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Prediction of Frailty and Dementia Using Oral Health Impact Profile from a Population-Based Survey

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  • Chi-Jung Tai

    (Department of Family Medicine, Pingtung Hospital, Ministry of Health and Welfare, Pingtung 90054, Taiwan
    Graduate Institute of Natural Products, College of Pharmacy, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Jen-Hao Chen

    (School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Dentistry, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 812, Taiwan)

  • Tzyy-Guey Tseng

    (Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Yi-Ting Lin

    (Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Medical Sciences, Molecular Epidemiology, Uppsala University, Uppsala SE-75185, Sweden)

  • Yu-Han Hsiao

    (Department of Family Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung 40343, Taiwan
    Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan
    College of Management, Chaoyang University of Technology, Taichung 41331, Taiwan)

  • Meng-Chih Lee

    (Department of Family Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung 40343, Taiwan
    College of Management, Chaoyang University of Technology, Taichung 41331, Taiwan
    Institute of Population Health Sciences, National Health Research Institutes, Miaoli 35053, Taiwan)

  • Yi-Hsin Yang

    (School of Pharmacy, College of Pharmacy, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    National Institute of Cancer Research, National Health Research Institutes, Tainan 70456, Taiwan)

Abstract

Oral health and dentition have been associated with cognitive ability and frailty, but an applicable screening tool has not yet been developed. This study aimed to establish risk prediction models for dementia and frailty. A sample of 2905 community-dwelling older adults aged ≥58 years using the Taiwan Longitudinal Study on Aging (TLSA) survey was adapted and analyzed for this study. Risk scores were estimated by stepwise logistic regression. In models adjusted for covariates, increased age, female sex, no dental prosthesis (adjusted Odds ratio [adjOR], 1.61; 95% confidence interval [CI], 1.11–2.35), diabetes mellitus, chronic kidney disease, and an increased Oral Health Impact Profile (OHIP)-7T Q3 score (adjOR, 1.33; 95% CI, 1.19–1.49) were all significantly associated with frailty. In addition to these factors, an inability to self-report height or weight (adjOR, 4.52; 95% CI, 3.52–5.81) and an increased OHIP-7T Q7 score (adjOR, 1.21; 95% CI, 1.06–1.37) were significantly associated with dementia. The cut-off points of the risk scores for frailty and dementia were 80 (sensitivity, 80.0%; specificity, 81.2%) and 77 (sensitivity, 83.4%; specificity, 71.5%), respectively. The findings highlighted a number of composite risk factors of frailty and dementia. Importantly, the developed prediction models were easily applicable to screen for frailty and dementia in communities or dental clinics.

Suggested Citation

  • Chi-Jung Tai & Jen-Hao Chen & Tzyy-Guey Tseng & Yi-Ting Lin & Yu-Han Hsiao & Meng-Chih Lee & Yi-Hsin Yang, 2020. "Prediction of Frailty and Dementia Using Oral Health Impact Profile from a Population-Based Survey," IJERPH, MDPI, vol. 17(6), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:1997-:d:333807
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    References listed on IDEAS

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    1. Hsiao-Ting Chang & Nai-Wei Hsu & Hsi-Chung Chen & Hsuan-Ming Tsao & Su-Shun Lo & Pesus Chou, 2018. "Associations between Body Mass Index and Subjective Health Outcomes among Older Adults: Findings from the Yilan Study, Taiwan," IJERPH, MDPI, vol. 15(12), pages 1-15, November.
    2. Mitsuhiro Sado & Akira Ninomiya & Ryo Shikimoto & Baku Ikeda & Toshiaki Baba & Kimio Yoshimura & Masaru Mimura, 2018. "The estimated cost of dementia in Japan, the most aged society in the world," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-13, November.
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    Cited by:

    1. Haeok Lee & Deogwoon Kim & Andrew Jung & Wonjeong Chae, 2022. "Ethnicity, Social, and Clinical Risk Factors to Tooth Loss among Older Adults in the U.S., NHANES 2011–2018," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    2. Chia-Hui Wang & Wen-Pei Chang & Su-Ru Chen & Wan-Ju Cheng & Kuei-Ru Chou & Li-Chung Pien, 2022. "Health Literacy and Exercise to Treat Frailty in Community-Dwelling Older Adults: A National Survey Study," IJERPH, MDPI, vol. 19(14), pages 1-10, July.
    3. Shu-Hsin Lee & Chih-Jung Yeh & Cheng-Yu Yang & Ching-Yi Wang & Meng-Chih Lee, 2022. "Factors Associated with Attitudes toward Aging among Taiwanese Middle-Aged and Older Adults: Based on Population-Representative National Data," IJERPH, MDPI, vol. 19(5), pages 1-10, February.

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