Number of Teeth and Fatigue in Older Adults

Avlund, Kirsten; Schultz‐Larsen, Kirsten; Christiansen, Niels Finn; Holm‐Pedersen, Poul

doi:10.1111/j.1532-5415.2011.03502.x

Cited by 44 publications

(67 citation statements)

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“…The results support previous research that links poor dentition to physical impairments [6, 8–10, 15, 16]. Tooth loss may be an indicator of low physiological reserve [29] resulting from cumulative effects of unfavorable exposures throughout the life course, which also has adverse effects on walking speed. Common risk factors for periodontitis and walking speed decline are, for example, lifestyle-related factors such as smoking and obesity [30].…”

Section: Discussionsupporting

confidence: 88%

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

et al. 2016

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Background Tooth loss has been linked to poor health such as chronic diseases and mobility limitations. Prospective evidence on the association between tooth loss and walking speed decline is however lacking.AimsTo examine the impact of tooth loss on walking speed over time and explore whether inflammation may account for this association.MethodsThis study included 2695 persons aged 60 years and older, who were free from severe mobility limitation at baseline. Information on dental status was assessed through self-report during the nurse interview at baseline. Walking speed baseline and at 3- and 6-year follow-ups was assessed when participants walked at their usual pace. Covariates included age, sex, education, lifestyle-related factors, and chronic diseases. Blood samples were taken, and C-reactive protein (CRP) was tested.ResultsAt baseline, 389 (13.1 %) participants had partial tooth loss and 204 (6.9 %) had complete tooth loss. Mixed-effects models showed that tooth loss was associated with a greater decline in walking speed over time after adjustment for lifestyle-related factors and chronic diseases (p = 0.001 for interaction between time and tooth loss on walking speed decline); however, when further adjusting for inflammation (CRP), the association was attenuated and no longer significant.ConclusionTooth loss was associated with an accelerated decline in walking speed in older adults. Inflammation may play a role in the association between tooth loss and walking speed decline.

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Section: Discussionsupporting

confidence: 88%

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

et al. 2016

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“…There are few previous data on the association between oral health and some components of the frailty syndrome, but not with the frailty syndrome overall [34,35]. …”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that the use of complete dentures and reports of chewing problems and loss of teeth are associated with fatigue (a component of frailty) and mortality in the elderly [34,35]. However, associations between other oral health conditions and frailty have not been explored.…”

Section: Introductionmentioning

confidence: 99%

Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis

et al. 2012

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BackgroundOral health is an important component of general well-being for the elderly. Oral health-related problems include loss of teeth, nonfunctional removable dental prostheses, lesions of the oral mucosa, periodontitis, and root caries. They affect food selection, speaking ability, mastication, social relations, and quality of life. Frailty is a geriatric syndrome that confers vulnerability to negative health-related outcomes. The association between oral health and frailty has not been explored thoroughly. This study sought to identify associations between the presence of some oral health conditions, and frailty status among Mexican community-dwelling elderly.MethodsAnalysis of baseline data of the Mexican Study of Nutritional and Psychosocial Markers of Frailty, a cohort study carried out in a representative sample of people aged 70 and older residing in one district of Mexico City. Frailty was defined as the presence of three or more of the following five components: weight loss, exhaustion, slowness, weakness, and low physical activity. Oral health variables included self-perception of oral health compared with others of the same age; utilization of dental services during the last year, number of teeth, dental condition (edentate, partially edentate, or completely dentate), utilization and functionality of removable partial or complete dentures, severe periodontitis, self-reported chewing problems and xerostomia. Covariates included were gender, age, years of education, cognitive performance, smoking status, recent falls, hospitalization, number of drugs, and comorbidity. The association between frailty and dental variables was determined performing a multivariate logistic regression analysis. Final models were adjusted by socio-demographic and health factorsResultsOf the 838 participants examined, 699 had the information needed to establish the criteria for diagnosis of frailty. Those who had a higher probability of being frail included women (OR = 1.9), those who reported myocardial infarction (OR = 3.8), urinary incontinence (OR = 2.7), those who rated their oral health worse than others (OR = 3.2), and those who did not use dental services (OR = 2.1). For each additional year of age and each additional drug consumed, the probability of being frail increased 10% and 30%, respectively.ConclusionsUtilization of dental services and self-perception of oral health were associated with a higher probability of being frail.

