Self-reported oral health status, edentulism and all-cause mortality risk in 12 809 Australian older adults: a prospective cohort study.
Cohort study
edentulism
mortality
oral health
tooth loss
Journal
Australian dental journal
ISSN: 1834-7819
Titre abrégé: Aust Dent J
Pays: Australia
ID NLM: 0370612
Informations de publication
Date de publication:
02 Nov 2023
02 Nov 2023
Historique:
accepted:
04
10
2023
pubmed:
2
11
2023
medline:
2
11
2023
entrez:
2
11
2023
Statut:
aheadofprint
Résumé
To investigate the association between oral health status and all-cause mortality in older adults using prospective cohort study design. In total, 12 809 adults aged ≥70 years (54.3% females) were participants of the ASPREE Longitudinal Study of Older Persons (ALSOP). Participants self-reported the presence of natural teeth and oral health status. The association of self-reported oral health, edentulism and the integrative measure of the two with all-cause mortality were explored using the Cox-regression models adjusted for age, gender, socio-economic status, health-related behaviours, weight status, aspirin and polypharmacy. Hazard ratios (HRs) and 95% confidence intervals (CIs) were reported. In total, 22.2% of participants reported edentulism and 13.8% had fair/poor oral health. After adjustment for confounders, risk of all-cause mortality was higher among those with edentulism (vs. no edentulism) HR (95% CI) 1.43 (1.18, 1.73); and those with edentulism and reporting poor/fair oral health HR (95% CI) 1.69 (1.02, 2.82), or with no edentulism but reporting poor/fair oral health HR (95% CI) 1.46 (1.19-1.80) vs. no edentulism and reporting good/very good/excellent oral health. No association was observed between self-reported oral health alone and all-cause mortality. The risk of all-cause mortality was 69% higher among older adults reporting both edentulism and poor/fair oral health compared with those with teeth and more favourable self-reported oral health. © 2023 Australian Dental Association.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Health and Medical Research Council
ID : IG1173690
Organisme : National Heart Foundation of Australia Postdoctoral Fellowship
ID : 101927
Informations de copyright
© 2023 The Authors. Australian Dental Journal published by John Wiley & Sons Australia, Ltd on behalf of Australian Dental Association.
Références
Peres MA, Daly B, Guarnizo-Herreño CC, Benzian H, Watt RG. Oral diseases: a global public health challenge-authors' reply. Lancet 2020;395(10219):186-187.
Kassebaum NJ, Smith AG, Bernabé E, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res 2017;96(4):380-387.
Chen MX, Zhong YJ, Dong QQ, Wong HM, Wen YF. Global, regional, and national burden of severe periodontitis, 1990-2019: an analysis of the Global Burden of Disease Study 2019. J Clin Periodontol 2021;48(9):1165-1188.
Listl S, Galloway J, Mossey P, Marcenes W. Global economic impact of dental diseases. J Dent Res 2015;94(10):1355-1361.
Righolt A, Jevdjevic M, Marcenes W, Listl S. Global-, regional-, and country-level economic impacts of dental diseases in 2015. J Dent Res 2018;97(5):501-507.
UN. World population ageing 2019: highlights United Nations. United Nations, New York: Department of Economic and Social Affairs, Population Division, 2020.
Loc D. National survey of adult oral health 2017-18, Chapter 4: oral health status. Adelaide, Australia: Australian Research Centre for Population Oral Health, 2019.
Montini T, Tseng T-Y, Patel H, Shelley D. Barriers to dental services for older adults. Am J Health Behav 2014;38(5):781-788.
Tonetti MS, Bottenberg P, Conrads G, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing-consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol 2017;44:S135-S144.
Takehara S, Wright FC, Naganathan V, et al. A cross-sectional study of perceived dental treatment needs and oral health status in community-dwelling older Australian men: the Concord Health and Ageing in Men Project. Int Dent J 2021;71(3):224-232.
WHO. Oral health. Geneva, Switzerand: World Health Organisation, 2021.
Aliko A, Wolff A, Dawes C, et al. World Workshop on Oral Medicine VI: clinical implications of medication-induced salivary gland dysfunction. Oral Surg Oral Med Oral Path Oral Radiol 2015;120(2):185-206.
Hakeem FF, Bernabé E, Sabbah W. Association between oral health and frailty: a systematic review of longitudinal studies. Gerodontol 2019;36(3):205-215.
Do L, Ha D, Peres MA, Skinner J, Byun R, Spencer AJ. Effectiveness of water fluoridation in the prevention of dental caries across adult age groups. Community Dent Oral Epidemiol 2017;45(3):225-232.
Hiratsuka T, Komiyama T, Ohi T, et al. Contribution of systemic inflammation and nutritional status to the relationship between tooth loss and mortality in a community-dwelling older Japanese population: a mediation analysis of data from the Tsurugaya project. Clinical Oral Investig 2020;24(6):2071-2077.
Hu H-Y, Lee Y-L, Lin S-Y, et al. Association between tooth loss, body mass index, and all-cause mortality among elderly patients in Taiwan. Medicine 2015;94(39):e1543.
Oliveira EJP, Alves LC, Santos JLF, Duarte YA, Bof de Andrade F. Edentulism and all-cause mortality among Brazilian older adults: 11-years follow-up. Brazilian Oral Res 2020;34:34.
