Prediction of Frailty and Dementia Using Oral Health Impact Profile from a Population-Based Survey

Tai, Chi-Jung; Chen, Jen-Hao; Tseng, Tzyy-Guey; Lin, Yi Ting; Hsiao, Yu-Han; Lee, Meng-Chih; Yang, Yi‐Hsin

doi:10.3390/ijerph17061997

Cited by 16 publications

(14 citation statements)

References 48 publications

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“…The income level was determined by asking the following question: “Are you satisfied with your income?” The participants were allowed to answer to one of these three responses: good (very satisfied/satisfied), fair, and poor (unsatisfied and very unsatisfied). Chronic kidney disease and DM were suggested to be associated with frailty [ 28 ]. Thus, kidney disease and DM were considered as risk factors for frailty.…”

Section: Measurementsmentioning

confidence: 99%

The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people

Lin

Chen²,

Montayre³

et al. 2022

BMC Geriatr

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Background Studies on examining the relationship between physical activity patterns and frailty are lacking. This study examined physical activity patterns in older people and investigated the relationship between physical activity and frailty as well as identifying the predictors of frailty. Methods We used a nationally representative longitudinal database, the Taiwan Longitudinal Study of Aging (TLSA) database, and data for a 20-year period were extracted and analyzed. A total of 5131 participants aged ≥ 60 years in 1996 were included in the current analysis. Information regarding demographic characteristics, frailty, physical activity, comorbidities, oral health, and depressive symptoms was extracted from the TLSA database. Physical activity patterns were examined using group-based trajectory modeling from 1996 to 2015. Potential predictors were examined by performing multivariate logistic regression. Results Four trajectories of the physical activity pattern were found: consistently physically inactive (33.7%), consistently physically active (21.5%), incline (21.6%), and decline (23.2%). Throughout the period, the trajectories of the four groups significantly differed from each other at year 2015, with the incline and decline groups exhibiting the lowest and highest frailty scores, respectively (p < 0.001). Older age, male, poor oral health, diabetes, chronic kidney disease, and depressive symptoms were identified as risk factors for frailty. Conclusion Physical activity reduces the risk of chronic conditions, which contributes to healthy longevity. This study can guide the development of future research and interventions to manage frailty in older people, particularly in considering previous physical activity trajectories within the life course.

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Section: Measurementsmentioning

confidence: 99%

The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people

Lin

Chen²,

Montayre³

et al. 2022

BMC Geriatr

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show abstract

“…Aging is one aspect of successful human history, as improved nutrition, hygiene, and other factors have contributed to increasing life spans worldwide. However, dementia and oral disease are major challenges in caring for older adult populations [2][3][4][5][6]. Most oral diseases result from complex interactions influenced by genetic, biological, socioeconomic and behavioral health factors [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…In the U.S., preventive dental costs can incur tremendous costs at $60.5 billion of all healthcare spending, which is far greater than health spending on other disorders, including lung cancer, drug use disorders, and alcohol use in 2016 [14]. Studies provide evidence of an association between tooth loss and dementia, which was stronger for older adults [6,15,16]. Thus, the socioeconomic burden of oral disease is expected to increase substantially, as there is an increasing aging population globally.…”

Section: Introductionmentioning

confidence: 99%

Ethnicity, Social, and Clinical Risk Factors to Tooth Loss among Older Adults in the U.S., NHANES 2011–2018

Lee

Kim

Jung

et al. 2022

IJERPH

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Background. Many older adults suffer from poor oral health, including tooth loss, and disparities among racial/ethnic and socially disadvantaged populations continue to exist. Methods. Data were obtained from the National Health and Nutrition Examination Survey among the adult population in the U.S. The prevalence of edentulism and multiple regression models were conducted on 15,821 adults, including Asians, Blacks, Hispanics, Whites, and others to assess the relationships between tooth loss and their predictors. Results. The prevalence of complete tooth loss increased with age from 0.7% for ages 20–44 to 20.2% for ages 65 and over. There are disparities in complete tooth loss regarding race/ethnicity, with the highest percentages (9%) among Whites and Blacks and the lowest percentages among Asians (3%) and Hispanics (4%). After adjusting for predictors, their impact on tooth loss was not consistent within racial/ethnic groups, as Asians had more tooth loss from Model 1 (β = −1.974, p < 0.0001) to Model 5 (β = −1.1705, p < 0.0001). Conclusion. Tooth loss was significantly higher among older adults and racial/ethnic groups even after controlling for other predictors among a nationally representative sample. The findings point to the fact that subgroup-tailored preventions are necessary.

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“…In the eighth wave, three-stage systematic sampling was employed to randomly select older adults. Details of the sampling design and data collection methods can be found elsewhere [ 16 , 17 ]. The Taiwan Medical University Ethics Committee (TMU JIRB N201907030) approved this analysis of the data from the eighth wave of the TLSA survey.…”

Section: Methodsmentioning

confidence: 99%

Health Literacy and Exercise to Treat Frailty in Community-Dwelling Older Adults: A National Survey Study

Wang

Chang

Chen

et al. 2022

IJERPH

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Aging is a major challenge facing modern society and has attracted global attention. Studies have provided some initial evidence that health literacy plays a role in determining frailty; however, most of these studies have used small convenience samples of individuals recruited from geographically limited areas, thus limiting the generalizability of their findings. The present study explored the relationships among health literacy, exercise, and frailty in Taiwanese older adults by using the data of a national population-based survey. We retrieved data from the Taiwan Longitudinal Study on Aging, a population-based survey. We gathered the 2015 data on the age, sex, education level, marital status, exercise habits, and activities of daily living (ADLs) of each eligible respondent. We evaluated the respondents’ health literacy by using a nine-item health literacy scale and categorized their health literacy level as low, medium, or high. Frailty was diagnosed according the Fried criteria. Our final sample consisted of 7702 community-dwelling older adults (3630 men and 4072 adults). Of these, 25.3% had low health literacy. The proportion of respondents who had two or more disabilities in terms of ADLs or instrumental ADLs was higher among the women (36.4% and 12.6%, respectively), and regular exercise was more common among the men (19.6%). Frailty was more prevalent among the women; the prevalence of frailty among the male and female respondents was 4.5% and 8.1%, respectively. High health literacy and regular exercise were protective factors for frailty. According to our results, poor health literacy is a risk factor for prefrailty and frailty, and regular exercise is significantly negatively associated with prefrailty and frailty. Additional studies are necessary to define practical strategies for reducing the risks of disability and death for older adults with low health literacy who do not exercise regularly, thereby improving their quality of life.

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Prediction of Frailty and Dementia Using Oral Health Impact Profile from a Population-Based Survey

Cited by 16 publications

References 48 publications

The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people

The relationship between physical activity trajectories and frailty: a 20-year prospective cohort among community-dwelling older people

Ethnicity, Social, and Clinical Risk Factors to Tooth Loss among Older Adults in the U.S., NHANES 2011–2018

Health Literacy and Exercise to Treat Frailty in Community-Dwelling Older Adults: A National Survey Study

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