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Krause L, Seeling S, Schienkiewitz A, Fuchs J, Petrakakis P. Chewing ability and associated factors in older adults in Germany. Results from GEDA 2019/2020-EHIS. BMC Oral Health 2023; 23:988. [PMID: 38071318 PMCID: PMC10709899 DOI: 10.1186/s12903-023-03736-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 12/05/2023] [Indexed: 12/18/2023] Open
Abstract
BACKGROUND Oral well-being is an important component of general well-being and quality of life, as it is greatly influenced by the ability to chew and speak, and thus by central factors of social interaction. Because quality of life and participation are important factors for health in older age, the aim of this article was to examine the chewing ability, including associated factors, for the older population in Germany on the basis of a nationally representative sample. METHODS Database is the German Health Update (GEDA 2019/2020-EHIS), a population based cross-sectional survey of the Robert Koch Institute. In the telephone interview, participants aged 55 years and older were asked: "Do you have difficulty biting and chewing on hard foods such as a firm apple? Would you say 'no difficulty', 'some difficulty', 'a lot of difficulty' or 'cannot do at all/ unable to do'?" Prevalences and multivariate prevalence ratios (PR) were calculated with 95% confidence intervals (95% CI) from log-Poisson regressions. Sociodemographic, health-, behavioral- and care-related characteristics were investigated as associated factors. RESULTS The analyses were based on data from 12,944 participants (7,079 women, 5,865 men). The proportion of people with reduced chewing ability was 20.0%; 14.5% had minor difficulty, 5.5% had major difficulty. There were no differences between women and men. The most important associated factors for reduced chewing ability were old age (PR 1.8, 95% CI 1.5-2.1), low socioeconomic status (PR 2.0, 95% CI 1.7-2.5), limitations to usual activities due to health problems (PR 1.9, 1.6-2.2), depressive symptoms (PR 1.7, 1.5-2.1), daily smoking (PR 1.6, 95% CI 1.3-1.8), low dental utilization (PR 1.6, 95% CI 1.4-1.9), and perceived unmet needs for dental care (PR 1.7, 95% CI 1.5-2.1). CONCLUSIONS One fifth of adults from 55 years of age reported reduced chewing ability. Thus, this is a very common functional limitation in older age. Reduced chewing ability was associated with almost all investigated characteristics. Therefore, its prevention requires a holistic view in the living environment and health care context of older people. Given that chewing ability influences quality of life and social participation, maintaining or improving chewing ability is important for healthy aging.
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Affiliation(s)
- Laura Krause
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, Berlin, 12101, Germany.
| | - Stefanie Seeling
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, Berlin, 12101, Germany
| | - Anja Schienkiewitz
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, Berlin, 12101, Germany
| | - Judith Fuchs
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, Berlin, 12101, Germany
| | - Pantelis Petrakakis
- Federal Association of Dentists of the Public Health Service, Düsseldorf, Germany
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Sheng Z, Xia B, Wu J, Zhao X, He X, Wen X, Yuan C, Pang T, Xu X. Associations Between Abdominal Obesity, Chewing Difficulty and Cognitive Impairment in Dementia-Free Chinese Elderly. Am J Alzheimers Dis Other Demen 2023; 38:15333175231167118. [PMID: 37186941 PMCID: PMC10578445 DOI: 10.1177/15333175231167118] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
OBJECTIVE To investigate the independent and synergistic associations between abdominal obesity, chewing difficulty and cognitive impairment in a community-dwelling older adults sample in China. METHODS Cognitive function was measured by the 5 min- Montreal Cognitive Assessment (5 min-MoCA) and abdominal obesity was measured by A Body Shape Index (ABSI) in 572 participants recruited from local communities. Chewing difficulty was assessed via a self-report questionnaire. Linear regression and general logistic regression were performed to investigate the association of chewing difficulty and abdominal obesity with cognition. RESULTS Chewing difficulty score [β (95% CI) = -.30 (-.49, -.11)] and ABSI [β (95%CI) = -.30 (-.55, -.05)] were independently associated with worse performance on the 5 min-MoCA. Whilst ABSI was not associated with cognitive impairment, the co-existence of chewing difficulty and abdominal obesity [OR (95% CI) = 2.22 (1.18, 4.17)] was found associated with the presence of cognitive impairment. CONCLUSION Chewing difficulty and abdominal obesity were independently associated with cognition. Abdominal obesity and chewing may have an additive effect on cognitive function.
