral health among adolescents and adults in Nigeria.

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Associations between oral health and depressive symptoms: Findings from the Concord Health and Ageing in Men Project

Cited by 11 publications

References 18 publications

Association between Oral Health and Depressive Symptoms in Chinese Older Adults: The Mediating Role of Dietary Diversity

Association between Oral Health and Depressive Symptoms in Chinese Older Adults: The Mediating Role of Dietary Diversity

Association Between Changes in Oral Health-Related Quality of Life and Depressive Symptoms in the Korean Elderly Population

Moderating effects of resilience and self-esteem on associations between self-reported oral health problems, quality of oral health, and mental health among adolescents and adults in Nigeria

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