Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Kotronia, Eftychia, Brown, Heather, Papacosta, Olia, Lennon, Lucy T., Weyant, Robert J., Whincup, Peter H., Wannamethee, Sasiwarang Goya, Ramsay, Sheena E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
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
_version_ 1784747285151744000
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
title_full Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
title_fullStr Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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
title_short Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States
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
work_keys_str_mv AT kotroniaeftychia oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT brownheather oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT papacostaolia oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT lennonlucyt oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT weyantrobertj oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT whincuppeterh oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT wannametheesasiwaranggoya oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates
AT ramsaysheenae oralhealthproblemsandriskofincidentdisabilityintwostudiesofolderadultsintheunitedkingdomandtheunitedstates