GerodontologyPub Date : 2024-04-21DOI: 10.1111/ger.12756
A. Shiraishi, Yoshihiro Yoshimura, H. Wakabayashi, F. Nagano, A. Matsumoto, S. Shimazu, Y. Kido, T. Bise, Aomi Kuzuhara, Kota Hori, Takenori Hamada, Kouki Yoneda, Kenichiro Maekawa
{"title":"Impaired oral status is associated with sarcopenic obesity in post-stroke patients.","authors":"A. Shiraishi, Yoshihiro Yoshimura, H. Wakabayashi, F. Nagano, A. Matsumoto, S. Shimazu, Y. Kido, T. Bise, Aomi Kuzuhara, Kota Hori, Takenori Hamada, Kouki Yoneda, Kenichiro Maekawa","doi":"10.1111/ger.12756","DOIUrl":"https://doi.org/10.1111/ger.12756","url":null,"abstract":"PURPOSE\u0000Oral problems and muscle health are indeed significant concerns in ageing populations. However, there is limited evidence concerning the association between these issues. The study's focus was to investigate the association between oral problems and sarcopenic obesity, wherein sarcopenia and obesity coexist concurrently, in post-stroke patients.\u0000\u0000\u0000METHODS\u0000This retrospective, observational, cross-sectional study included patients hospitalised for post-stroke rehabilitation. Oral problems were assessed using the Revised Oral Assessment Guide (ROAG). Sarcopenic obesity was diagnosed according to the European Society of Clinical Nutrition and Metabolism/European Association for the Study of Obesity criteria. Multiple linear regression analysis was used to examine the association between the ROAG and sarcopenic obesity after adjusting for confounding factors.\u0000\u0000\u0000RESULTS\u0000A total of 760 patients were included, with a mean (SD) age of 71 (9) years, of whom 408 (54.7%) were male. The median (interquartile range, 25th and 75th percentiles) ROAG was 11 [9, 13]. Sarcopenic obesity was diagnosed in 16 (3.9%) men, 18 (5.1%) women, and 34 (4.5%) patients overall. Multivariate linear analysis showed that ROAG was significantly and positively associated with sarcopenic obesity (β = .091, P = .023), followed by obesity alone (β = .084, P = .044), and sarcopenia alone (β = .081, P = .037).\u0000\u0000\u0000CONCLUSION\u0000Oral problems were associated with sarcopenic obesity in post-stroke. Oral assessment and intervention may have a positive impact on ADL and QOL in post-stroke patients with sarcopenic obesity.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"104 16","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140678624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-04-05DOI: 10.1111/ger.12754
Li‐Juan Wei, Chun‐Xi Chen, Ke Wei, Xiao‐Yuan Mo, Shu‐Yu Lu, De‐Jing Fan, Min Wang, Hui‐Qiao Huang, Pin‐Yue Tao
{"title":"Oral health self‐management barriers among rural older adults in Guangxi, China: A qualitative study","authors":"Li‐Juan Wei, Chun‐Xi Chen, Ke Wei, Xiao‐Yuan Mo, Shu‐Yu Lu, De‐Jing Fan, Min Wang, Hui‐Qiao Huang, Pin‐Yue Tao","doi":"10.1111/ger.12754","DOIUrl":"https://doi.org/10.1111/ger.12754","url":null,"abstract":"BackgroundObjective: To understand the barriers associated with self‐management of oral health among rural older adults in Guangxi, and to explore the high incidence of oral problems. This information will assist in the formulation of relevant strategies to solve the oral health problems in this population.MethodsTaking a phenomenological approach, the current status of, and barriers to, oral health self‐management in rural older adults from different regions of Guangxi were explored. Participants were purposively selected and interviewed face‐to‐face.ResultsThe interviews yielded four overarching themes and six corresponding sub‐themes pertaining to barriers in oral health self‐management. These included: (1) Older adults' understanding of oral health and disease, perceptions of oral health and their oral health behaviours; (2) Problems in accessing oral health information; (3) Role of family support; and (4) Barriers to healthcare that included access to dental services, oral treatment experience and financial burden of access to dental care.ConclusionRural older adults in Guangxi face oral health self‐management barriers. Improving access to oral healthcare services and changing existing oral health perceptions and habits may assist them in overcoming self‐management challenges.","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"72 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140603165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-04-02DOI: 10.1111/ger.12748
Ina Tapager, Caroline Louise Westergaard, Esben Boeskov Øzhayat