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Affiliation(s)
| | - Binte Xia
- Zhejiang University, Hangzhou, China
| | - Jing Wu
- Zhejiang University, Hangzhou, China
| | - Xuhao Zhao
- Zhejiang University School of Public Health, Hangzhou, China
- Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, China
| | - Xindi He
- Zhejiang University School of Public Health, Hangzhou, China
- Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, China
| | - Xu Wen
- Department of Sport Science, College of Education, Zhejiang University, Hangzhou, China
| | - Changzheng Yuan
- Zhejiang University School of Public Health, Hangzhou, China
- Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, China
- The Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province, Hangzhou, China
| | - Ting Pang
- Zhejiang University School of Public Health, Hangzhou, China
- Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, China
| | - Xin Xu
- Zhejiang University School of Public Health, Hangzhou, China
- Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, China
- The Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province, Hangzhou, China
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Oura R, Mäntylä P, Saarela R, Hiltunen K. Oral hypofunction and association with need for daily assistance among older adults in long-term care. J Oral Rehabil 2022; 49:823-830. [PMID: 35620888 PMCID: PMC9546329 DOI: 10.1111/joor.13345] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 04/24/2022] [Accepted: 05/19/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Oral hypofunction (OHF) is related to occlusal status and bite force. It has specific symptoms and varying degrees of severity. OBJECTIVES OHF was determined with five signs. The relationships between OHF and need for assistance in oral hygiene, moving, eating, and occlusal status in older adults living in long-term care (LTC) were examined. METHODS A comprehensive clinical oral examination was conducted on 393 residents who lived in LTC in Helsinki, Finland. The five signs to determine OHF were mouth dryness, visible food residue on oral or denture surfaces, ability to keep the mouth open during examination, clearness of speech, and diet of pureed or soft food. Score points of 0-2 were given for each sign and the sum was categorized as mild, moderate, or severe OHF. Participants were divided into three groups accordingly, and occlusal status was determined based on contact units. In addition, nurses collected background information on number of medications and level of cognition. Need for assistance was based on oral hygiene, moving, and eating. RESULTS Of participants (n=319), 21% showed severe and 41% moderate OHF. Occlusal status differences between the OHF groups were significant. OHF severity associated linearly with increased severity of cognitive impairment and increased need for assistance in oral hygiene, eating, and moving. CONCLUSIONS OHF score based on the five signs can be used to determine OHF severity. OHF was common and associated with occlusal status, cognitive impairment, and need for assistance in oral hygiene, moving, and eating in older adults living in LTC.
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Affiliation(s)
- Riki Oura
- Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland
| | - Päivi Mäntylä
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland; Kuopio University Hospital, Oral and Maxillofacial Diseases, Kuopio, Finland
| | - Riitta Saarela
- Department of Social Services and Health Care, Oral Health Care, City of Helsinki, Helsinki, Finland
| | - Kaija Hiltunen
- Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland
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Nomura Y, Shimada M, Kakuta E, Okada A, Otsuka R, Tomizawa Y, Taguchi C, Arikawa K, Daikoku H, Sato T, Hanada N. Mortality-and Health-Related Factors in a Community-Dwelling of Oldest-Older Adults at the Age of 90: A 10-Year Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17249584. [PMID: 33371399 PMCID: PMC7768389 DOI: 10.3390/ijerph17249584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 12/15/2020] [Accepted: 12/17/2020] [Indexed: 02/06/2023]
Abstract
Mortality is obviously intended for epidemiological studies of community-dwelling older adults. There are several health-related factors associated with nutritional status and mortality. The aim of this study was to elucidate the risk factor for mortality in community-dwelling oldest-older adults at the age of 90 and clarify the structure of health-related factors associated with mortality. A 10-year follow-up study was performed for 93 subjects at the age of 90. The mean and median of their survival days were 2373 and 2581 days for women, and 1694 and 1793 days for men. By Cox's proportional hazards model, health-related factors associated with mortality were self-assessed for chewing ability, activities of daily living (ADLs), serum albumin, total cholesterol, serum creatinine, and gripping power for women but not for men. These factors interacted with each other, and the association of these factors was different in women and men. Self-assessed chewing ability was a powerful risk factor for mortality in women at the age of 90. It acted independently from nutritional status. For older adults, addressing healthy food choices together with improved oral functions is useful. However, risk factors for mortality may depend on the life stage of subjects. To investigate the risk factor for the mortality, the life course approach is necessary.