Høvik H, Kolberg M, Gjøra L, et al. The validity of self-reported number of teeth and edentulousness among Norwegian older adults, the HUNT Study. BMC Oral Health 2022;22(1):82.
Atala-Acevedo C, McGrath R, Glenister K, et al. Self-rated oral health as a valid measure of oral health status in adults living in rural Australia. Healthcare (Basel) 2023;11(12):1721.
Ramos RQ, Bastos JL, Peres MA. Diagnostic validity of self-reported oral health outcomes in population surveys: literature review. Rev Bras Epidemiol 2013;16(3):716-728.
Lundbeck HJ, Smith MB, Thomson WM. Clinical validity of self-rated oral health among New Zealand nursing home residents. Gerodontol 2020;37(3):253-257.
Pattussi MP, Peres KG, Boing AF, Peres MA, Da Costa JSD. Self-rated oral health and associated factors in Brazilian elders. Community Dent Oral Epidemiol 2010;38(4):348-359.
McNeil JJ, Woods RL, Ward SA, et al. Cohort profile: the ASPREE longitudinal study of older persons (ALSOP). Int J Epidemiol 2019;48(4):1048-1049h.
Ernst ME, Broder JC, Wolfe R, et al. Health characteristics and aspirin use in participants at the baseline of the ASPirin in reducing events in the elderly - eXTension (ASPREE-XT) observational study. Contemp Clin Trials 2023;130:107231.
McNeil JJ, Nelson MR, Woods RL, et al. Effect of aspirin on all-cause mortality in the healthy elderly. New Eng J Med 2018;379(16):1519-1528.
Peng J, Song J, Han J, et al. The relationship between tooth loss and mortality from all causes, cardiovascular diseases, and coronary heart disease in the general population: systematic review and dose-response meta-analysis of prospective cohort studies. Biosci Rep 2019;39(1):BSR20181773.
ABS. Socio-Economic Indexes for Areas. 2011. Available at: https://www.abs.gov.au/websitedbs/censushome.nsf/home/seifa. Accessed 5 May 2023.
ABS. Remoteness structure. Canberra, Australia: Australian Bureau of Statistics, 2021. Available at: https://www.abs.gov.au/statistics/standards/australian-statistical-geography-standard-asgs-edition-3/jul2021-jun2026/remoteness-structure. Accessed 5 May 2023.
Faizuddin M, Tarannum F, Korla N, Swamy S. Association between long-term aspirin use and periodontal attachment level in humans: a cross-sectional investigation. Australian Dent J 2012;57(1):45-50.
Hämäläinen P, Meurman JH, Kauppinen M, Keskinen M. Oral infections as predictors of mortality. Gerodontology 2005;22(3):151-157.
Österberg T, Carlsson GE, Sundh V, Mellström D. Number of teeth-a predictor of mortality in 70-year-old subjects. Community Dent Oral Epidemiol 2008;36(3):258-268.
Paganini-Hill A, White SC, Atchison KA. Dental health behaviors, dentition, and mortality in the elderly: the leisure world cohort study. J Aging Res 2011;2011:1-10.
Kotronia E, Wannamethee SG, Papacosta AO, et al. Poor oral health and inflammatory, hemostatic, and cardiac biomarkers in older age: results from two studies in the UK and USA. J Gerontol: Series A 2021;76(2):346-351.
Joshy G, Arora M, Korda RJ, Chalmers J, Banks E. Is poor oral health a risk marker for incident cardiovascular disease hospitalisation and all-cause mortality? Findings from 172 630 participants from the prospective 45 and up study. BMJ Open 2016;6(8):e012386.
Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people-call for public health action. Community Dent Health 2010;27(4):257-267.
Sheiham A, Steele J, Marcenes W, et al. The relationship among dental status, nutrient intake, and nutritional status in older people. J Dent Res 2001;80(2):408-413.
Söderström L, Rosenblad A, Adolfsson ET, Bergkvist L. Malnutrition is associated with increased mortality in older adults regardless of the cause of death. Brit J Nutr 2017;117(4):532-540.
Maida CA, Marcus M, Spolsky VW, Wang Y, Liu H. Socio-behavioral predictors of self-reported oral health-related quality of life. Qual Life Res 2013;22(3):559-566.
Borrell LN, Baquero MC. Self-rated general and oral health in New York city adults: assessing the effect of individual and neighborhood social factors. Community Dent Oral Epidemiol 2011;39(4):361-371.
Thomson WM, He S, Elani H. Self-report oral health and disease experience among adults in China and NZ. Clin Oral Investig 2019;23:2123-2128.
Bassim CW, MacEntee MI, Nazmul S, et al. Self-reported oral health at baseline of the Canadian longitudinal study on aging. Community Dent Oral Epidemiol 2020;48(1):72-80.
Hakeem FF, Bernabé E, Sabbah W. Self-rated oral health and frailty index among older Americans. Gerodontology 2021;38(2):185-190.
Lawal FB. Global self-rating of oral health as summary tool for oral health evaluation in low-resource settings. J Int Soc Prev Community Dent 2015;5(Suppl 1):S1-S6.
Knäuper B, Carrière K, Chamandy M, Xu Z, Schwarz N, Rosen NO. How aging affects self-reports. Eur J Ageing 2016;13(2):185-193.
Watt RG, Daly B, Allison P, et al. The Lancet oral health series: implications for oral and dental research. J Dent Res 2020;99(1):8-10.