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Oral Health as a Predictor of Physical Frailty among Rural Community-Dwelling Elderly in an Agricultural County of Taiwan: A Cross-Sectional Study

Author

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  • Ya-Wen Kuo

    (Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City 613, Chiayi, Taiwan)

  • Mei-Yen Chen

    (Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, No. 2, Sec. W., Jiapu Rd., Puzi City 613, Chiayi, Taiwan
    Department of Nursing, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Dist., Taoyuan 333, Taiwan)

  • Li-Ching Chang

    (Department of Dentistry, Chang Gung Memorial Hospital Chiayi Branch, No. 6, West Sec., Jiapu Road, Puzi City 613, Chiayi, Taiwan)

  • Jiann-Der Lee

    (Department of Neurology, Chang Gung Memorial Hospital Chiayi Branch, No. 6, West Sec., Jiapu Road, Puzi City 613, Chiayi, Taiwan
    Department of Medicine, Chang Gung University, No. 259, Wenhua 1st Rd., Guishan Dist., Taoyuan 333, Taiwan)

Abstract

We conducted a cross-sectional study to clarify the relationship between oral health and physical frailty (PF). A sample of 903 community-dwelling individuals aged ≥ 65 years were enrolled from random communities in Chiayi County. The self-perceived oral health (SPOH) and oral health assessment tool (OHAT), which consists of eight items, was used for the evaluation of their oral health status. PF was assessed based on the Study of Osteoporotic Fracture index. Overall, 14.6% of the participants had PF. In an adjusted model, restricted food types (odds ratio (OR) = 1.59, 95% confidence interval (CI): 1.2–2.09, p = 0.001), self-reported dental status (OR = 1.61, 95% CI: 1.2–2.15, p = 0.001), number of teeth (OR = 0.98, 95% CI: 0.96–0.99, p = 0.006), frequency of tooth cleaning (OR = 0.83, 95% CI: 0.68–1.0, p = 0.049), OHAT score (OR = 1.09, 95% CI: 1.02–1.17, p < 0.017), and saliva items of OHAT (OR = 1.52, 95% CI: 1.11–2.1, p = 0.010) were significantly associated with PF. SPOH is a crucial indicator of PF; longitudinal analyses are necessary to understand the underlying pathway of risk factors for frailty onset.

Suggested Citation

  • Ya-Wen Kuo & Mei-Yen Chen & Li-Ching Chang & Jiann-Der Lee, 2021. "Oral Health as a Predictor of Physical Frailty among Rural Community-Dwelling Elderly in an Agricultural County of Taiwan: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9805-:d:637689
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    References listed on IDEAS

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    1. Ryo Komatsu & Koutatsu Nagai & Yoko Hasegawa & Kazuki Okuda & Yuto Okinaka & Yosuke Wada & Shotaro Tsuji & Kayoko Tamaki & Hiroshi Kusunoki & Hiromitsu Kishimoto & Ken Shinmura, 2021. "Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 18(6), pages 1-9, March.
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    Cited by:

    1. Ya-Wen Kuo & Jiann-Der Lee, 2022. "Association between Oral Frailty and Physical Frailty among Rural Middle-Old Community-Dwelling People with Cognitive Decline in Taiwan: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-11, March.

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    1. Ya-Wen Kuo & Jiann-Der Lee, 2022. "Association between Oral Frailty and Physical Frailty among Rural Middle-Old Community-Dwelling People with Cognitive Decline in Taiwan: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-11, March.

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