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Affiliation(s)
- Yoshiaki Nomura
- Department of Translational Research, School of Dental Medicine, Tsurumi University, Yokohama 230-8501, Japan; (A.O.); (R.O.); (N.H.)
- Correspondence: ; Tel.: +81-45-580-8462
| | - Mieko Shimada
- Department of Dental Hygiene, Chiba Prefectural University of Health Sciences, Chiba 261-0014, Japan;
| | - Erika Kakuta
- Department of Oral Bacteriology, School of Dental Medicine, Tsurumi University, Yokohama 230-8501, Japan;
| | - Ayako Okada
- Department of Translational Research, School of Dental Medicine, Tsurumi University, Yokohama 230-8501, Japan; (A.O.); (R.O.); (N.H.)
| | - Ryoko Otsuka
- Department of Translational Research, School of Dental Medicine, Tsurumi University, Yokohama 230-8501, Japan; (A.O.); (R.O.); (N.H.)
| | - Yasuko Tomizawa
- Department of Cardiovascular Surgery, Tokyo Women’s Medical University, Tokyo 162-8666, Japan;
| | - Chieko Taguchi
- Department of Preventive and Public Oral Health, School of Dentistry at Matsudo, Nihon University, Matsudo 470-2101, Japan; (C.T.); (K.A.)
| | - Kazumune Arikawa
- Department of Preventive and Public Oral Health, School of Dentistry at Matsudo, Nihon University, Matsudo 470-2101, Japan; (C.T.); (K.A.)
| | - Hideki Daikoku
- Iwate Dental Association, Morioka 020-0045, Japan; (H.D.); (T.S.)
| | - Tamotsu Sato
- Iwate Dental Association, Morioka 020-0045, Japan; (H.D.); (T.S.)
| | - Nobuhiro Hanada
- Department of Translational Research, School of Dental Medicine, Tsurumi University, Yokohama 230-8501, Japan; (A.O.); (R.O.); (N.H.)
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Fueki K, Yoshida‐Kohno E, Inamochi Y, Wakabayashi N. The association between mucosal pain and subjective masticatory function in patients with partial removable dental prostheses. J Oral Rehabil 2019; 46:1095-1099. [DOI: 10.1111/joor.12841] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 05/28/2019] [Accepted: 06/15/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Kenji Fueki
- Removable Partial Prosthodontics, Oral Health Sciences, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Eiko Yoshida‐Kohno
- Removable Partial Prosthodontics, Oral Health Sciences, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Yuka Inamochi
- Removable Partial Prosthodontics, Oral Health Sciences, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Noriyuki Wakabayashi
- Removable Partial Prosthodontics, Oral Health Sciences, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
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Braud A, Symoneaux R, Patron C, Brasse C, Forgerit V, Lourtioux F, Picouet P, Maitre I. How oral health and food sensory properties impact oral comfort during consumption of apples: A comparative approach in seniors and young adults. J Texture Stud 2019; 50:271-284. [DOI: 10.1111/jtxs.12450] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 05/15/2019] [Accepted: 05/21/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Adeline Braud
- UFR OdontologieUniversité Paris Diderot, Sorbonne Paris Cité Paris France
| | - Ronan Symoneaux
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
| | - Corinne Patron
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
| | - Céline Brasse
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
| | - Véronique Forgerit
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
| | - Flore Lourtioux
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
| | - Pierre Picouet
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
| | - Isabelle Maitre
- USC 1422 GRAPPE, Bretagne Loire Université, Ecole Supérieure d'Agricultures (ESA)—INRA, SFR 4207 QUASAV Angers France
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PAULI TP, FIGUEIREDO DDR, BARBOSA AR, CASTRO RG, MELLO ALSFD. Saúde bucal de idosos com 80 anos ou mais: condição, autopercepção e utilização de serviços odontológicos. REVISTA DE ODONTOLOGIA DA UNESP 2018. [DOI: 10.1590/1807-2577.08618] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Resumo Introdução Idosos mais velhos têm saúde bucal precária, procuram pouco os serviços odontológicos e apresentam autopercepção sobre saúde bucal discordante das necessidades de tratamento. Objetivo Comparar a condição e autopercepção de saúde bucal e padrão de utilização de serviços odontológicos de idosos com 80 anos ou mais de um município do sul brasileiro. Método Estudo descritivo com 59 idosos, em 2011 e 2015, no município de Antônio Carlos, Santa Catarina. Foram coletados dados demográficos, uso dos serviços, Oral Health Impact Profile – 14 item, hábitos e algumas condições bucais. Resultado Em ambos os anos, constatou-se mais de 70% de idosos necessitando de prótese total superior, embora mais de 80% se apresentassem satisfeitos com dentes/próteses. Mais de 60% relataram que haviam consultado o dentista há mais de 3 anos. Houve aumento significativo da necessidade de prótese total inferior, boca seca, placa, desconforto para comer; diminuição de consulta odontológica de rotina e extração dentária. Conclusão Embora tenha havido diminuição das extrações, no período, os idosos mantiveram necessidade de prótese e relataram problemas para comer. Tais resultados reafirmam a importância da inclusão do idoso com 80 anos ou mais na rede de serviços de saúde bucal.
