Tooth retention predicts good physical performance in older adults.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
15
05
2021
accepted:
22
07
2021
entrez:
20
9
2021
pubmed:
21
9
2021
medline:
17
11
2021
Statut:
epublish
Résumé
Oral health is closely related to both physical and psychological well-being, as it enables individuals to eat, speak, and socialize. The number of teeth is the most used indicator of oral health. Several reports document a relationship of dental status with a variety of indicators of general health but longitudinal studies employing standardized physical performance tests are infrequent in the scientific literature. The Italian elderly participating in the Pro.V.A. longitudinal Study (3099 subjects aged 65+ at baseline, 2196 at the 5-year follow-up 1 and 1641 at the 7-year follow- up 2) underwent detailed interview and extensive clinical and instrumental examination that included validated physical performance measures. Participants were classified into 4 groups according to the number of remaining teeth: 0, 1-7, 8-19, and 20+. To explore the association of the number of remaining teeth with physical function and disability, we performed logistic regression analyses with models progressively adjusted for a wide number of covariates, namely anthropometric (gender, age, BMI), comorbidity (cardio-vascular, osteoarticular, and neurological diseases including depression), muscle strength (assessed for upper and lower limbs), lifestyle (smoking status, alcohol use, leisure time activities) and socioeconomical status (education, income, marital status, loneliness). Dental status correlated with most comorbidities, lifestyle, and socio-economic variables at the univariate analysis at baseline and at follow-ups. A good dental status was significantly associated with better physical functioning and lower disability. The presence of 20+ teeth resulted significantly protective (reference group: 0 teeth) versus mobility-related disability (OR = 0.67), disability (OR = 0.54) and inability to perform heavy duties (OR = 0.62), at follow up 1 and low physical performance score (OR = 0.59) at follow up 2. Conversely, the detrimental effect of edentulism, explored in subjects with or without dentures, was present but not as straightforward. Conclusion. The assessment of a geriatric patient should include an oral evaluation as a good dental status is a crucial component of successful aging.
Sections du résumé
BACKGROUND
Oral health is closely related to both physical and psychological well-being, as it enables individuals to eat, speak, and socialize. The number of teeth is the most used indicator of oral health. Several reports document a relationship of dental status with a variety of indicators of general health but longitudinal studies employing standardized physical performance tests are infrequent in the scientific literature.
SUBJECTS AND METHODS
The Italian elderly participating in the Pro.V.A. longitudinal Study (3099 subjects aged 65+ at baseline, 2196 at the 5-year follow-up 1 and 1641 at the 7-year follow- up 2) underwent detailed interview and extensive clinical and instrumental examination that included validated physical performance measures. Participants were classified into 4 groups according to the number of remaining teeth: 0, 1-7, 8-19, and 20+. To explore the association of the number of remaining teeth with physical function and disability, we performed logistic regression analyses with models progressively adjusted for a wide number of covariates, namely anthropometric (gender, age, BMI), comorbidity (cardio-vascular, osteoarticular, and neurological diseases including depression), muscle strength (assessed for upper and lower limbs), lifestyle (smoking status, alcohol use, leisure time activities) and socioeconomical status (education, income, marital status, loneliness).
RESULTS
Dental status correlated with most comorbidities, lifestyle, and socio-economic variables at the univariate analysis at baseline and at follow-ups. A good dental status was significantly associated with better physical functioning and lower disability. The presence of 20+ teeth resulted significantly protective (reference group: 0 teeth) versus mobility-related disability (OR = 0.67), disability (OR = 0.54) and inability to perform heavy duties (OR = 0.62), at follow up 1 and low physical performance score (OR = 0.59) at follow up 2. Conversely, the detrimental effect of edentulism, explored in subjects with or without dentures, was present but not as straightforward. Conclusion. The assessment of a geriatric patient should include an oral evaluation as a good dental status is a crucial component of successful aging.
