Relationship between oral health and Fried's frailty criteria in community-dwelling older persons.

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Version: Final published version
Serval ID
serval:BIB_DD668CB852D0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Relationship between oral health and Fried's frailty criteria in community-dwelling older persons.
Journal
BMC geriatrics
Author(s)
Kamdem B., Seematter-Bagnoud L., Botrugno F., Santos-Eggimann B.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Publication state
Published
Issued date
01/08/2017
Peer-reviewed
Oui
Volume
17
Number
1
Pages
174
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Oral health and frailty might be linked through several pathways, but previous studies are scarce. This study examined the association between oral health and components of Fried's frailty phenotype.
This cross-sectional analysis was based on a sample of 992 community-dwelling persons aged 73 to 77 years observed in the 2011 follow-up of the Lausanne 65+ cohort (Lc65+) study. Data were collected through annual mailed questionnaires, interview and physical examination. Oral health was assessed according to self-reported oral pain and masticatory ability. Frailty was defined as meeting at least one criterion of the Fried's phenotype.
Oral pain was reported by 14.8% and chewing problems by 9.7%. Impaired masticatory ability (IMA) was more frequent in subjects with missing teeth or removable dentures (13.5%) than among those with full dentition or fixed dental prostheses (3.2%). In logistic regression analyses adjusting for demographics, alcohol consumption, smoking, comorbidity and financial difficulties, persons with oral pain and those with chewing problems had significantly higher odds of being frail (adjusted OR javax.xml.bind.JAXBElement@4700992c  = 1.72; 95% CI 1.17-2.53 and adjOR javax.xml.bind.JAXBElement@a67b3e3 1.70; 1.07-2.72, respectively). Lack of endurance was associated with both oral pain (adjOR = 3.61; 1.92-6.76) and impaired masticatory ability (adjOR = 2.20; 1.03-4.72). The latter was additionally linked to low physical activity (adjOR = 2.35; 1.29-4.28) and low gait speed (adjOR = 3.12; 1.41-6.90), whereas oral pain was associated with weight loss (adjOR = 1.80; 1.09-2.96) and low handgrip strength (adjOR = 1.80; 1.17-2.77).
Self-reported oral pain and chewing impairment had a significant relation with frailty and its components, not only through a nutritional pathway of involuntary weight loss. Longitudinal analyses are needed to examine whether a poor oral condition might be a risk factor for the onset of frailty.

Keywords
Aged, Cross-Sectional Studies, Diagnostic Self Evaluation, Exercise/physiology, Female, Frailty/diagnosis, Frailty/epidemiology, Frailty/physiopathology, Hand Strength, Humans, Independent Living/statistics & numerical data, Male, Mastication/physiology, Mouth Diseases/diagnosis, Mouth Diseases/epidemiology, Mouth Diseases/physiopathology, Nutritional Status/physiology, Oral Health/statistics & numerical data, Risk Factors, Surveys and Questionnaires, Switzerland/epidemiology, Walking Speed, Chewing problems, Frailty, Masticatory ability, Oral health, Oral pain
Pubmed
Web of science
Open Access
Yes
Create date
07/08/2017 9:24
Last modification date
20/08/2019 16:02
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