Association between oral health and locomotive syndrome: a cross-sectional study in Japanese adults.
Chewing function
Locomotive syndrome
Tooth loss
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
13 Dec 2023
13 Dec 2023
Historique:
received:
24
04
2023
accepted:
05
12
2023
medline:
14
12
2023
pubmed:
14
12
2023
entrez:
13
12
2023
Statut:
epublish
Résumé
Many studies have examined the association between oral health, care needs, and physical function, but few have focused on the association between oral health and locomotive syndrome (LS). We examined the association between LS and oral-health status, such as the number of teeth and chewing function, in an adult population. The study included 2888 participants who underwent examinations of motor function and oral health. Individuals with LS stage 1 or higher were classified as having LS, while others were classified as not having it. Logistic regression analysis was performed using the presence or absence of LS as the dependent variable and age, sex, smoking status, drinking habit, exercise habit, walking speed, history of stroke, bone density, body mass index, metabolic syndrome, chewing function, and the number of teeth as independent variables to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for each independent variable. When the number of teeth and chewing function were included separately in multivariate analyses, the OR for LS was significantly higher for participants with 0-19 teeth than for those with 28 teeth, and for participants with poor chewing function than for those with good function (adjusted ORs, 1.47 [95% CI, 1.01-2.15] and 1.73 [95% CI, 1.37-2.18], respectively). In analyses that included tooth number and chewing function as a combined independent variable, relative to individuals with 28 teeth and good masticatory function, the adjusted ORs were 2.67 (95% CI, 1.57-4.52) for those with 28 teeth and poor chewing function, 1.63 (95% CI, 1.20-2.22) for those with 20-27 teeth and poor chewing function, and 1.83 (95% CI, 1.06-3.18) for those with 0-19 teeth and poor chewing function. Having fewer teeth and poor chewing function may be associated with LS. The maintenance of masticatory function may be important to prevent LS in adulthood.
Sections du résumé
BACKGROUND
BACKGROUND
Many studies have examined the association between oral health, care needs, and physical function, but few have focused on the association between oral health and locomotive syndrome (LS). We examined the association between LS and oral-health status, such as the number of teeth and chewing function, in an adult population.
METHODS
METHODS
The study included 2888 participants who underwent examinations of motor function and oral health. Individuals with LS stage 1 or higher were classified as having LS, while others were classified as not having it. Logistic regression analysis was performed using the presence or absence of LS as the dependent variable and age, sex, smoking status, drinking habit, exercise habit, walking speed, history of stroke, bone density, body mass index, metabolic syndrome, chewing function, and the number of teeth as independent variables to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for each independent variable.
RESULTS
RESULTS
When the number of teeth and chewing function were included separately in multivariate analyses, the OR for LS was significantly higher for participants with 0-19 teeth than for those with 28 teeth, and for participants with poor chewing function than for those with good function (adjusted ORs, 1.47 [95% CI, 1.01-2.15] and 1.73 [95% CI, 1.37-2.18], respectively). In analyses that included tooth number and chewing function as a combined independent variable, relative to individuals with 28 teeth and good masticatory function, the adjusted ORs were 2.67 (95% CI, 1.57-4.52) for those with 28 teeth and poor chewing function, 1.63 (95% CI, 1.20-2.22) for those with 20-27 teeth and poor chewing function, and 1.83 (95% CI, 1.06-3.18) for those with 0-19 teeth and poor chewing function.
CONCLUSION
CONCLUSIONS
Having fewer teeth and poor chewing function may be associated with LS. The maintenance of masticatory function may be important to prevent LS in adulthood.
Identifiants
pubmed: 38093202
doi: 10.1186/s12877-023-04572-z
pii: 10.1186/s12877-023-04572-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
846Informations de copyright
© 2023. The Author(s).
