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Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
BACKGROUND: Preventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults. METHODS: We used prospective data from the British Regional Health S...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283258/ https://www.ncbi.nlm.nih.gov/pubmed/35437751 http://dx.doi.org/10.1111/jgs.17792 |
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author | Kotronia, Eftychia Brown, Heather Papacosta, Olia Lennon, Lucy T. Weyant, Robert J. Whincup, Peter H. Wannamethee, Sasiwarang Goya Ramsay, Sheena E. |
author_facet | Kotronia, Eftychia Brown, Heather Papacosta, Olia Lennon, Lucy T. Weyant, Robert J. Whincup, Peter H. Wannamethee, Sasiwarang Goya Ramsay, Sheena E. |
author_sort | Kotronia, Eftychia |
collection | PubMed |
description | BACKGROUND: Preventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults. METHODS: We used prospective data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) study (USA) (N = 3075, 71–80 years). Oral health measures included tooth loss, periodontal disease, self‐rated oral health, and self‐reported dry mouth. Participants were followed for onset of disability over a follow‐up period of 3 years. Onset of disability was assessed through new cases of mobility limitations, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression was performed to calculate the odds of incident disability. RESULTS: In the BRHS, tooth loss was associated with greater odds of mobility limitations and ADL difficulties. Periodontal disease was associated with greater incidence of mobility limitations. Self‐report of ≥3 dry mouth symptoms was associated with increased odds of incident mobility limitations and ADL difficulties (OR = 2.08, 95% CI 1.27–3.42; OR = 1.73, 95% CI 1.03–2.90). Fair/poor self‐rated oral health was associated with greater incidence of IADL difficulties. In the HABC study, complete tooth loss was associated with greater incidence of mobility limitations (OR = 1.86, 95% CI 1.13–3.06), and fair/poor self‐rated oral health was associated with increased odds of incident ADL difficulties (OR = 1.42, 95% CI 1.04–1.94). CONCLUSIONS: Oral health problems in older adults, particularly tooth loss, self‐reported dry mouth and self‐rated oral health were associated with greater incidence of disability. Poor oral health plays a potentially important role in the development of disability in older populations, which in turn is an essential part of quality of life and healthy aging. |
format | Online Article Text |
id | pubmed-9283258 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92832582022-10-14 Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States Kotronia, Eftychia Brown, Heather Papacosta, Olia Lennon, Lucy T. Weyant, Robert J. Whincup, Peter H. Wannamethee, Sasiwarang Goya Ramsay, Sheena E. J Am Geriatr Soc Regular Issue Content BACKGROUND: Preventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults. METHODS: We used prospective data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) study (USA) (N = 3075, 71–80 years). Oral health measures included tooth loss, periodontal disease, self‐rated oral health, and self‐reported dry mouth. Participants were followed for onset of disability over a follow‐up period of 3 years. Onset of disability was assessed through new cases of mobility limitations, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression was performed to calculate the odds of incident disability. RESULTS: In the BRHS, tooth loss was associated with greater odds of mobility limitations and ADL difficulties. Periodontal disease was associated with greater incidence of mobility limitations. Self‐report of ≥3 dry mouth symptoms was associated with increased odds of incident mobility limitations and ADL difficulties (OR = 2.08, 95% CI 1.27–3.42; OR = 1.73, 95% CI 1.03–2.90). Fair/poor self‐rated oral health was associated with greater incidence of IADL difficulties. In the HABC study, complete tooth loss was associated with greater incidence of mobility limitations (OR = 1.86, 95% CI 1.13–3.06), and fair/poor self‐rated oral health was associated with increased odds of incident ADL difficulties (OR = 1.42, 95% CI 1.04–1.94). CONCLUSIONS: Oral health problems in older adults, particularly tooth loss, self‐reported dry mouth and self‐rated oral health were associated with greater incidence of disability. Poor oral health plays a potentially important role in the development of disability in older populations, which in turn is an essential part of quality of life and healthy aging. John Wiley & Sons, Inc. 2022-04-19 2022-07 /pmc/articles/PMC9283258/ /pubmed/35437751 http://dx.doi.org/10.1111/jgs.17792 Text en © 2022 The Authors. Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society. 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 | Regular Issue Content Kotronia, Eftychia Brown, Heather Papacosta, Olia Lennon, Lucy T. Weyant, Robert J. Whincup, Peter H. Wannamethee, Sasiwarang Goya Ramsay, Sheena E. Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States |
title | Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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title_full | Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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title_fullStr | Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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title_full_unstemmed | Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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title_short | Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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title_sort | oral health problems and risk of incident disability in two studies of older adults in the united kingdom and the united states |
topic | Regular Issue Content |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283258/ https://www.ncbi.nlm.nih.gov/pubmed/35437751 http://dx.doi.org/10.1111/jgs.17792 |
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