{"title":"Health status, care dependency and oral care utilization among older adults: a register-based study.","authors":"Ina Tapager, Caroline Louise Westergaard, Esben Boeskov Øzhayat","doi":"10.1111/ger.12748","DOIUrl":"https://doi.org/10.1111/ger.12748","url":null,"abstract":"<p><strong>Background and objectives: </strong>The aim of the study was to examine oral care utilisation among older Danes and to describe the extent to which oral care use is associated with the co-existence of challenges relating to general health and care dependency.</p><p><strong>Materials and methods: </strong>The study used registry data covering the entire population of older adults (≥65 years) in seven municipalities in Denmark (N = 178 787 individuals). Oral care services utilisation was computed from administrative data on oral care contacts up to and including 2019, including both private oral care and a municipal oral care programme (MOCP). Various registry data sources were used to compute risk factors to describe oral care utilisation across indicators of general health and care dependency.</p><p><strong>Results: </strong>Indicators for poorer health were associated with larger proportions of individuals enrolled in the MOCPs and larger proportions of non-users of any type of oral care. Higher degrees of care dependency were associated with larger proportions of individuals enrolled in MOCPs and individuals with no use of any oral care services, with the exception of nursing home residents, who comprised a lower proportion of non-users than individuals receiving at-home care. Municipal oral care mainly enrolled older adults who were nursing home residents (60% of nursing home residents were enrolled).</p><p><strong>Conclusion: </strong>Our findings support existing evidence on the link between oral care utilisation and general health and frailty. While the municipal care programmes assisted in covering oral care for those with the highest level of care dependency, future preventive strategies for ensuring care continuity for older adults that are increasing in frailty may want to focus on the earlier stages of frailty and of general health deterioration.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-04-02DOI: 10.1111/ger.12753
Paulo Augusto Penitente, Victoria Tiyemi Lopes Onuki, Júlio César Vieira Goiato, Emily Vivianne Freitas da Silva, Clóvis Lamartine de Moraes Melo Neto, Karina Helga Leal Turcio, André Pinheiro de Magalhães Bertoz, Daniela Micheline Dos Santos, Marcelo Coelho Goiato
{"title":"Influence of new complete dentures on the touch perception threshold and quality of life of edentulous patients.","authors":"Paulo Augusto Penitente, Victoria Tiyemi Lopes Onuki, Júlio César Vieira Goiato, Emily Vivianne Freitas da Silva, Clóvis Lamartine de Moraes Melo Neto, Karina Helga Leal Turcio, André Pinheiro de Magalhães Bertoz, Daniela Micheline Dos Santos, Marcelo Coelho Goiato","doi":"10.1111/ger.12753","DOIUrl":"https://doi.org/10.1111/ger.12753","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the touch perception threshold of the alveolar mucosa and quality of life of edentulous patients before (T0) and 30 days after (T1) the insertion of new complete dentures.</p><p><strong>Background: </strong>Touch perception is important so that edentulous patients can detect the position of complete dentures in their mouth.</p><p><strong>Materials and methods: </strong>This study included 32 complete denture wearers with good oral and systemic health and no temporomandibular disorders for at least 5 years. At each time point (T0 and T1), two tests were performed (touch perception threshold and quality-of-life scale). The touch perception threshold (Von Frey or Semmes-Weinstein test) was assessed using nylon monofilaments on the regions of the alveolar mucosa of the maxilla and mandible. The Oral Health Impact Profile for edentulous individuals (OHIP-EDENT) was administered to evaluate oral health-related quality of life.</p><p><strong>Results: </strong>In the maxilla and mandible, the touch perception thresholds for all regions of the alveolar mucosa were significantly lower at T1 than at T0. The OHIP-EDENT mean scores showed that the overall quality of life was significantly better at T1 (3.6) than at T0 (4.7), and a significant improvement in quality of life was observed in all domains of the OHIP-EDENT at T1. For touch perception threshold, effect sizes ranged from 0.4 to 0.8; and for quality of life, effect sizes ranged from 0.4 to 1.0.</p><p><strong>Conclusions: </strong>New complete dentures reduced the touch perception threshold of the alveolar mucosa of both edentulous arches and improved individuals' quality of life.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-04-02DOI: 10.1111/ger.12746
Motasum Abu-Awwad, Mohammad Bustani, Mohammad Alkababji, Farah Majdalawi, Nesreen A Salim, Mahmoud K Al-Omiri