Références
Proietti M, Cesari M. Frailty: what is it? Adv Exp Med Biol. 2020;1216:1.
doi: 10.1007/978-3-030-33330-0_1
pubmed: 31894541
Yoshimura N, Muraki S, Oka H, Mabuchi A, En-Yo Y, Yoshida M, et al. Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab. 2009;27:620.
doi: 10.1007/s00774-009-0080-8
pubmed: 19568689
Ono R, Murata S, Uchida K, Endo T, Otani K. Reciprocal relationship between locomotive syndrome and social frailty in older adults. Geriatr Gerontol Int. 2021;21:981.
doi: 10.1111/ggi.14273
pubmed: 34505337
Imagama S, Ando K, Kobayashi K, Machino M, Tanaka S, Morozumi M, et al. Differences of locomotive syndrome and frailty in community-dwelling middle-aged and elderly people: pain, osteoarthritis, spinal alignment, body balance, and quality of life. Mod Rheumatol. 2020;30:921.
doi: 10.1080/14397595.2019.1665616
pubmed: 31495262
Ministry of Health, Labour and Welfare. Comprehensive Survey of Living Conditions. 2019. https://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa19/index.html . Accessed 12 Dec 2022.
Dodds RM, Granic A, Robinson SM, Sayer AA. Sarcopenia, long-term conditions, and multimorbidity: findings from UK biobank participants. J Cachexia Sarcopenia Muscle. 2020;11:62.
doi: 10.1002/jcsm.12503
pubmed: 31886632
Welmer AK, Rizzuto D, Parker MG, Xu W. Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study. Aging Clin Exp Res. 2017;29:793.
doi: 10.1007/s40520-016-0630-6
pubmed: 27682433
Matsuyama Y, Listl S, Jürges H, Watt RG, Aida J, Tsakos G. Causal effect of tooth loss on functional capacity in older adults in England: a natural experiment. J Am Geriatr Soc. 2021;69:1319.
doi: 10.1111/jgs.17021
Laudisio A, Marzetti E, Pagano F, Bernabei R, Zuccalà G. Masticatory dysfunction is associated with worse functional ability: a population-based study. J Clin Periodontol. 2010;37:113.
doi: 10.1111/j.1600-051X.2009.01518.x
pubmed: 20041974
Zelig R, Goldstein S, Touger-Decker R, Firestone E, Golden A, Johnson Z, et al. Tooth loss and nutritional status in older adults: a systematic review and Meta-analysis. JDR Clin Trans Res. 2022;7:4.
pubmed: 33345687
Cederholm T, Nouvenne A, Ticinesi A, Maggio M, Lauretani F, Ceda GP, et al. The role of malnutrition in older persons with mobility limitations. Curr Pharm Des. 2014;20:3173.
doi: 10.2174/13816128113196660689
pubmed: 24050166
Matsuzawa Y. Metabolic syndrome--definition and diagnostic criteria in Japan. J Atheroscler Thromb. 2005;12:301.
doi: 10.5551/jat.12.301
pubmed: 16394611
Nakamura K, Ogata T. Locomotive syndrome: definition and management. Clin Rev Bone Miner Metab. 2016;14:56.
doi: 10.1007/s12018-016-9208-2
pubmed: 27375370
pmcid: 4906066
Zhu Y, Hollis JH. Tooth loss and its association with dietary intake and diet quality in American adults. J Dent. 2014;42:1428.
doi: 10.1016/j.jdent.2014.08.012
pubmed: 25174947
Gilbert GH, Meng X, Duncan RP, Shelton BJ. Incidence of tooth loss and prosthodontic dental care: effect on chewing difficulty onset, a component of oral health-related quality of life. J Am Geriatr Soc. 2004;52:880.
doi: 10.1111/j.1532-5415.2004.52253.x
pubmed: 15161450
Inui A, Takahashi I, Sawada K, Naoki A, Oyama T, Tamura Y, et al. Teeth and physical fitness in a community-dwelling 40 to 79-year-old Japanese population. Clin Interv Aging. 2016;11:873.
doi: 10.2147/CIA.S108498
pubmed: 27418813
pmcid: 4933564
Holm-Pedersen P, Schultz-Larsen K, Christiansen N, Avlund K. Tooth loss and subsequent disability and mortality in old age. J Am Geriatr Soc. 2008;56:429.
doi: 10.1111/j.1532-5415.2007.01602.x
pubmed: 18194226
Komiyama T, Ohi T, Miyoshi Y, Murakami T, Tsuboi A, Tomata Y, et al. Association between tooth loss, receipt of dental care, and functional disability in an elderly Japanese population: the Tsurugaya project. J Am Geriatr Soc. 2016;64:2495.
doi: 10.1111/jgs.14390
pubmed: 27801931
Okamoto N, Amano N, Nakamura T, Yanagi M. Relationship between tooth loss, low masticatory ability, and nutritional indices in the elderly: a cross-sectional study. BMC Oral Health. 2019;19:110.