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“…Najčešći razlozi gubitka zuba su: parodontopatije, karijes zuba, pogoršano opšte zdravstveno stanje bolesnika. Veoma su značajni i socioekonomski faktori kao što su: ''strah od doktora'', nemaran odnos prema oralnom zdravlju, visoka cijena intervencija, redukovan pristup stomatološkim ordinacijama, nizak nivo obrazovanja i pripadnosti nižim društvenim slojevima [9,12,20] Prema izvještaju SZO iz 2005. godine u Bosni i Hercegovini je bilo 78% bezubih osoba starijih preko 65 godina života, u Albaniji 69%, Bugarskoj 53%, Italiji 19% i Sloveniji 16% [21]. Rezultati meta-analize kojom je obuhvaćenо oko 1000 publikacija objavljenih na engleskom jeziku u posljednjih 20 godina (1990-2009) su pokazali da apsolutno sve analizirane studije potvrđuju negativni uticaj gubitka zuba na kvalitet života, nezavisno od mjesta gdje su sprovedene i od korišćene metodologije [12].…”

Section: Gubitak Zubaunclassified

“…Međutim, dokazano je da starost sama po sebi nije faktor koji značajno utiče na gubitak kosti alveoralnog grebena. Značajni faktori mogu biti: trajanje bezubosti, neadekvatan pritisak na kost zbog nošenja proteza, način ishrane, sistemske bolesti, osteoporoza, pripadnost ženskom polu i primjena lijekova [18,20,25,32,33,36,37].…”

Section: Resorpcija Kosti Alveoralnog Grebenaunclassified

Bolesti usta i zuba kod starih

Ivković

Davidović

Račić

et al. 2016

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Bolesti usta i zuba kod starihNedeljka Ivković¹, Brankica Davidović¹, Maja Račić¹, Đorđe Božović¹, Dijana Popović-Grubač¹, Marko Milosavljević² ¹Medicinski fakultet u Foči, Univerzitet u Istočnom Sarajevu, Republika Srpska, Bosna i Hercegovina ²Fakultet medicinskih nauka Kragujevac, Univerzitet u Kragujevcu, Srbija Kratak sadržajStarenje je prirodan i ireverzibilan fiziološki proces koji zavisi od faktora nasljeđa, faktora sredine, ali i od načina života. Pri tome bitnu ulogu imaju brojni fiziološki, biološki, psihološki i drugi faktori. U odnosu na starost i starenje postoje veoma izražene individualne razlike. Starost čitavog organizma čovjeka, kao i pojedinih organa i sistema, ne počinje kod svih osoba u isto vrijeme, niti se razvija istom brzinom. Taj proces doprinosi pogoršanju zdravlja i konačno vodi smrti, ali pri tome nije značajna samo dužina, već i kvalitet života.Starenje, skoro bez izuzetka, dovodi do manjeg ili većeg smanjenja kvaliteta života. Na kvalitet života može veoma značajno da utiče i stanje usta i zuba, oboljenja ili nedostatak većine ili svih zuba. Najčešća oralna oboljenja i stanja koja utiču na kvalitet života, i koja mijenjaju brojne funkcije orofacijalnog sistema su: gubitak zuba, parodontopatije, karijes, prekancerozne lezije usne duplje i karcinomi, kserostomija i resorpcija kosti alveolarnog grebena.Da bi se doprinijelo rješavanju problema starih osoba, potrebno je da se stomatolozi više bave starim osobama, da se organizuju redovni stomatološki kontrolni pregledi, da se tom prilikom pregledaju sva tkiva usne duplje i okoline, a ne samo zubi, da se poboljša oralna higijena i da se obezbijedi efikasna kućna stomatološka njega, posebno nepokretnih starih osoba. Posebno je važno brigu o oralnom zdravlju uključiti u nacionalne programe očuvanja opšteg zdravlja, jer je to najefikasniji put za poboljšanje oralnog zdravlja i kvaliteta života starih osoba. Ključne riječi: gerontostomatologija, starenje, oralno zdravljeAdresa autora: Prof. dr Nedeljka Ivković, Svetosavska bb, 73300 Foča, neda.ivkovic3@gmail.com Starost i starenjeStarenje, proces koji započinje začećem individue i traje do njene smrti, predstavlja univerzalan, neizbježan fenomen progresivnog toka, rezultat interakcije genetskih faktora, faktora okoline i načina života. Pored toga, starenje kao dinamičan proces uslovljen je biološkim, fiziološkim, psihološkim i socijalnim faktorima [1][2][3]. Starost je stanje nastalo kao rezultat procesa starenja i počin-je nakon perioda zrelosti, kada se uočava progresivno opadanje funkcionalne sposobnosti, te porast osjetljivosti na bolesti. U

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Number of Teeth and Fatigue in Older Adults

Abstract: Tooth loss is associated with onset of fatigue in old age, but the estimates are attenuated when adjusting for socioeconomic position and smoking. Tooth loss may be an early indicator of frailty.

Cited by 44 publications

References 33 publications

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis

Bolesti usta i zuba kod starih

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