Risk factors for oral frailty among community-dwelling pre-frail older adults in Japan: A cross-sectional analysis.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2023-11-30 DOI:10.1922/CDH_00030Miku06

M Izutsu, K Hirayama, Y Su, M Yuki

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引用次数: 0

Abstract

Objectives: Oral frailty is a well-established risk factor for frailty and plays a significant role in progression to frailty. However, the association between oral frailty and pre-frailty in elderly individuals remains unclear. This cross-sectional study aimed to clarify the characteristics and risk factors of pre-frailty in elderly individuals with oral frailty.

Methods: A total of 377 elderly individuals participated. Oral examinations comprised simple and non-invasive measures of chewing function, self-reported swallowing function, and oral moisture. The frailty screening index was used to assess frailty phenotypes.

Results: The overall prevalence of pre-frailty was 63.1%, after excluding 40 frail and 99 robust individuals. The mean age of the pre-frail participants was 76.6 ± 5.8 years; 70.6% were women. 10.5% of the pre-frail elderly participants had oral frailty. In multivariate analysis diabetes mellitus, history of cancer, denture wearing, and malnutrition were independently associated with oral frailty among pre-frail elderly individuals (adjusted odds ratio (OR) 3.8, 95% confidence interval (CI) 1.06-13.54; OR 4.5, CI 1.32-15.36; OR 8.8, CI 1.76-43.78; and OR 3.6, CI 1.30-9.67; respectively).

Conclusions: The prevalence of oral frailty was low among community-dwelling pre-frail elderly individuals. Early interventions involving oral, nutritional, and disease management may prevent or improve oral frailty in pre-frail elderly individuals and may prevent progression to frailty. Further studies are required to elucidate the underlying mechanisms.

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日本社区居住的体弱前老年人口腔虚弱的危险因素:一项横断面分析。

目的:口腔脆弱是一个公认的脆弱的危险因素，并在进展到脆弱的重要作用。然而，老年人口腔虚弱和前期虚弱之间的关系尚不清楚。本横断面研究旨在阐明老年人口腔虚弱的特点和危险因素。方法:共有377名老年人参与。口腔检查包括简单且无创的咀嚼功能、自我报告的吞咽功能和口腔水分测量。脆弱筛选指数用于评估脆弱表型。结果:在排除40名体弱者和99名健壮者后，体弱前的总体患病率为63.1%。体弱前期参与者的平均年龄为76.6±5.8岁;70.6%是女性。10.5%的老年前体弱参与者有口腔虚弱。在多变量分析中，糖尿病、癌症史、假牙佩戴和营养不良与体弱前老年人口腔虚弱独立相关(调整优势比(OR) 3.8, 95%可信区间(CI) 1.06-13.54;或4.5,ci 1.32-15.36;或8.8,ci 1.76-43.78;OR 3.6, CI 1.30-9.67;分别)。结论:在社区居住的体弱前老年人中，口腔虚弱的患病率较低。包括口腔、营养和疾病管理的早期干预可以预防或改善体弱前老年人的口腔虚弱，并可以防止向虚弱发展。需要进一步的研究来阐明潜在的机制。

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

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.