doi: 10.1186/s12903-019-0778-5
pubmed: 31196057
pmcid: 6567659
Ishibashi H. Locomotive syndrome in Japan. Osteoporos Sarcopenia. 2018;4:86.
doi: 10.1016/j.afos.2018.09.004
pubmed: 30775549
pmcid: 6362958
Hashimoto H, Hashimoto S, Shimazaki Y. Relationship between tooth loss and the medications used for the treatment of rheumatoid arthritis in Japanese patients with rheumatoid arthritis: a cross-sectional study. J Clin Med. 2021;10:876.
doi: 10.3390/jcm10040876
pubmed: 33672719
pmcid: 7924336
Darcey J, Horner K, Walsh T, Southern H, Marjanovic EJ, Devlin H. Tooth loss and osteoporosis: to assess the association between osteoporosis status and tooth number. Br Dent J. 2013;214:E10.
doi: 10.1038/sj.bdj.2013.165
pubmed: 23429157
Bakke M, Tuxen A, Vilmann P, Jensen BR, Vilmann A, Toft M. Ultrasound image of human masseter muscle related to bite force, electromyography, facial morphology, and occlusal factors. Scand J Dent Res. 1992;100:164.
pubmed: 1631486
Umeki K, Watanabe Y, Hirano H, Edahiro A, Ohara Y, Yoshida H, et al. The relationship between masseter muscle thickness and appendicular skeletal muscle mass in Japanese community-dwelling elders: a cross-sectional study. Arch Gerontol Geriatr. 2018;78:18.
doi: 10.1016/j.archger.2018.05.014
pubmed: 29883805
Hatta K, Ikebe K. Association between oral health and sarcopenia: a literature review. J Prosthodont Res. 2021;65:131.
doi: 10.2186/jpr.JPOR_2019_567
pubmed: 32938852
Murakami M, Hirano H, Watanabe Y, Sakai K, Kim H, Katakura A. Relationship between chewing ability and sarcopenia in Japanese community-dwelling older adults. Geriatr Gerontol Int. 2015;15:1007.
doi: 10.1111/ggi.12399
pubmed: 25363233
Takada Y, Miyahara T, Tanaka T, Ohyama T, Nakamura Y. Modulation of H reflex of pretibial muscles and reciprocal Ia inhibition of soleus muscle during voluntary teeth clenching in humans. J Neurophysiol. 2000;83:2063.
doi: 10.1152/jn.2000.83.4.2063
pubmed: 10758116
Okuyama N, Yamaga T, Yoshihara A, Nohno K, Yoshitake Y, Kimura Y, et al. Influence of dental occlusion on physical fitness decline in a healthy Japanese elderly population. Arch Gerontol Geriatr. 2011;52:172.
doi: 10.1016/j.archger.2010.03.011
pubmed: 20378189
Yamaga T, Yoshihara A, Ando Y, Yoshitake Y, Kimura Y, Shimada M, et al. Relationship between dental occlusion and physical fitness in an elderly population. J Gerontol A Biol Sci Med Sci. 2002;57:M616.
doi: 10.1093/gerona/57.9.M616
pubmed: 12196501
Cusson V, Caron C, Gaudreau P, Morais JA, Shatenstein B, Payette H. Assessing older Adults’ masticatory efficiency. J Am Geriatr Soc. 2015;63:1192.
doi: 10.1111/jgs.13443
pubmed: 26096392
Takagi D, Watanabe Y, Edahiro A, Ohara Y, Murakami M, Murakami K, et al. Factors affecting masticatory function of community-dwelling older people: investigation of the differences in the relevant factors for subjective and objective assessment. Gerodontology. 2017;34:357.
doi: 10.1111/ger.12274
pubmed: 28556346
Murakami M, Watanabe Y, Edahiro A, Ohara Y, Obuchi S, Kawai H, et al. Factors related to dissociation between objective and subjective masticatory function in Japanese community-dwelling elderly adults. J Oral Rehabil. 2018;45:598.
doi: 10.1111/joor.12650
pubmed: 29761827
Nakamura M, Hashizume H, Nomura S, Kono R, Utsunomiya H. The relationship between locomotive syndrome and depression in community-dwelling elderly people. Curr Gerontol Geriatr Res. 2017;2017:4104802.
doi: 10.1155/2017/4104802
pubmed: 28479917
pmcid: 5396418