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

Détails

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Etat: Serval
Version: Final published version
ID Serval
serval:BIB_DD668CB852D0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Relationship between oral health and Fried's frailty criteria in community-dwelling older persons.
Périodique
BMC geriatrics
Auteur(s)
Kamdem B., Seematter-Bagnoud L., Botrugno F., Santos-Eggimann B.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Statut éditorial
Publié
Date de publication
01/08/2017
Peer-reviewed
Oui
Volume
17
Numéro
1
Pages
174
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.

Mots-clé
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
Création de la notice
07/08/2017 10:24
Dernière modification de la notice
22/03/2018 21:44
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