The Relationship of Oral Health with Progression of Physical Frailty among Older Adults: A Longitudinal Study Composed of Two Cohorts of Older Adults from the United Kingdom and United States

Kimble, Rachel; Papacosta, AO; Lennon, Lucy; Whincup, Peter H; Weyant, Robert J.; Mathers, John C.; Wannamethee, SG; Ramsay, Sheena E

doi:10.1016/j.jamda.2022.11.022

Cited by 18 publications

(16 citation statements)

References 41 publications

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“…In a 3-year cohort study, Ramsay et al (2018) found that the presence of oral health problems was associated with the risk of being more frail and being prone to frailty at older ages. Kimble et al (2023) reported that oral health problems in older individuals, particularly tooth loss and dry mouth, were associated with the progression of frailty in later life. In a systematic review examining the relationship between oral health factors and frailty, it was stated that gradual loss of oral function due to age might cause frailty, and tooth loss, poor oral hygiene, inadequate dental prostheses, chewing, swallowing and saliva problems further increased frailty (Dibello et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

The relationship and affecting factors between oral health and frailty in the older people: A cross‐sectional study

Genç,

Uslu

2024

Public Health Nursing

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ObjectiveTo investigate the connection between oral health and frailty in older people and to determine the affecting factors.DesignThe research was a community‐based cross‐sectional study.SampleA Family Health Center conducted a study on 321 older people.MeasurementsData were collected face‐to‐face using the Personal Information Form, Geriatric Oral Health Assessment Index, and Edmonton Frailty Scale. Factors affecting oral health and frailty were examined using the MANOVA test and the relationship between them was examined using Pearson's correlation test.ResultsIt was determined that 52.6% of the participants had poor oral health and 56.1% had different levels of frailty. Education was effective on the Geriatric Oral Health Assessment Index scale score. The presence of chronic disease, frequency of tooth/denture brushing, age, education, and sex were effective on the Edmonton Frailty Scale. When the partial eta square values were examined, it was determined that the variable that had the highest impact on the GOHAI and EFS scale scores was educational status. It was determined that there was a significant negative relationship between participants' oral health and frailty scores (r = –0.539, p < .001).ConclusionsIt was determined that more than half of the older individuals included in the study had poor subjective oral health and varying levels of frailty. The influencing factors were determined through multivariate advanced analysis. This relationship and affecting factors are important in providing appropriate early detection and care to older people.

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Section: Discussionmentioning

confidence: 99%

The relationship and affecting factors between oral health and frailty in the older people: A cross‐sectional study

Genç,

Uslu

2024

Public Health Nursing

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“…For example, educational level of a parent influences dental health in the offspring 41. It has further been demonstrated that an individual’s socioeconomic position has an impact on the tendency to seek dental care,42 and finally that oral health problems influence eating habits43 and promote frailty 44…”

Section: Discussionmentioning

confidence: 99%

“…41 It has further been demonstrated that an individual's socioeconomic position has an impact on the tendency to seek dental care, 42 and finally that oral health problems influence eating habits 43 and promote frailty. 44 Earlier studies found older individuals with few social contacts to have twice the likelihood of dying compared with those with a social network. 26 One of several possible mediating factors could be the consequences of eating alone which is associated with malnutrition, depression and social isolation.…”

Section: Lifestylementioning

confidence: 99%

Prevalence and population characteristics associated with frailty in a rural low socioeconomic area in Denmark: the Lolland-Falster Health Study

