Loss of occlusal support affects the decline in activities of daily living in elderly people receiving home care

Genkai, Sae; Kikutani, Takeshi; Suzuki, Ryo; Tamura, Fumio; Yamashita, Yoshihisa; Yoshida, Mitsuyoshi

doi:10.1016/j.jpor.2015.06.003

Cited by 18 publications

(27 citation statements)

References 18 publications

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“…Currently, the number of older people is increasing worldwide, and this tendency is especially prominent in Japan, which has the highest rate of population ageing in the world . With the increase in the older population, medical care costs will increase accordingly, and the need for preventative nursing care is becoming a critical Japanese social problem .…”

Section: Introductionmentioning

confidence: 99%

Assessment of potential clinical cascade between oral hypofunction and physical frailty: Covariance structure analysis in a cross‐sectional study

Hihara

Goto

Ichikawa

2019

J of Oral Rehabilitation

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No report has yet examined the impact of oral hypofunction on physical frailty in relation to intra‐relationships of physical frailty assessment items. The purpose of this study was to verify the potential of a clinical cascade between oral hypofunction and physical frailty, and especially to support the hypothesis that the influence of oral hypofunction on physical frailty is greater than the intra‐relationships among elements of physical frailty and that sex differences significantly affect these relationships. The participants were 272 older adults (101 men and 171 women; mean age 75.1 ± 7.5 years). Maximum occlusal force (MOF) and oral dryness (OD), as indicators of oral hypofunction, and grip strength (GS) and walking speed (WS), as indicators of physical frailty, were measured. Mutual relationship of four variables was verified using covariance structure analysis. In men, three paths from MOF to WS and GS and from WS to GS were confirmed, and those from MOF to WS and from WS to GS were found to be significant (P < .01). In women, three paths from MOF to WS and GS and from WS to GS were also confirmed, as with the men, and those from MOF to WS and from MOF to GS were found to be significant (P < .01). Model adaptability was shown to be good for both men and women. The results suggest our hypothesis was verified, and it is expected that the early detection of oral hypofunction, that is MOF, may be important for assessing physical frailty, especially in women.

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Section: Introductionmentioning

confidence: 99%

Assessment of potential clinical cascade between oral hypofunction and physical frailty: Covariance structure analysis in a cross‐sectional study

Hihara

Goto

Ichikawa

2019

J of Oral Rehabilitation

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“…Furthermore, the present findings are generally consistent with those of previous reports showing that the loss of posterior teeth occlusion might cause functional decline among older people. It has been reported that the loss of posterior occlusal support was significantly correlated with decremental changes in the BI . However, these previous reports roughly classified posterior teeth occlusion according to the presence or absence of at least one occlusal support among posterior teeth.…”

Section: Discussionmentioning

confidence: 94%

Association between posterior teeth occlusion and functional dependence among older adults in nursing homes in Japan

Takeuchi

Izumi

Furuta

et al. 2016

Geriatrics Gerontology Int

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“…The influence of occlusal support on physical function has been demonstrated. Loss of occlusal support was associated with poorer mobility, increased risk of incident falls and decline in walking speed because loss of occlusal support affects body balance control . Moreover, a community‐based cohort study demonstrated that association between impaired dental occlusion and sarcopenia .…”

Section: Discussionmentioning

confidence: 99%

Occlusal support is associated with nutritional improvement and recovery of physical function in patients recovering from hip fracture

2019

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Objective This study aimed to elucidate the association between occlusal support and nutritional improvement and recovery of activities of daily living (ADLs) among elderly patients recovering from hip fracture. Background Many patients with hip fracture are malnourished, and malnutrition is associated with poor functional outcomes. Poor oral status is one reason for malnutrition because loss of occlusal support leads to masticatory disorders and can cause nutrient deficiencies. Methods We evaluated 202 elderly patients aged 65 years and older (mean age, 84.9 ± 7.9 years). We assessed nutritional status using the Mini Nutritional Assessment‐Short Form and ADLs using functional independence measure (FIM) scores. Occlusal support was recorded in accordance with the Eichner Index. We categorised participants into two groups according to the presence or absence of occlusal support, and statistical analyses were performed to investigate the differences between the groups. Results One group contained 152 participants (mean age, 85.5 ± 7.4 years) with occlusal support, and the other group contained 50 participants (mean age, 83.0 ± 8.9 years) without occlusal support. The group with occlusal support had greater gain of FIM and higher FIM efficiency than did the other group. Multivariate analyses showed that occlusal support was independently associated with nutritional improvement [odds ratio (OR) = 4.00, 95% confidence intervals (CI) = 1.90‐8.43] and motor FIM efficiency (R2 = .338, P < .001). Conclusions Our findings suggest that occlusal support is associated with nutritional improvement and the recovery of ADLs in patients recovering from hip fracture.

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Loss of occlusal support affects the decline in activities of daily living in elderly people receiving home care

Abstract: Our results suggest that the loss of occlusal support may be an important factor in the decline of ADL in elderly people receiving home care, especially slightly dependent people.

Cited by 18 publications

References 18 publications

Assessment of potential clinical cascade between oral hypofunction and physical frailty: Covariance structure analysis in a cross‐sectional study

Assessment of potential clinical cascade between oral hypofunction and physical frailty: Covariance structure analysis in a cross‐sectional study

Association between posterior teeth occlusion and functional dependence among older adults in nursing homes in Japan

Occlusal support is associated with nutritional improvement and recovery of physical function in patients recovering from hip fracture

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