Identifiants
pubmed: 34543320
doi: 10.1371/journal.pone.0255741
pii: PONE-D-21-16068
pmc: PMC8452009
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0255741Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Gerontol A Biol Sci Med Sci. 2000 Apr;55(4):M221-31
pubmed: 10811152
PLoS One. 2016 Mar 02;11(3):e0149653
pubmed: 26934048
J Clin Periodontol. 2009 Jul;36(7):550-7
pubmed: 19538327
J Clin Periodontol. 2017 Mar;44 Suppl 18:S135-S144
pubmed: 28266112
J Prosthodont Res. 2018 Apr;62(2):134-151
pubmed: 28869174
Acta Odontol Scand. 2007 Apr;65(2):78-86
pubmed: 17453425
Gerodontology. 2019 Sep;36(3):205-215
pubmed: 31025772
Science. 1987 Jul 10;237(4811):143-9
pubmed: 3299702
J Dent Res. 2020 Feb;99(2):152-158
pubmed: 31765573
J Am Med Dir Assoc. 2019 Dec;20(12):1654.e1-1654.e9
pubmed: 31409558
Curr Opin Otolaryngol Head Neck Surg. 2006 Aug;14(4):254-9
pubmed: 16832182
J Dent Res. 2007 Feb;86(2):131-6
pubmed: 17251511
Acta Biomed. 2019 May 23;90(2):359-363
pubmed: 31125022
Am J Epidemiol. 1986 Sep;124(3):372-88
pubmed: 3740038
Gerontologist. 1997 Aug;37(4):433-40
pubmed: 9279031
Arch Gen Psychiatry. 1983 Jul;40(7):812
pubmed: 6860082
Arch Gerontol Geriatr. 2003 Sep-Oct;37(2):109-17
pubmed: 12888224
J Gerontol. 1994 Mar;49(2):M85-94
pubmed: 8126356
Int Dent J. 2008 Jun;58(3):146-50
pubmed: 18630110
Community Dent Oral Epidemiol. 2003 Oct;31(5):328-34
pubmed: 14667003
Stroke. 2003 Sep;34(9):2120-5
pubmed: 12893951
Biosci Rep. 2019 Jan 11;39(1):
pubmed: 30530864
Eur J Epidemiol. 2003;18(9):891-8
pubmed: 14561049
Gerodontology. 2006 Dec;23(4):214-8
pubmed: 17105502
Gerodontology. 2012 Jun;29(2):e793-800
pubmed: 22023254
J Dent Res. 2001 Jan;80(1):340-5
pubmed: 11269726
J Psychiatr Res. 1982-1983;17(1):37-49
pubmed: 7183759
J Prosthet Dent. 2004 Dec;92(6):531-5
pubmed: 15583557
PLoS One. 2013 Jun 03;8(6):e66222
pubmed: 23755302
Gerodontology. 2017 Jun;34(2):195-207
pubmed: 27709661
J Am Geriatr Soc. 2002 Sep;50(9):1535-40
pubmed: 12383151
J Am Geriatr Soc. 2012 Feb;60(2):338-43
pubmed: 22211817
J Dent Res. 2019 Feb;98(2):164-170
pubmed: 30782090
Periodontol 2000. 2016 Oct;72(1):142-52
pubmed: 27501497
BMC Res Notes. 2016 May 17;9:274
pubmed: 27184138
J Clin Epidemiol. 1996 May;49(5):519-26
pubmed: 8636725
J Am Geriatr Soc. 2021 May;69(5):1319-1327
pubmed: 33496349
J Am Geriatr Soc. 2014 Jun;62(6):1168-73
pubmed: 24889721
Heart. 2007 Sep;93(9):1098-103
pubmed: 17164486
N Engl J Med. 1995 Mar 2;332(9):556-61
pubmed: 7838189
Geriatr Gerontol Int. 2020 Jun;20(6):526-538
pubmed: 32307825