Christensen,

Jacobsen,

Nilsson

et al. 2024

BMJ Open

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BackgroundFrailty is a major geriatric syndrome that predicts increased vulnerability to minor stressor events and adverse outcomes such as falls, fractures, disability and death. The prevalence of frailty among individuals above the age of 65 varies widely with an overall weighted prevalence of 10.7%.ObjectivesThe purpose of this study was to examine the prevalence of prefrailty and frailty in community-dwelling older adults from the regions of Lolland-Falster, which is one of the most socioeconomically disadvantaged areas of Denmark with lower income and lower life expectancy compared with the general Danish population. Moreover, the objective was to find selected individual characteristics associated with frailty.DesignAn observational, cross-sectional registry-based population study with data from the regions of Lolland-Falster collected between February 2016 and February 2020.ResultsThe study included 19 000 individuals. There were 10 154 above the age of 50 included for analysis. Prevalence of frailty in the age group of 50–64 years was 4.7% and 8.7% in the age group of 65 years and above.The study demonstrates associations between frailty and high age, female gender, low education level, low income, smoking, living alone, frequency of seeing one’s children and getting help when needed. These associations are comparable with findings from other studies.ConclusionThe syndrome of frailty consists of not only physiological and medical issues but also education, life conditions such as living alone and living in poverty and how you evaluate your own health.

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“…In this systematic review, two studies demonstrated significant longitudinal associations between number of teeth and frailty, highlighting the importance of number of teeth as a predictor of frailty in older age [36]. Moreover, a recent longitudinal study has demonstrated that oral health problems, particularly teeth loss and dry mouth, in elderly individuals are related to becoming weak in later years [37]. It is hypothesized that the accumulation of dry mouth or oral health problems may be a significant indicator and prognostic factor for elderly frailty [37].…”

Section: Discussionmentioning

confidence: 99%

Nutrition Status Plays a Partial Mediation Role in the Relationship between Number of Teeth and Frailty: A Cross-Sectional Multicenter Study

Xia,

Yang,

et al. 2024

Gerontology

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Introduction: Although the relationship between the number of teeth and frailty has been extensively studied, the mediating role of nutrition status in the association between the number of teeth and frailty remains to be clarified. Methods: A number of 6,664 participants lived in the communities of West China were analyzed in our study. Physical frailty was determined based on the phenotype established by Fried. Nutrition status was evaluated using the Mini Nutrition Assessment-Short Form (MNA-SF) scale. Multiple linear regression was employed to evaluate the direct relationships between the number of teeth, nutrition, and frailty. Mediation models and structural equation model (SEM) pathway analysis were used to test the mediating role of nutrition status in the relationship between the number of teeth and frailty. Results: Among the 6,664 participants aged over 50 years old, the prevalence of frailty was 6.2%. Multiple linear regression analysis showed a significant total relationship between the number of teeth (β = −0.359, 95% CI: −0.473 to −0.244, p < 0.001) and frailty. After adjusting for MNA-SF scores, the relationship between the number of teeth and frailty remained significant (β = −0.327, 95% CI: −0.443 to −0.211, p < 0.001), indicating a partial mediating effect of nutrition. Mediation analysis verified that nutrition partially mediated the relationship between the number of teeth and frailty (indirect effect estimate = −0.0121, bootstrap 95% CI: −0.0151 to −0.0092; direct effect estimate = −0.0874, bootstrap 95% CI: −0.1086 to −0.0678) in the fully adjusted model. This mediating effect occurred through influencing weight loss, low level of physical activity, and debility. SEM framework pathway analysis confirmed the association between the number of teeth, nutrition, and frailty. Conclusions: Our findings demonstrated that frailty was correlated with the number of teeth and poorer nutritional status, with nutrition partially mediating the correlation between the number of teeth and frailty. Our results supported early nutritional evaluation and intervention in oral health to decrease the risk of frailty.

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The Relationship of Oral Health with Progression of Physical Frailty among Older Adults: A Longitudinal Study Composed of Two Cohorts of Older Adults from the United Kingdom and United States

Cited by 18 publications

References 41 publications

The relationship and affecting factors between oral health and frailty in the older people: A cross‐sectional study

The relationship and affecting factors between oral health and frailty in the older people: A cross‐sectional study

Prevalence and population characteristics associated with frailty in a rural low socioeconomic area in Denmark: the Lolland-Falster Health Study

Nutrition Status Plays a Partial Mediation Role in the Relationship between Number of Teeth and Frailty: A Cross-Sectional Multicenter Study

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