{"title":"Complete denture palatal rugae design impact on satisfaction and quality of life.","authors":"Motasum Abu-Awwad, Mohammad Bustani, Mohammad Alkababji, Farah Majdalawi, Nesreen A Salim, Mahmoud K Al-Omiri","doi":"10.1111/ger.12746","DOIUrl":"https://doi.org/10.1111/ger.12746","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the impact of three complete denture palatal rugae designs on participants' satisfaction and oral-health-related quality of life.</p><p><strong>Background: </strong>Complete dentures palatal rugea are usually polished to a smooth finish, which can affect the patient's adaptation. Roughening or keeping an opening in the rugae area to replicate the natural sensation of the palatal rugae has been suggested but lacks clinical evidence.</p><p><strong>Methods: </strong>This randomised crossover trial included participants with complete dentures randomly allocated to six sequences. Each sequence alternated between polished, roughened, and open rugae designs. Participants evaluated general and domain-specific satisfaction (eating, taste, speaking, phonetics, and ease of cleaning) on a 100-mm visual analogue scale. They also completed the Oral Health Impact Profile for Edentulous Patients (OHIP-EDENT) and indicated their preferred design at the end. Repeated-measure ANOVA compared satisfaction, and one-way ANOVA with Tukey's test compared OHIP-EDENT scores.</p><p><strong>Results: </strong>Forty-two participants were randomised. Seven dropped out. General satisfaction ratings were comparable for the polished (Mean = 80.2, SD = 19.7) and roughened designs (Mean = 79.5, SD = 20.2). However, the open design had a significantly lower satisfaction rating (Mean = 41.1, SD = 32.2). OHIP-EDENT scores for the open design (Mean = 44.9, SD = 17.5) were significantly worse than those for the polished (Mean = 36.1, SD = 12.7) and roughened designs (Mean = 36.2, SD = 13.3). Two-thirds of the participants chose the polished design. One-third chose the roughened design; of those, 83% were first-time denture wearers.</p><p><strong>Conclusions: </strong>Complete dentures with polished and roughened rugae designs were perceived similarly. Both designs could be recommended based on the patient's preference. However, the open design should be avoided due to negative perception.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations between measured masticatory function and cognitive status: A systematic review.","authors":"Kenji Maekawa, Yoshiko Motohashi, Kentaro Igarashi, Takuya Mino, Yasuhiko Kawai, Youngnam Kang, Toshihiro Hirai, Takuo Kuboki","doi":"10.1111/ger.12751","DOIUrl":"https://doi.org/10.1111/ger.12751","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aimed to provide an overview of the most recent evidence on the association between measured masticatory function and cognitive status.</p><p><strong>Materials and methods: </strong>Literature and manual searches were conducted using three electronic databases (PubMed, Web of Science and CINAHL). Observational studies published between 2011 and 2021 investigating the association between masticatory function, dementia and cognitive status in adult humans were abstracted and reviewed by three reviewers. Studies that assessed participants' masticatory function using objective and subjective measurements and that individually examined its association with cognitive function were included. The included studies were divided into cross-sectional and cohort studies, and the quality of each study was analysed using critical appraisal skills checklists. Additionally, the main conclusions and strength of the evidence were assessed for each article.</p><p><strong>Results: </strong>A total of 21 studies (11 cross-sectional studies that objectively evaluated masticatory function, 9 cross-sectional studies that subjectively evaluated masticatory function and 1 prospective cohort study) were evaluated. The poorer masticatory function was associated with lower cognitive status even after adjusting for potential risk factors of dementia in four of 11 and six of nine cross-sectional studies where the masticatory function was respectively evaluated objectively and subjectively. One prospective cohort study also demonstrated that masticatory function, as evaluated based on measurements of occlusal force, predicted cognitive decline during the follow-up period.</p><p><strong>Conclusion: </strong>Several studies demonstrated a positive association between masticatory function and cognitive status. However, further studies, particularly longitudinal studies, are required to determine whether the association is causal.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-03-27DOI: 10.1111/ger.12749
