Multi-dimensional frailty and Oral Health-Related Quality-of-Life in older adults: a cross-sectional study.

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2025-05-07 DOI:10.1007/s11136-025-03969-0

Ana Cristina Mafla, Mauricio Herrera-López, Bruno Gutiérrez-Quiceno, Nico De Witte, Falk Schwendicke

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引用次数: 0

Abstract

Background: Frailty is an age-associated decline of physiological functions, with psychological, social and environmental dimensions. Frailty is associated with oral health and well-being. We aimed to determine the association between Oral Health-Related Quality-of-Life (OHRQoL) and multi-dimensional frailty in older Colombians.

Methods: An observational study was conducted and included 1,079 older adults aged 60 to 105 years from Pasto, Colombia, recruited from different government programs targeting older adults. Socio-demographic characteristics were registered; OHRQoL was determined using the self-administered Colombian Geriatric Oral Health Assessment Index (GOHAI) version, and frailty using the Comprehensive Frailty Assessment Instrument (CFAI) and covariates identified with directed acyclic graph (DAG) analysis. A descriptive analysis and a generalized linear model (GLM) were performed.

Results: The sample was comprised of 386 males (35.8%) and 693 (64.2%) females. The mean age was 71.85 years (standard deviation, SD=8.55). The mean GOHAI was 49.60 (SD=8.91). GLM found that overall frailty dimensions of the CFAI negatively impacted OHRQoL with psychological dimension having the largest impact (β= -0.44, 95% CI:-0.54- -0.34, P<0.001).

Conclusion: Comprehensive frailty assessment allows us to map various dimensions of frailty and the impact they have on OHRQoL.

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多维虚弱和老年人口腔健康相关生活质量：一项横断面研究

背景：衰弱是一种与年龄相关的生理功能衰退，涉及心理、社会和环境方面。虚弱与口腔健康和幸福有关。我们的目的是确定老年哥伦比亚人口腔健康相关生活质量（OHRQoL）与多维虚弱之间的关系。方法：进行了一项观察性研究，包括来自哥伦比亚Pasto的1079名年龄在60至105岁之间的老年人，这些老年人是从不同的针对老年人的政府项目中招募的。登记社会人口特征；OHRQoL采用自我管理的哥伦比亚老年口腔健康评估指数（GOHAI）版本确定，衰弱程度采用综合衰弱评估工具（CFAI）和有向无环图（DAG）分析确定的协变量确定。进行了描述性分析和广义线性模型（GLM）。结果：男性386例（占35.8%），女性693例（占64.2%）。平均年龄为71.85岁（标准差，SD=8.55）。平均GOHAI为49.60 （SD=8.91）。GLM发现，CFAI的总体脆弱性维度对OHRQoL产生负面影响，其中心理维度的影响最大（β= -0.44, 95% CI:-0.54- -0.34, p）。结论：综合脆弱性评估使我们能够绘制脆弱性的各个维度及其对OHRQoL的影响。

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

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.