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Horibe Y, Watanabe Y, Hirano H, Edahiro A, Ishizaki K, Ueda T, Sakurai K. Relationship between masticatory function and frailty in community-dwelling Japanese elderly. Aging Clin Exp Res 2018; 30:1093-1099. [PMID: 29285733 DOI: 10.1007/s40520-017-0888-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Accepted: 12/22/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Frailty likely results in impaired functioning, and frail individuals requiring long-term care have recently attracted the attention of researchers. In the oral health field, the number of elderly individuals who require intervention for retaining occlusion has been increasing, as has the number of remaining teeth and required prosthetic treatment. Additionally, the number of elderly with reduced masticatory function has also been increasing, and frailty is a suspected factor. AIMS The aim of this study is to clarify the relationship between frailty and masticatory function decline. DESIGN A cross-sectional study. METHODS A total of 747 participants (total mean age 73.6 ± 5.8 years old) underwent a comprehensive examination at the Tokyo Metropolitan Institute of Gerontology. Three masticatory functions were evaluated: maximum occlusal force, mixing ability, and self-reported chewing ability. Frailty was determined using all 25 questions of the Basic checklist developed by the Japanese Ministry of Health, Labour and Welfare, following the method reported by Satake et al. RESULTS: Binomial logistic analysis clarified the relationship between frailty and evaluation of each of the three masticatory functions. Significant correlations of pre-frailty or frailty with maximum occlusal force, mixing ability, and subjective chewing ability were observed. CONCLUSION All three masticatory functions (maximum occlusal force, mixing ability, and self-reported chewing ability) were associated with pre-frailty or frailty in community-dwelling Japanese elderly.
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Murakami M, Watanabe Y, Edahiro A, Ohara Y, Obuchi S, Kawai H, Kim H, Fujiwara Y, Ihara K, Murakami M, Hirano H. Factors related to dissociation between objective and subjective masticatory function in Japanese community-dwelling elderly adults. J Oral Rehabil 2018; 45:598-604. [PMID: 29761827 DOI: 10.1111/joor.12650] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2018] [Indexed: 11/28/2022]
Abstract
Clinicians' evaluations of older adults sometimes reveal inconsistencies between objective and subjective dental status. This study investigated which factors contribute both to good objective masticatory function (OMF) and the poor subjective masticatory function (SMF) that often becomes a clinical issue. Study participants included 635 elderly community-dwelling Japanese adults who underwent a comprehensive geriatric health examination in 2012. SMF was assessed with a question from the Kihon Checklist on eating difficulties (poor or good). OMF was assessed by a colour-changing gum (poor or good). Also investigated were age, sex, depressive symptoms, instrumental activities of daily living (I-ADLs), number of people who joined the participant at dinner, grip strength, usual walking speed, number of remaining teeth, number of functional teeth and their occlusal force. The group with good OMF and good SMF, defined as group 1, and the group with good OMF but poor SMF, group 2, were compared. Logistic regression analyses confirmed that the number of remaining and functional teeth participants had was statistically unrelated to differences between OMF and SMF. Instead, differences were related to stronger depressive symptoms (OR = 1.67, CI = 1.14-2.44), less ability to conduct I-ADL activities (OR = 0.73, CI = 0.59-0.91), slower usual walking speeds (OR = 0.18, CI = 0.06-0.58) and less occlusal force (OR = 0.99, CI = 0.99-1.00). Depressive symptoms, I-ADLs, and physical function are shown to be significantly related to divergence between objective and subjective masticatory function in elderly Japanese. This suggests that dissociations between objective and subjective dental evaluations of elderly adults indicate need for assessment of their mental and physical function.
