Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States.
dental problems
disability
older adults
physical independence
self-reported
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
revised:
08
02
2022
received:
15
06
2021
accepted:
11
03
2022
pubmed:
20
4
2022
medline:
16
7
2022
entrez:
19
4
2022
Statut:
ppublish
Résumé
Preventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults. We used prospective data from the British Regional Health Study (BRHS) (N = 2147, 71-92 years), and the Health, Aging and Body Composition (HABC) study (USA) (N = 3075, 71-80 years). Oral health measures included tooth loss, periodontal disease, self-rated oral health, and self-reported dry mouth. Participants were followed for onset of disability over a follow-up period of 3 years. Onset of disability was assessed through new cases of mobility limitations, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression was performed to calculate the odds of incident disability. In the BRHS, tooth loss was associated with greater odds of mobility limitations and ADL difficulties. Periodontal disease was associated with greater incidence of mobility limitations. Self-report of ≥3 dry mouth symptoms was associated with increased odds of incident mobility limitations and ADL difficulties (OR = 2.08, 95% CI 1.27-3.42; OR = 1.73, 95% CI 1.03-2.90). Fair/poor self-rated oral health was associated with greater incidence of IADL difficulties. In the HABC study, complete tooth loss was associated with greater incidence of mobility limitations (OR = 1.86, 95% CI 1.13-3.06), and fair/poor self-rated oral health was associated with increased odds of incident ADL difficulties (OR = 1.42, 95% CI 1.04-1.94). Oral health problems in older adults, particularly tooth loss, self-reported dry mouth and self-rated oral health were associated with greater incidence of disability. Poor oral health plays a potentially important role in the development of disability in older populations, which in turn is an essential part of quality of life and healthy aging.
Sections du résumé
BACKGROUND
Preventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults.
METHODS
We used prospective data from the British Regional Health Study (BRHS) (N = 2147, 71-92 years), and the Health, Aging and Body Composition (HABC) study (USA) (N = 3075, 71-80 years). Oral health measures included tooth loss, periodontal disease, self-rated oral health, and self-reported dry mouth. Participants were followed for onset of disability over a follow-up period of 3 years. Onset of disability was assessed through new cases of mobility limitations, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression was performed to calculate the odds of incident disability.
RESULTS
In the BRHS, tooth loss was associated with greater odds of mobility limitations and ADL difficulties. Periodontal disease was associated with greater incidence of mobility limitations. Self-report of ≥3 dry mouth symptoms was associated with increased odds of incident mobility limitations and ADL difficulties (OR = 2.08, 95% CI 1.27-3.42; OR = 1.73, 95% CI 1.03-2.90). Fair/poor self-rated oral health was associated with greater incidence of IADL difficulties. In the HABC study, complete tooth loss was associated with greater incidence of mobility limitations (OR = 1.86, 95% CI 1.13-3.06), and fair/poor self-rated oral health was associated with increased odds of incident ADL difficulties (OR = 1.42, 95% CI 1.04-1.94).
CONCLUSIONS
Oral health problems in older adults, particularly tooth loss, self-reported dry mouth and self-rated oral health were associated with greater incidence of disability. Poor oral health plays a potentially important role in the development of disability in older populations, which in turn is an essential part of quality of life and healthy aging.
Identifiants
pubmed: 35437751
doi: 10.1111/jgs.17792
pmc: PMC9283258
mid: NIHMS1796361
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2080-2092Subventions
Organisme : NIDCR NIH HHS
ID : R03 DE028505
Pays : United States
Organisme : Medical Research Council
ID : G1002391
Pays : United Kingdom
Organisme : British Heart Foundation
ID : RG/08/013/25942
Pays : United Kingdom
Organisme : British Heart Foundation
ID : RG/19/4/34452
Pays : United Kingdom
Organisme : Dunhill Medical Trust
ID : R396/1114
Organisme : NIA NIH HHS
ID : N01-AG-6-2103
Pays : United States
Organisme : NIA NIH HHS
ID : N01-AG-6-2101
Pays : United States
Organisme : NIA NIH HHS
ID : N01-AG-6-2106
Pays : United States
Organisme : Dunhill Medical Trust
ID : R592/0717
Organisme : Medical Research Council
ID : MR/K02325X/1
Pays : United Kingdom
Organisme : The Dunhill Medical Trust
ID : R396/1114
Pays : United Kingdom
Organisme : British Heart Foundation
ID : RG/13/16/30528
Pays : United Kingdom
Organisme : The Dunhill Medical Trust
ID : R592/0717
Pays : United Kingdom
Informations de copyright
© 2022 The Authors. Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.
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