R C Castrejón-Pérez, S A Borges-Yáñez, R Ramírez-Aldana, I Nasu, Y Saito
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Oral disease onset at an early age and may harm several health dimensions, especially among older people, and has been associated with frailty.</p><p><strong>Objective: </strong>To evaluate associations between the Frailty Index (FI) and self-reported oral diseases among older, community-dwelling Japanese people.</p><p><strong>Design: </strong>Cross-sectional and prospective analyses were performed.</p><p><strong>Setting and participants: </strong>We analyzed data from 2,529 participants at the baseline and four-year follow-up of the Nihon University Japanese Longitudinal Study of Aging, which had a four-year follow-up.</p><p><strong>Measurements: </strong>We used the self-reported number of teeth, self-reported satisfaction with dentures, and self-reported ability to chew hard food as independent variables. We computed an FI that included 40 deficits as the dependent variable. The FI score ranged from 0 to 1, with a higher score associated with adverse health outcomes and mortality. Considering a gamma distribution and controlling for age, gender, marital status, education, working status, and residence area, we fitted generalized linear models.</p><p><strong>Results: </strong>We found that dissatisfied denture users had a 2.1% (95% CI 1.006-3.279) higher frailty score than non-denture users at the baseline and a 2.1% (95% CI 0.629-3.690) higher frailty score than non-denture users at the four-year follow-up. In the cross-sectional analysis, with each additional reported tooth at the baseline, the FI score was lower by 1.5% (95% CI -2.878 to -0.208) at the four-year follow-up. In both the cross-sectional and the prospective analyses, the FI scores increased as the ability to chew hard food decreased.</p><p><strong>Conclusions: </strong>Self-reported oral diseases are associated with the FI score cross-sectionally and prospectively. Identifying factors prospectively associated with frailty may improve strategies for the next generation of older people. Considering oral diseases may help clinicians personalize treatment plans for older people.</p>","PeriodicalId":51629,"journal":{"name":"Journal of Frailty & Aging","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Self-Reported Oral Diseases and Their Association with the Frailty index among Older Japanese People: Four-Year Follow-Up.\",\"authors\":\"R C Castrejón-Pérez, S A Borges-Yáñez, R Ramírez-Aldana, I Nasu, Y Saito\",\"doi\":\"10.14283/jfa.2024.10\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Oral health is a relevant component for overall health. Oral disease onset at an early age and may harm several health dimensions, especially among older people, and has been associated with frailty.</p><p><strong>Objective: </strong>To evaluate associations between the Frailty Index (FI) and self-reported oral diseases among older, community-dwelling Japanese people.</p><p><strong>Design: </strong>Cross-sectional and prospective analyses were performed.</p><p><strong>Setting and participants: </strong>We analyzed data from 2,529 participants at the baseline and four-year follow-up of the Nihon University Japanese Longitudinal Study of Aging, which had a four-year follow-up.</p><p><strong>Measurements: </strong>We used the self-reported number of teeth, self-reported satisfaction with dentures, and self-reported ability to chew hard food as independent variables. We computed an FI that included 40 deficits as the dependent variable. The FI score ranged from 0 to 1, with a higher score associated with adverse health outcomes and mortality. Considering a gamma distribution and controlling for age, gender, marital status, education, working status, and residence area, we fitted generalized linear models.</p><p><strong>Results: </strong>We found that dissatisfied denture users had a 2.1% (95% CI 1.006-3.279) higher frailty score than non-denture users at the baseline and a 2.1% (95% CI 0.629-3.690) higher frailty score than non-denture users at the four-year follow-up. In the cross-sectional analysis, with each additional reported tooth at the baseline, the FI score was lower by 1.5% (95% CI -2.878 to -0.208) at the four-year follow-up. In both the cross-sectional and the prospective analyses, the FI scores increased as the ability to chew hard food decreased.</p><p><strong>Conclusions: </strong>Self-reported oral diseases are associated with the FI score cross-sectionally and prospectively. Identifying factors prospectively associated with frailty may improve strategies for the next generation of older people. 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引用次数: 0
摘要
背景：口腔健康是整体健康的重要组成部分。口腔疾病发病年龄较早，可能会损害多个健康维度，尤其是在老年人中，并且与体弱有关：评估日本社区老年人的虚弱指数（FI）与自我报告的口腔疾病之间的关系：设计：进行横断面和前瞻性分析：我们分析了日本大学日本老龄化纵向研究（Nihon University Japanese Longitudinal Study of Aging）中 2,529 名参与者的基线和四年随访数据：我们将自我报告的牙齿数量、自我报告的假牙满意度和自我报告的咀嚼硬质食物的能力作为自变量。我们计算了包含 40 项缺陷的 FI 作为因变量。FI 分值从 0 到 1 不等，分值越高，健康状况越差，死亡率越高。考虑到伽马分布并控制年龄、性别、婚姻状况、教育程度、工作状况和居住地区，我们建立了广义线性模型：结果：我们发现，不满意义齿使用者的虚弱评分在基线时比非义齿使用者高 2.1%（95% CI 1.006-3.279），在四年随访时比非义齿使用者高 2.1%（95% CI 0.629-3.690）。在横断面分析中，基线时每多报告一颗牙齿，四年随访时的 FI 分数就会降低 1.5% (95% CI -2.878 至 -0.208)。在横断面分析和前瞻性分析中，随着咀嚼硬质食物能力的下降，FI 分数也随之上升：结论：自我报告的口腔疾病在横断面和前瞻性分析中都与 FI 分数相关。前瞻性地识别与虚弱相关的因素可改善针对下一代老年人的策略。考虑口腔疾病可能有助于临床医生为老年人制定个性化的治疗方案。
Self-Reported Oral Diseases and Their Association with the Frailty index among Older Japanese People: Four-Year Follow-Up.
Background: Oral health is a relevant component for overall health. Oral disease onset at an early age and may harm several health dimensions, especially among older people, and has been associated with frailty.
Objective: To evaluate associations between the Frailty Index (FI) and self-reported oral diseases among older, community-dwelling Japanese people.
Design: Cross-sectional and prospective analyses were performed.
Setting and participants: We analyzed data from 2,529 participants at the baseline and four-year follow-up of the Nihon University Japanese Longitudinal Study of Aging, which had a four-year follow-up.
Measurements: We used the self-reported number of teeth, self-reported satisfaction with dentures, and self-reported ability to chew hard food as independent variables. We computed an FI that included 40 deficits as the dependent variable. The FI score ranged from 0 to 1, with a higher score associated with adverse health outcomes and mortality. Considering a gamma distribution and controlling for age, gender, marital status, education, working status, and residence area, we fitted generalized linear models.
Results: We found that dissatisfied denture users had a 2.1% (95% CI 1.006-3.279) higher frailty score than non-denture users at the baseline and a 2.1% (95% CI 0.629-3.690) higher frailty score than non-denture users at the four-year follow-up. In the cross-sectional analysis, with each additional reported tooth at the baseline, the FI score was lower by 1.5% (95% CI -2.878 to -0.208) at the four-year follow-up. In both the cross-sectional and the prospective analyses, the FI scores increased as the ability to chew hard food decreased.
Conclusions: Self-reported oral diseases are associated with the FI score cross-sectionally and prospectively. Identifying factors prospectively associated with frailty may improve strategies for the next generation of older people. Considering oral diseases may help clinicians personalize treatment plans for older people.
期刊介绍：
The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons. The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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