Oral Frailty

Morley, John E.

doi:10.1007/s12603-020-1438-9

Cited by 35 publications

(14 citation statements)

References 39 publications

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“…70 Another possible definition of oral frailty included difficulty chewing associated with age-related changes in swallowing (presbyphagia). 9,71 The masticatory function was the third most compromised predictor of frailty in the deterioration of oral motor skills category. Sarcopenia, a progressive, generalised skeletal muscle disorder involving accelerated loss of muscle mass and function, could be the connection and could also depict a novel frailty phenotype.…”

Section: Oral Painmentioning

confidence: 99%

“…From a multiitem perspective, the oral frailty phenotype is a novel construct proposed as a conceptualisation of age-related gradual loss of oral function, driven by a set of impairments that worsen oral daily functions-eg, loss of teeth, poor oral hygiene, inadequate dental prostheses, or difficulty in chewing associated with agerelated changes in swallowing. 9,10 Oral frailty has been defined as a decrease in oral function together with a decline in cognitive and physical functions, such as oral microbiota and Alzheimer's disease neurodegeneration. 11 From a single-item perspective, the oral cavity has several essential functions, such as chewing, swallowing, and communicating.…”

Section: Introductionmentioning

confidence: 99%

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Oral frailty and its determinants in older age: a systematic review

Dibello

Zupo

Sardone

et al. 2021

The Lancet Healthy Longevity

159

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Poor oral health is common among older adults and can impair essential activities of daily living and contribute to frailty. We did a systematic review of studies on the relationship between oral health factors and frailty among older adults (>60 years), consulting six different electronic databases for studies published from database inception to March 20, 2021. In total, 39 articles met the eligibility requirements, including 12 different indicators of poor oral health related to frailty, which we grouped in four different categories: oral health status deterioration; deterioration of oral motor skills; chewing, swallowing, and saliva disorders; and oral pain. Factors of oral health status deterioration (52%), in particular few remaining teeth (29%), were most frequently associated with frailty. Reduced oral motor skills (27%), especially masticatory function (9%), oral diadochokinesis (5%), occlusal force (7%), and chewing, swallowing, and saliva disorders (20%), especially chewing difficulties [11%]), were less frequent but were similarly considered to be associated with frailty. Our findings could help to assess the contribution of each oral health item to a possible operational definition of this novel frailty phenotype, defined as an age-related gradual loss of oral function together with a decline in cognitive and physical functions.

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Section: Oral Painmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral frailty and its determinants in older age: a systematic review

Dibello

Zupo

Sardone

et al. 2021

The Lancet Healthy Longevity

159

View full text Add to dashboard Cite

show abstract

“…Sarcopenia, which is an intrinsic component of the frailty syndrome [ 29 ], not only involves axial muscles but also those involved in chewing (masseter) and swallowing (supra- and infra-hyoid groups of muscles) [ 30 ]. Difficulty in chewing has been termed “oral frailty” [ 31 , 32 ].…”

Section: Frailty and Oral Frailtymentioning

confidence: 99%

Pneumonia, Aspiration Pneumonia, or Frailty-Associated Pneumonia?

Smithard

Yoshimatsu

2022

Geriatrics

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“…However, the frailty syndrome is little discussed in the literature on the aging voice. Recent research has suggested "oral frailty, " a decline in masticatory and swallowing function associated with age-related changes [20] as well as deterioration in oral motor function (e.g., tongue pressure, oral diadochokinesis, and occlusal force) [21]. Oral frailty has been considered a possible independent frailty phenotype [21].…”

Section: Introductionmentioning

confidence: 99%

Predicting frailty in older adults using vocal biomarkers: a cross-sectional study

et al. 2022

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Background Frailty is a common issue in the aging population. Given that frailty syndrome is little discussed in the literature on the aging voice, the current study aims to examine the relationship between frailty and vocal biomarkers in older people. Methods Participants aged ≥ 60 years visiting geriatric outpatient clinics were recruited. They underwent frailty assessment (Cardiovascular Health Study [CHS] index; Study of Osteoporotic Fractures [SOF] index; and Fatigue, Resistance, Ambulation, Illness, and Loss of weight [FRAIL] index) and were asked to pronounce a sustained vowel /a/ for approximately 1 s. Four voice parameters were assessed: average number of zero crossings (A1), variations in local peaks and valleys (A2), variations in first and second formant frequencies (A3), and spectral energy ratio (A4). Results Among 277 older adults, increased A1 was associated with a lower likelihood of frailty as defined by SOF (odds ratio [OR] 0.84, 95% confidence interval [CI] 0.74–0.96). Participants with larger A2 values were more likely to be frail, as defined by FRAIL and CHS (FRAIL: OR 1.41, 95% CI 1.12–1.79; CHS: OR 1.38, 95% CI 1.10–1.75). Sex differences were observed across the three frailty indices. In male participants, an increase in A3 by 10 points increased the odds of frailty by almost 7% (SOF: OR 1.07, 95% CI 1.02–1.12), 6% (FRAIL: OR 1.06, 95% CI 1.02–1.11), or 6% (CHS: OR 1.06, 95% CI 1.01–1.11). In female participants, an increase in A4 by 0.1 conferred a significant 2.8-fold (SOF: OR 2.81, 95% CI 1.71–4.62), 2.3-fold (FRAIL: OR 2.31, 95% CI 1.45–3.68), or 2.8-fold (CHS: OR 2.82, 95% CI 1.76–4.51, CHS) increased odds of frailty. Conclusions Vocal biomarkers, especially spectral-domain voice parameters, might have potential for estimating frailty, as a non-invasive, instantaneous, objective, and cost-effective estimation tool, and demonstrating sex differences for individualised treatment of frailty.

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Oral Frailty

Cited by 35 publications

References 39 publications

Oral frailty and its determinants in older age: a systematic review

Oral frailty and its determinants in older age: a systematic review

Pneumonia, Aspiration Pneumonia, or Frailty-Associated Pneumonia?

Predicting frailty in older adults using vocal biomarkers: a cross-sectional study

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