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Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

Author

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  • Ryo Komatsu

    (Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe, Hyogo 650-8530, Japan)

  • Koutatsu Nagai

    (Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe, Hyogo 650-8530, Japan)

  • Yoko Hasegawa

    (Department of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan
    Division of Comprehensive Prosthodontics, Faculty of Dentistry, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8514, Japan)

  • Kazuki Okuda

    (Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe, Hyogo 650-8530, Japan)

  • Yuto Okinaka

    (Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, 1-3-6 Minatojima, Chuo-ku, Kobe, Hyogo 650-8530, Japan)

  • Yosuke Wada

    (Department of Rehabilitation, Hyogo College of Medicine Sasayama Medical Center, Sasayama, Hyogo 669-2321, Japan)

  • Shotaro Tsuji

    (Department of Orthopaedic Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo 663-8501, Japan)

  • Kayoko Tamaki

    (Department of General Medicine, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan)

  • Hiroshi Kusunoki

    (Department of General Medicine, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan)

  • Hiromitsu Kishimoto

    (Department of Dentistry and Oral Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan)

  • Ken Shinmura

    (Department of General Medicine, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan)

Abstract

This cross-sectional study aimed to demonstrate the association between physical frailty subdomains and oral frailty. This study involved community-dwelling older adults (aged ≥65 years). Physical frailty was assessed with the Japanese version of the Cardiovascular Health Study criteria. Oral frailty was defined as limitations in at least three of six domains. Logistic regression analysis was used to analyze the association between physical frailty risk and oral frailty. In addition, we examined the association between physical frailty subdomains (gait speed, grip strength, exhaustion, low physical activity, and weight loss) and oral frailty. A total of 380 participants were recruited for this study. Overall, 18% and 14% of the participants were at risk of physical frailty and had oral frailty, respectively. Physical frailty risk (odds ratio (OR) = 2.40, 95% confidence interval (CI): 1.22–4.75, p = 0.012) was associated with oral frailty in multivariate analysis. In secondary analysis, among physical frailty subdomains, gait speed (OR = 0.85, 95% CI: 0.73–0.97, p = 0.019) was associated with oral frailty. The present findings suggest that physical frailty is closely related to oral frailty. Among physical frailty subdomains, decreased gait speed in particular is an important indicator related to the development of oral frailty.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2931-:d:516063
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    References listed on IDEAS

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    1. Heeeun Jung & Miji Kim & Yunhwan Lee & Chang Won Won, 2020. "Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 17(21), pages 1-20, October.
    2. Hyuma Makizako & Hiroyuki Shimada & Takehiko Doi & Kota Tsutsumimoto & Ryo Hotta & Sho Nakakubo & Keitaro Makino & Sangyoon Lee, 2018. "Social Frailty Leads to the Development of Physical Frailty among Physically Non-Frail Adults: A Four-Year Follow-Up Longitudinal Cohort Study," IJERPH, MDPI, vol. 15(3), pages 1-9, March.
    3. Yoko Hasegawa & Ayumi Sakuramoto-Sadakane & Koutatsu Nagai & Joji Tamaoka & Masayuki Oshitani & Takahiro Ono & Takashi Sawada & Ken Shinmura & Hiromitsu Kishimoto, 2020. "Does Oral Hypofunction Promote Social Withdrawal in the Older Adults? A Longitudinal Survey of Elderly Subjects in Rural Japan," IJERPH, MDPI, vol. 17(23), pages 1-11, November.
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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.
    2. 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.

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