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A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults

Background: Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were longitudinal associations between oral frailty, defined as accumulated deficits in oral health, and deteriorating...

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Autores principales: Iwasaki, Masanori, Motokawa, Keiko, Watanabe, Yutaka, Shirobe, Maki, Inagaki, Hiroki, Edahiro, Ayako, Ohara, Yuki, Hirano, Hirohiko, Shinkai, Shoji, Awata, Shuichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7796237/
https://www.ncbi.nlm.nih.gov/pubmed/33396639
http://dx.doi.org/10.3390/ijerph18010213
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author Iwasaki, Masanori
Motokawa, Keiko
Watanabe, Yutaka
Shirobe, Maki
Inagaki, Hiroki
Edahiro, Ayako
Ohara, Yuki
Hirano, Hirohiko
Shinkai, Shoji
Awata, Shuichi
author_facet Iwasaki, Masanori
Motokawa, Keiko
Watanabe, Yutaka
Shirobe, Maki
Inagaki, Hiroki
Edahiro, Ayako
Ohara, Yuki
Hirano, Hirohiko
Shinkai, Shoji
Awata, Shuichi
author_sort Iwasaki, Masanori
collection PubMed
description Background: Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were longitudinal associations between oral frailty, defined as accumulated deficits in oral health, and deteriorating nutritional status among community-dwelling older adults. Methods: The study population consisted of 191 men and 275 women (mean age, 76.4 years) from the Takashimadaira Study. Multifaced oral health assessment was performed at baseline, and oral frailty was defined as having ≥3 of the following six components: fewer teeth, low masticatory performance, low articulatory oral motor skill, low tongue pressure, and difficulties in chewing and swallowing. Nutritional status assessment was performed at baseline and two-year follow-up using the Mini Nutritional Assessment(®)-Short Form (MNA(®)-SF). Deteriorating nutritional status was defined as a decline in the nutritional status categories based on the MNA(®)-SF score during the study period. The association between oral frailty and deteriorating nutritional status was assessed using logistic regression analyses. Results: Oral frailty was observed in 67 (14.4%) participants at baseline. During the study, 58 (12.4%) participants exhibited deteriorating nutritional status. After adjusting for potential confounders, oral frailty was significantly associated with deteriorating nutritional status (adjusted odds ratio, 2.24; 95% confidence interval, 1.08–4.63). Conclusion: Community-dwelling older adults with oral frailty had an increased risk of deteriorating nutritional status.
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spelling pubmed-77962372021-01-10 A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults Iwasaki, Masanori Motokawa, Keiko Watanabe, Yutaka Shirobe, Maki Inagaki, Hiroki Edahiro, Ayako Ohara, Yuki Hirano, Hirohiko Shinkai, Shoji Awata, Shuichi Int J Environ Res Public Health Article Background: Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were longitudinal associations between oral frailty, defined as accumulated deficits in oral health, and deteriorating nutritional status among community-dwelling older adults. Methods: The study population consisted of 191 men and 275 women (mean age, 76.4 years) from the Takashimadaira Study. Multifaced oral health assessment was performed at baseline, and oral frailty was defined as having ≥3 of the following six components: fewer teeth, low masticatory performance, low articulatory oral motor skill, low tongue pressure, and difficulties in chewing and swallowing. Nutritional status assessment was performed at baseline and two-year follow-up using the Mini Nutritional Assessment(®)-Short Form (MNA(®)-SF). Deteriorating nutritional status was defined as a decline in the nutritional status categories based on the MNA(®)-SF score during the study period. The association between oral frailty and deteriorating nutritional status was assessed using logistic regression analyses. Results: Oral frailty was observed in 67 (14.4%) participants at baseline. During the study, 58 (12.4%) participants exhibited deteriorating nutritional status. After adjusting for potential confounders, oral frailty was significantly associated with deteriorating nutritional status (adjusted odds ratio, 2.24; 95% confidence interval, 1.08–4.63). Conclusion: Community-dwelling older adults with oral frailty had an increased risk of deteriorating nutritional status. MDPI 2020-12-30 2021-01 /pmc/articles/PMC7796237/ /pubmed/33396639 http://dx.doi.org/10.3390/ijerph18010213 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Iwasaki, Masanori
Motokawa, Keiko
Watanabe, Yutaka
Shirobe, Maki
Inagaki, Hiroki
Edahiro, Ayako
Ohara, Yuki
Hirano, Hirohiko
Shinkai, Shoji
Awata, Shuichi
A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults
title A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults
title_full A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults
title_fullStr A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults
title_full_unstemmed A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults
title_short A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults
title_sort two-year longitudinal study of the association between oral frailty and deteriorating nutritional status among community-dwelling older adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7796237/
https://www.ncbi.nlm.nih.gov/pubmed/33396639
http://dx.doi.org/10.3390/ijerph18010213
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