Annie Hendry, Sarah R Baker, Gerry McKenna, Georgios Tsakos, Ivor Chestnutt, Craig Smith, Vicki Jones, Ciaran O'Neill, Alison Jenkins, Rachel Evans, Saif Sayeed Syed, Afshan Mirza, Michelle Harvey, Anup Karki, Kirstie Moons, Fiona Sandom, Michael Donaldson, Caroline Lappin, Karen Shepherd, Paul R Brocklehurst
{"title":"Setting the context for a complex dental intervention of role substitution in care homes: Initial process evaluation findings.","authors":"Annie Hendry, Sarah R Baker, Gerry McKenna, Georgios Tsakos, Ivor Chestnutt, Craig Smith, Vicki Jones, Ciaran O'Neill, Alison Jenkins, Rachel Evans, Saif Sayeed Syed, Afshan Mirza, Michelle Harvey, Anup Karki, Kirstie Moons, Fiona Sandom, Michael Donaldson, Caroline Lappin, Karen Shepherd, Paul R Brocklehurst","doi":"10.1111/ger.12749","DOIUrl":"https://doi.org/10.1111/ger.12749","url":null,"abstract":"<p><strong>Objectives: </strong>SENIOR (uSing rolE-substitutioN In care homes to improve oRal health) is a randomised controlled trial designed to determine whether role substitution could improve oral health for this population. A parallel process evaluation was undertaken to understand context. This paper reports on the first phase of the process evaluation.</p><p><strong>Background: </strong>The oral health and quality-of-life of older adults residing in care homes is poorer than those in the community. Oral health care provision is often unavailable and a concern and challenge for managers. The use of Dental Therapists and Dental Nurses rather than dentists could potentially meet these needs.</p><p><strong>Materials and methods: </strong>Semi-structured interviews were conducted with 21 key stakeholders who either worked or had experience of dependent care settings. Questions were theoretically informed by the: Promoting Action on Research Implementation in Health Services (PAHRIS) framework. The focus was on contextual factors that could influence adoption in practice and the pathway-to-impact. Interviews were fully transcribed and analysed thematically.</p><p><strong>Results: </strong>Three themes (receptive context, culture, and leadership) and 11 codes were generated. Data show the complexity of the setting and contextual factors that may work as barriers and facilitators to intervention delivery. Managers are aware of the issues regarding oral health and seek to provide best care, but face many challenges including staff turnover, time pressures, competing needs, access to services, and financial constraints. Dental professionals recognise the need for improvement and view role substitution as a viable alternative to current practice.</p><p><strong>Conclusion: </strong>Although role substitution could potentially meet the needs of this population, an in-depth understanding of contextual factors appeared important in understanding intervention delivery and implementation.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-03-27DOI: 10.1111/ger.12745
Wen-Song Su, Ching-Yi Chang
{"title":"Root caries in older adults: A co-citation network analysis (1980-2023).","authors":"Wen-Song Su, Ching-Yi Chang","doi":"10.1111/ger.12745","DOIUrl":"https://doi.org/10.1111/ger.12745","url":null,"abstract":"<p><strong>Background: </strong>Root caries affect the oral health and quality of life of older adults. This study examines the breadth of global research on this topic, aiming to clarify its expansive scope and to shed light on pertinent trends for new researchers in the field.</p><p><strong>Objective: </strong>To identify key advances in root caries research as highlighted in high-quality articles from the Social Science Citation Index (SSCI) as well as to explore emerging trends and perspectives.</p><p><strong>Materials and methods: </strong>Using the Web of Science (WoS) database, we conducted a comprehensive review of articles related to root caries in older adults. Our focus was on finding high-quality SSCI articles, identifying major contributors, journals and research trends and exploring areas such as dentistry, oral surgery and medicine for potential future research.</p><p><strong>Results: </strong>Our analysis included 192 articles, each of which was subjected to bibliometric and VOS viewer evaluations. The results revealed a concentration of studies in dentistry, oral surgery and medicine, with gaps identified in areas like anthropology, biochemistry, molecular biology and chemistry. A notable deficiency was found in root caries management.</p><p><strong>Conclusion: </strong>We discuss research gaps and propose future directions based on our findings, emphasising interdisciplinary research approaches.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-03-21DOI: 10.1111/ger.12750
