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Oral Factors as Predictors of Frailty in Community-Dwelling Older People: A Prospective Cohort Study

Author

Listed:
  • Noriko Takeuchi

    (Department of Preventive Dentistry, Okayama University Hospital, Okayama 700-8558, Japan)

  • Nanami Sawada

    (Department of Preventive Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan)

  • Daisuke Ekuni

    (Department of Preventive Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan)

  • Manabu Morita

    (Department of Preventive Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan)

Abstract

The purpose of this prospective cohort study was to identify predictors for frailty among possible oral factors in community-dwelling older people. Ninety-seven participants (≥60 years old) without frailty at baseline were included and assigned to either the robust or the frailty group after 2-year follow-up. The frailty was defined using the Japan Cardiovascular Health Study index. The numbers of present and functional teeth and periodontal disease severity were recorded. Bacterial counts on the dorsum of the tongue, oral moisture, tongue pressure, occlusal force, masticatory ability, and the oral diadochokinesis (ODK) rate were measured. Swallowing function, along with psychosocial status, relationships with communities and people, nutritional status, medical history, and comorbidities were evaluated using a questionnaire. The newly identified frailty group at follow-up showed significantly lower values in the number of teeth present, ODK/ta/sound and ODK/ka/sound rates, and clinical attachment level at baseline compared to the robust group. A logistic regression model showed a significantly negative association between the ODK/ta/sound rate at baseline and the incidence of frailty. Articulatory oral motor skill was found to be a predictor of frailty after two years.

Suggested Citation

  • Noriko Takeuchi & Nanami Sawada & Daisuke Ekuni & Manabu Morita, 2022. "Oral Factors as Predictors of Frailty in Community-Dwelling Older People: A Prospective Cohort Study," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1145-:d:729314
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    References listed on IDEAS

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    1. Arrighi, Y. & Rapp, T. & Sirven, N., 2017. "The impact of economic conditions on the disablement process: A Markov transition approach using SHARE data," Health Policy, Elsevier, vol. 121(7), pages 778-785.
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    Cited by:

    1. Tatsuo Yamamoto & Tomoki Tanaka & Hirohiko Hirano & Yuki Mochida & Katsuya Iijima, 2022. "Model to Predict Oral Frailty Based on a Questionnaire: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(20), pages 1-9, October.
    2. Ayuto Kodama & Yu Kume & Masahiro Iwakura & Katsuya Iijima & Hidetaka Ota, 2022. "A Pilot Survey: Oral Function as One of the Risk Factors for Physical Frailty," IJERPH, MDPI, vol. 19(10), pages 1-9, May.

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