Relationship between oral environment and frailty among older adults dwelling in a rural Japanese community: a cross-sectional observational study
| Autor: | Kana Hasegawa, Ken Shinmura, Ayumi Sakuramoto, Hiromitsu Kishimoto, Takashi Sawada, Yoko Hasegawa, Hideyuki Sugita, Nobuhide Horii |
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| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Adult Rural Population Oral health Frail Elderly Affect (psychology) Oral hygiene 03 medical and health sciences 0302 clinical medicine Elderly Japan medicine Humans 030212 general & internal medicine General Dentistry Geriatric Assessment Aged Frailty business.industry 030206 dentistry Dry mouth lcsh:RK1-715 Exact test stomatognathic diseases Cross-Sectional Studies lcsh:Dentistry Oral and maxillofacial surgery Observational study Analysis of variance Independent Living medicine.symptom business Salivary bacteria Research Article |
| Zdroj: | BMC Oral Health BMC Oral Health, Vol 19, Iss 1, Pp 1-6 (2019) |
| ISSN: | 1472-6831 |
| Popis: | Background Oral functions are known to decline with aging. However, there is limited evidence that supports the relationship between oral health and frailty. This study aimed to clarify the relationship between oral hygiene conditions, measured by remaining teeth and mucosa, and frailty among elderly people dwelling in a Japanese rural community. Methods We surveyed self-reliant elderly individuals aged ≥65 years who were dwelling in the Sasayama-Tamba area of Hyogo, Japan. Frailty was evaluated according to the total score of the Kihon Checklist (KCL). Based on the KCL score, elderly participants were divided into three groups: robust, pre-frail, and frail. The items measured to evaluate oral environment included the number of remaining teeth, denture usage condition, oral hygiene status, dry mouth condition, and salivary bacterial count. For statistical analysis, Fisher’s exact test, one-way analysis of variance, and multiple comparison technique were used. Results Of 308 elderly participants, 203 (65.9%), 85 (27.6%), and 20 (6.5%) belonged to the robust, pre-frail, and frail groups, respectively. The proportion of participants who were judged to have poor hygiene was significantly higher in the frail group than in the other two groups. The bacterial count was significantly smaller in the frail group than in the robust group, and the frail group had fewer number of remaining teeth than the other two groups, suggesting that the number of remaining teeth may be associated with bacterial count. Conclusion In elderly adults, physical frailty may affect the oral hygiene status and condition of the remaining teeth. |
| Databáze: | OpenAIRE |
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