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Affiliation(s)
- M Murakami
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Y Watanabe
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - A Edahiro
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Y Ohara
- Tokyo Medical and Dental University, Tokyo, Japan
| | - S Obuchi
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - H Kawai
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - H Kim
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Y Fujiwara
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - K Ihara
- Toho University, Tokyo, Japan
| | - M Murakami
- International University of Health and Welfare Sanno Hospital, Tokyo, Japan
| | - H Hirano
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
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Takagi D, Watanabe Y, Edahiro A, Ohara Y, Murakami M, Murakami K, Hironaka S, Taniguchi Y, Kitamura A, Shinkai S, Hirano H. Factors affecting masticatory function of community-dwelling older people: Investigation of the differences in the relevant factors for subjective and objective assessment. Gerodontology 2017; 34:357-364. [PMID: 28556346 DOI: 10.1111/ger.12274] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVE This study aimed to examine relevant factors for subjective and objective assessment of masticatory functions and elucidate any differences between the two methods. BACKGROUND Previous studies have reported that the results of subjective and objective assessment of masticatory function in older people do not necessarily agree. MATERIALS AND METHODS This study included 487 community-dwelling Japanese older people (205 male and 282 female; mean age 74.1±6.3 years) who participated in a comprehensive geriatric health examination. Basic information (gender and age), higher level of competence in daily living, depression, subjective masticatory function (SMF) and objective masticatory function (OMF) assessments, cognitive function, skeletal muscle mass, handgrip strength, gait speed and oral status (number of remaining and functional teeth, mouth dryness and occlusal force) were recorded. RESULTS Multiple logistic regression analysis showed that depression (odds ratio [OR]: 1.181, 95% confidence interval [CI]: 1.094-1.275), mouth dryness (OR: 2.037, CI: 1.212-3.423) and occlusal force (OR: 0.997, CI: 0.996-0.999) were significantly associated with SMF, whereas higher level of competence in daily living (OR: 0.730 CI: 0.586-0.910), skeletal muscle mass (OR: 0.521 CI: 0.283-0.960), number of functional teeth (OR: 0.862 CI: 0.775-0.959), number of remaining teeth (OR: 0.868 CI: 0.810-0.930) and occlusal force (OR: 0.994, CI: 0.991-0.998) were associated with OMF. CONCLUSION Subjective masticatory functionSMF and OMF were associated with different factors, suggesting that both mental and physical factors should be taken into consideration when treating decreased masticatory function.