Douglas Rodrigues Gonçalves, Leonardo Monteiro Botelho, Vinícius Coelho Carrard, Marco Antônio Trevizani Martins, Fernanda Visioli
{"title":"Amitriptyline effectiveness in burning mouth syndrome: An in-depth case series analysis.","authors":"Douglas Rodrigues Gonçalves, Leonardo Monteiro Botelho, Vinícius Coelho Carrard, Marco Antônio Trevizani Martins, Fernanda Visioli","doi":"10.1111/ger.12750","DOIUrl":"https://doi.org/10.1111/ger.12750","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the effectiveness of amitriptyline (AMT), and to identify the determinants of the treatment's effectiveness in patients diagnosed with burning mouth syndrome (BMS).</p><p><strong>Background: </strong>Treatment of BMS is challenging and no established treatment protocol is available. AMT may be an important treatment option, cout not all patients benefit from this drug. Studies assessing factors related to treatment response are valuable in improving decision-making.</p><p><strong>Materials and methods: </strong>This case series study examined the medical records of all patients diagnosed with BMS at an oral medicine unit in a university hospital from 2008 to 2022. The patients were divided into responders to AMT and non-responders to AMT. Data on demographic information, comorbidities, medications, types of symptoms and oral subsites affected were collected. Descriptive and bivariate analyses were conducted to assess the association between the independent variables and the outcome, using the Chi-squared test (P < .05).</p><p><strong>Results: </strong>Three hundred and fourty-nine patients reported a burning mouth sensation, 50 of them (14.3%) being diagnosed with primary BMS. Of these, 35 were treated with AMT, and 26 (74.2%) responded significantly to AMT. All males responded to AMT, whereas only 67.9% of females responded. The mean dose of AMT among responders was 29.8 ± 12.3 mg, with most patients achieving a response with 25 mg (61.5% of patients), followed by 50 mg (23%). The concomitant use of an anticonvulsant resulted in non-response.</p><p><strong>Conclusions: </strong>AMT may be effective in BMS management for most patients.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140184216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
GerodontologyPub Date : 2024-03-11DOI: 10.1111/ger.12747
Rena Zelig, Amy Lyon, Riva Touger-Decker, Steven R Singer, Hamed Samavat
{"title":"Dentition and weight status in community-dwelling older adults.","authors":"Rena Zelig, Amy Lyon, Riva Touger-Decker, Steven R Singer, Hamed Samavat","doi":"10.1111/ger.12747","DOIUrl":"https://doi.org/10.1111/ger.12747","url":null,"abstract":"<p><strong>Background/objective: </strong>Tooth loss is common among older adults and can affect dietary intake and weight status. This study investigated associations between dentition status and body mass index (BMI) in older adults.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study of data from a convenience sample of older adults (65-89 years) treated at an urban U.S. dental school clinic. Clinical and demographic data were obtained from electronic health records. Dentition status was determined based on data from odontograms. Multinomial logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of having a non-normal weight status for each measure of dentition status, after adjusting for covariates.</p><p><strong>Results: </strong>Patients (n = 1765) were 54.1% female, 51.5% White, 41.6% African American and 22.5% Hispanic/Latino. The median (interquartile range [IQR]) age was 71 (67.0-75.0) years; the mean (±SD) BMI was 28.5 (±5.7) kg/m<sup>2</sup> ; 72.5% were overweight or obese. The median (IQR) number of remaining teeth was 20.0 (13.0-24.0); the median numbers of anterior and posterior occluding pairs of teeth were 5.0 (2.0-6.0) and 2.0 (0.0-5.0), respectively; and 44.9% had a functional dentition (≥21 teeth). Having a higher number of remaining teeth and more posterior occluding pairs were associated with lower odds of obesity (OR = 0.980, 95% CI = 0.964, 0.997, p = .022 and OR = 0.931, 95% CI = 0.885, 0.980, p = .006, respectively). Lack of a functional dentition was associated with higher odds of obesity (OR = 1.400, 95% CI = 1.078, 1.818, p = .012), after controlling for covariates.</p><p><strong>Conclusion: </strong>Older adults with tooth loss - especially loss of posterior occlusion and lack of a functional dentition - were more likely to be obese than of normal weight.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}