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The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study

OBJECTIVES: The study aimed to investigate the relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult through a 6‐year longitudinal study. METHODS: The participants enrolled in the cross‐sectional study were 3564 To...

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Autores principales: Doi, Tokiko, Fukui, Makoto, Yoshioka, Masami, Okamoto, Yoshifumi, Shimomura, Manabu, Matsumoto, Kimi, Matsuyama, Miwa, Hinode, Daisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10098288/
https://www.ncbi.nlm.nih.gov/pubmed/36740880
http://dx.doi.org/10.1002/cre2.717
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author Doi, Tokiko
Fukui, Makoto
Yoshioka, Masami
Okamoto, Yoshifumi
Shimomura, Manabu
Matsumoto, Kimi
Matsuyama, Miwa
Hinode, Daisuke
author_facet Doi, Tokiko
Fukui, Makoto
Yoshioka, Masami
Okamoto, Yoshifumi
Shimomura, Manabu
Matsumoto, Kimi
Matsuyama, Miwa
Hinode, Daisuke
author_sort Doi, Tokiko
collection PubMed
description OBJECTIVES: The study aimed to investigate the relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult through a 6‐year longitudinal study. METHODS: The participants enrolled in the cross‐sectional study were 3564 Tokushima City residents aged 75, 80, 85, and 90 years old who received oral health examinations and who responded to a questionnaire on oral conditions and health behavior at baseline. The data for the occurrence of disability or mortality, and the monthly medical expenditures, dental expenditures, and total medical expenditure of each participant were obtained from the National Health Insurance Database. RESULTS: The total medical expenditure showed significant differences in participants who had difficulties in eating tough foods, difficulties in swallowing tea or soup, and dry mouth when compared to that of healthy participants, in addition to the current medical treatment against the general disease. The 6‐year longitudinal study revealed that participants with subjective oral frailty symptoms, including difficulties in eating tough foods and difficulties in swallowing tea or soup at baseline, had significantly higher medical, dental, and total expenditures among 538 participants without certified nursing care. In addition, those with subjective oral frailty or with less than 19 teeth present were shown to have a higher possibility for the occurrence of disability or mortality by the cox proportional hazard analysis. Furthermore, it was found that medical and total expenditures in older adults with adverse health outcomes were higher than that of healthy participants. CONCLUSION: These results suggest that subjective oral frailty in the latter‐stage older adult is related to subsequent adverse health outcomes and an increase in medical and dental expenditures.
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spelling pubmed-100982882023-04-14 The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study Doi, Tokiko Fukui, Makoto Yoshioka, Masami Okamoto, Yoshifumi Shimomura, Manabu Matsumoto, Kimi Matsuyama, Miwa Hinode, Daisuke Clin Exp Dent Res Original Articles OBJECTIVES: The study aimed to investigate the relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult through a 6‐year longitudinal study. METHODS: The participants enrolled in the cross‐sectional study were 3564 Tokushima City residents aged 75, 80, 85, and 90 years old who received oral health examinations and who responded to a questionnaire on oral conditions and health behavior at baseline. The data for the occurrence of disability or mortality, and the monthly medical expenditures, dental expenditures, and total medical expenditure of each participant were obtained from the National Health Insurance Database. RESULTS: The total medical expenditure showed significant differences in participants who had difficulties in eating tough foods, difficulties in swallowing tea or soup, and dry mouth when compared to that of healthy participants, in addition to the current medical treatment against the general disease. The 6‐year longitudinal study revealed that participants with subjective oral frailty symptoms, including difficulties in eating tough foods and difficulties in swallowing tea or soup at baseline, had significantly higher medical, dental, and total expenditures among 538 participants without certified nursing care. In addition, those with subjective oral frailty or with less than 19 teeth present were shown to have a higher possibility for the occurrence of disability or mortality by the cox proportional hazard analysis. Furthermore, it was found that medical and total expenditures in older adults with adverse health outcomes were higher than that of healthy participants. CONCLUSION: These results suggest that subjective oral frailty in the latter‐stage older adult is related to subsequent adverse health outcomes and an increase in medical and dental expenditures. John Wiley and Sons Inc. 2023-02-05 /pmc/articles/PMC10098288/ /pubmed/36740880 http://dx.doi.org/10.1002/cre2.717 Text en © 2023 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Doi, Tokiko
Fukui, Makoto
Yoshioka, Masami
Okamoto, Yoshifumi
Shimomura, Manabu
Matsumoto, Kimi
Matsuyama, Miwa
Hinode, Daisuke
The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study
title The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study
title_full The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study
title_fullStr The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study
title_full_unstemmed The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study
title_short The relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: A 6‐year longitudinal study
title_sort relationship between subjective oral frailty and adverse health outcomes or medical and dental expenditures in the latter‐stage older adult: a 6‐year longitudinal study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10098288/
https://www.ncbi.nlm.nih.gov/pubmed/36740880
http://dx.doi.org/10.1002/cre2.717
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