Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-02-19 DOI:10.1111/ijn.70001

Yanan Wang, Lifang Fan, Hui Zhou, Meimei Zhang, Tianyan Wang, Ying Sheng, Yuelan Zhu

{"title":"Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function","authors":"Yanan Wang, Lifang Fan, Hui Zhou, Meimei Zhang, Tianyan Wang, Ying Sheng, Yuelan Zhu","doi":"10.1111/ijn.70001","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims</h3>\n \n <p>The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = −0.038); (b) cognitive function (effect = −0.021); (c) nutritional status and cognitive function combined (effect = −0.038). The total mediating effect accounted for 50.26% of the overall effect.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70001","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijn.70001","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Aims

The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.

Design

This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.

Methods

A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.

Results

The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = −0.038); (b) cognitive function (effect = −0.021); (c) nutritional status and cognitive function combined (effect = −0.038). The total mediating effect accounted for 50.26% of the overall effect.

Conclusion

These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.

Abstract Image

查看原文本刊更多论文

解释中国老年人牙齿数量与脆弱的关系：营养状况和认知功能的连锁中介作用

目的本研究的目的是调查老年人口中牙齿数量和虚弱之间的关系。本横断面研究于2021年5月至2021年9月在复旦大学上海第五人民医院进行。方法对538名60岁及以上的社区老年人进行队列分析。采用蒂尔堡衰弱指数、简易精神状态测验和简易营养评估简表分别评估患者的衰弱、认知功能和营养状况。采用统计软件SPSS v21.0及其过程插件进行统计分析，采用自举抽样检验方法和过程插件检验中介效应的显著性。结果牙齿数量通过三种中介途径影响脆弱性：(a)营养状况（效应=−0.038）；(b)认知功能（effect =−0.021）；(c)营养状况和认知功能相结合（效应=−0.038）。总中介效应占总中介效应的50.26%。结论提高老年人口腔保健意识，实施综合干预措施，促进老年人积极老龄化，提高老年人整体健康水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.