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Association between Dementia Severity and Oral Hygiene Management Issues in Older Adults with Alzheimer’s Disease: A Cross-Sectional Study

Author

Listed:
  • Maki Shirobe

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

  • Ayako Edahiro

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

  • Keiko Motokawa

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

  • Shiho Morishita

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan
    School of Health Sciences, Meikai University, 1 Meikai, Urayasu-shi, Chiba 279-8550, Japan)

  • Yuki Ohara

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

  • Yoshiko Motohashi

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

  • Masanori Iwasaki

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

  • Yutaka Watanabe

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan
    Gerodontology, Department of Oral Health Science, Hokkaido University, Kita 13-jo Nishi 7-chome, Kita-ku, Sapporo-shi, Hokkaido 060-8586, Japan)

  • Hirohiko Hirano

    (Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan
    Dentistry and Oral Surgery, Tokyo Metropolitan Geriatric Hospital, 35-2 Sakae-cho, Itabashi-ku, Tokyo 173-0015, Japan)

Abstract

Oral hygiene management issues vary across types and clinical stages of dementia. We aimed to clarify the issues related to oral hygiene management in older adults with Alzheimer’s disease (AD) according to stages defined by the Functional Assessment Staging of Alzheimer’s Disease (FAST). In all, 397 records (45 men and 352 women; average age, 86.8 years; age range, 65–106) from older adults with AD were used for the cross-sectional study. We used data from a cohort of older adults (≥65 years old) who required long-term care and lived in the Omorimachi area of Yokote City, Akita Prefecture, Japan. Multilevel logistic regression analysis was conducted to examine the associations of the FAST stage, set as the exposure variable, with oral hygiene management parameters set as outcome variables. Compared to the reference category (combined FAST stage 1–3), FAST stages 6 and 7 had significantly higher odds ratios for refusal of oral health care, dependence in performing oral health care, and rinsing and gargling disability. FAST stages 4 and 7 were associated with dental plaque accumulation. Oral health care for older adults with AD should be planned appropriately according to dementia severity.

Suggested Citation

  • Maki Shirobe & Ayako Edahiro & Keiko Motokawa & Shiho Morishita & Yuki Ohara & Yoshiko Motohashi & Masanori Iwasaki & Yutaka Watanabe & Hirohiko Hirano, 2023. "Association between Dementia Severity and Oral Hygiene Management Issues in Older Adults with Alzheimer’s Disease: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3841-:d:1075969
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    References listed on IDEAS

    as
    1. Dorina Lauritano & Giulia Moreo & Fedora Della Vella & Dario Di Stasio & Francesco Carinci & Alberta Lucchese & Massimo Petruzzi, 2019. "Oral Health Status and Need for Oral Care in an Aging Population: A Systematic Review," IJERPH, MDPI, vol. 16(22), pages 1-23, November.
    2. Shiho Morishita & Yuki Ohara & Masanori Iwasaki & Ayako Edahiro & Keiko Motokawa & Maki Shirobe & Junichi Furuya & Yutaka Watanabe & Takeo Suga & Yayoi Kanehisa & Akitugu Ohuchi & Hirohiko Hirano, 2021. "Relationship between Mortality and Oral Function of Older People Requiring Long-Term Care in Rural Areas of Japan: A Four-Year Prospective Cohort Study," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
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