Functional dentition and well-being among Chilean 80-year-olds

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2023-06-21 DOI:10.1111/ger.12699

Gustavo Sáenz-Ravello, Johanna Contreras, Mauricio Baeza, Ana Beatriz Silva, Karen Danke, Sebastián Gonzalez, Gisela Jara, Jorge Gamonal

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引用次数: 0

Abstract

Background

The Decade of Healthy Aging 2021-2030 calls for a strengthening of the policies for older people in Latin America. An example of successful oral aging is the Japanese “8020” campaign, which achieved 50% of people aged 80 years having ≥20 teeth by 2016.

Objective

To evaluate the association between having a functional dentition (≥20 teeth) and cognitive health, social participation, and quality of life in people aged ≥80 years.

Methods

Cross-sectional data from 299 complete observations (weighted N = 436 981) of individuals aged ≥80 years from Chile's National Health Survey 2016-2017 were included (3% of the population; total = 5520 clinical observations/weighted N = 14 518 969). Generalised structural equation models (GSEM) evaluated the association between having a functional dentition and cognitive health, measured with the Mini-mental score, between having a functional dentition and social participation, and between having a functional dentition and quality of life, measured with the EQ-5D-3L. Models included the effect of mediators (daily fruit and vegetable consumption; oral health-related quality of life score) and controlled for the exposure-induced mediator-outcome variables: sex, educational level, and location. Data were analysed using the STATA-17 survey module. Statistical significance was set at P < .05 (95% confidence interval [CI]).

Results

The sample was mostly female, had <8 years of education, and lived in urban areas. The prevalence of a functional dentition was 9.2% (95% CI 3.6,21.3/n = 21). GSEM demonstrated that the association between functional dentition and cognitive health was mediated by daily fruits and vegetables consumption (β = 0.12/95% CI 0.02,0.21/P = .015), with moderate strength of evidence. Additionally, there was strong evidence of an association between functional dentition and social participation frequency (β = 2.76/95% CI 0.60,4.73/P = .009). Finally, the association between functional dentition and quality of life was mediated by cognitive health (β =0.05/95% CI 0.02,0.09/P = .002) and oral health-related quality of life (β = −0.04/95% CI −0.08 to −0.01/P = .025), with strong and moderate evidence, respectively.

Conclusion

Given the beneficial implications of functional dentition in social participation, nutritional benefits and quality of life and well-being of individuals aged ≥80 years.

查看原文本刊更多论文

智利 80 岁老人的功能性牙齿和幸福感。

背景：2021-2030 健康老龄化十年 "呼吁加强拉丁美洲老年人政策。日本的 "8020 "运动是口腔老龄化的一个成功范例，到 2016 年，50% 的 80 岁老人拥有≥20 颗牙齿：评估功能性牙列（≥20 颗牙齿）与认知健康、社会参与和生活质量之间的关系：方法：纳入2016-2017年智利全国健康调查中299个完整观察对象（加权N=436 981）的横断面数据（占总人口的3%；总计=5520个临床观察对象/加权N=14 518 969），观察对象年龄≥80岁。广义结构方程模型（GSEM）评估了功能性牙列与认知健康（以迷你智力评分衡量）、功能性牙列与社会参与以及功能性牙列与生活质量（以EQ-5D-3L衡量）之间的关系。模型包括中介效应（每日水果和蔬菜摄入量；口腔健康相关生活质量评分），并控制了暴露诱导的中介-结果变量：性别、教育水平和地点。数据使用 STATA-17 调查模块进行分析。统计显著性设定为 P 结果：样本多为女性，有结论：考虑到功能性牙齿对≥80 岁老年人的社会参与、营养、生活质量和幸福感的有益影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.