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Affiliation(s)
- Daisuke Takagi
- Department of Special Needs Dentistry, Division of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, Japan.,Department of Critical Care Medicine and Dentistry, Division of Medically Compromised Geriatric Dentistry Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan
| | - Yutaka Watanabe
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.,National Center for Geriatrics and Gerontology, Aichi, Japan
| | - Ayako Edahiro
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Yuki Ohara
- Department of Oral Health Care Education, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan
| | | | - Kohji Murakami
- Department of Special Needs Dentistry, Division of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, Japan
| | - Shouji Hironaka
- Department of Special Needs Dentistry, Division of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, Japan
| | - Yu Taniguchi
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | | | - Shoji Shinkai
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Hirohiko Hirano
- Department of Oral and Maxillofacial Surgery, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
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Laudisio A, Gemma A, Fontana DO, Rivera C, Bandinelli S, Ferrucci L, Incalzi RA. Self-Reported Masticatory Dysfunction and Mortality in Community Dwelling Elderly Adults: A 9-Year Follow-Up. J Am Geriatr Soc 2016; 64:2503-2510. [PMID: 27889908 PMCID: PMC6121729 DOI: 10.1111/jgs.14331] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVES To evaluate the association, if any, between masticatory dysfunction (MD) and mortality in older adults. DESIGN The Invecchiare in Chianti (InCHIANTI) Study, a cohort study with 9-year follow-up. SETTING Tuscany, Italy. PARTICIPANTS Individuals aged 65 and older (N = 1,155). MEASUREMENTS MD was self-reported; Cox regression was used to assess the association between self-reported MD and 9-year all-cause mortality. This association was also evaluated after stratifying according to use of dentures. Analyses were adjusted for potential confounders, including demographic characteristics, lifestyle habits, comorbidities, nutrient intake, medications, and objective parameters. RESULTS Four hundred five (35%) participants reported MD. Over the 9-year follow-up, 475 (41%) subjects died. According to Cox regression analysis, self-reported MD was associated with higher mortality (relative risk (RR) = 1.23, 95% confidence interval (CI) = 1.02-1.48), after adjusting for potential confounders. In participants with self-reported MD, uncorrected edentulism was the condition associated with the greatest risk of mortality (RR = 2.10, 95% CI = 1.07-4.14); use of dentures seemed to blunt this association (RR = 1.12, 95% CI = 0.87-1.44). CONCLUSION Self-reported MD, chiefly when due to uncorrected edentulism, is associated with 9-year all-cause mortality in community-dwelling elderly adults. Further studies are needed to evaluate whether the timely correction of MD using adequate dentures can increase the survival of older adults.
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Affiliation(s)
- Alice Laudisio
- Unit of Geriatrics, Department of Medicine, Università Campus Bio-Medico di Roma
| | - Antonella Gemma
- UOS Accesso e Presa in Carico Assistenziale, Azienda Sanitaria Locale Roma E, Rome
| | - Davide O. Fontana
- Unit of Geriatrics, Department of Medicine, Università Campus Bio-Medico di Roma
| | - Chiara Rivera
- Unit of Geriatrics, Department of Medicine, Università Campus Bio-Medico di Roma
| | - Stefania Bandinelli
- Geriatric Rehabilitation Unit, Azienda Sanitaria di Firenze, Florence, Italy
| | - Luigi Ferrucci
- Longitudinal Studies Section, Clinical Research Branch, National Institute on Aging, Baltimore, Maryland
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Nakouzi J, Villegas F, Vildósola P. Influence of adaptation of removable partial denture on masticatory performance. JOURNAL OF ORAL RESEARCH 2016. [DOI: 10.17126/joralres.2016.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Grönbeck-Linden I, Hägglin C, Petersson A, Linander PO, Gahnberg L. Discontinued dental attendance among elderly people in Sweden. J Int Soc Prev Community Dent 2016; 6:224-9. [PMID: 27382538 PMCID: PMC4916796 DOI: 10.4103/2231-0762.183101] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 05/06/2016] [Indexed: 11/04/2022] Open
Abstract
Aim: Our objective was to study the loss of dental attendance and a possible age trend among patients aged ≥65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria. Materials and Methods: Data were collected for all patients (n = 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004–2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM). Results: Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65–79 and 21% ≥80). The decrease in regular dental contact had a statistically significant association with increasing age (P < 0.001). Conclusion: A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system.
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Affiliation(s)
- Ingela Grönbeck-Linden
- Department of Gerodontology, Public Dental Service, Region Vãstra Götaland, Gothenburg, Sweden; Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, The University of Gothenburg, Gothenburg, Sweden
| | - Catharina Hägglin
- Department of Gerodontology, Public Dental Service, Region Vãstra Götaland, Gothenburg, Sweden; Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, The University of Gothenburg, Gothenburg, Sweden
| | - Anita Petersson
- Department of Gerodontology, Public Dental Service, Region Vãstra Götaland, Gothenburg, Sweden
| | - Per O Linander
- Department of Gerodontology, Public Dental Service, Region Vãstra Götaland, Gothenburg, Sweden
| | - Lars Gahnberg
- Department of Gerodontology, Public Dental Service, Region Vãstra Götaland, Gothenburg, Sweden; Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, The University of Gothenburg, Gothenburg, Sweden
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