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Erschienen in: The journal of nutrition, health & aging 4/2020

25.03.2020

Association Between Number of Teeth, Denture Use and Frailty: Findings from the West China Health and Aging Trend Study

verfasst von: Y. Zhang, M. Ge, W. Zhao, L. Hou, X. Xia, X. Liu, Z. Zuo, Y. Zhao, J. Yue, Birong Dong

Erschienen in: The journal of nutrition, health & aging | Ausgabe 4/2020

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Abstract

Objective

Frailty and poor oral health are both common age-related conditions. However, the association between oral health and frailty has not been explored thoroughly among older Chinese adults. We aimed to investigate the associations between number of teeth, denture use, and frailty among older adults in western China.

Design

Cross-sectional study.

Setting

Community-based.

Participants

Participants were 4037 community-dwelling individuals aged 60 and older from the West China Health and Aging Trend (WCHAT) study.

Measurements

Frailty was assessed using the physical frailty phenotype (PFP) and categorized as non-frail, prefrail and frail. In addition, number of teeth and denture use were examined by calibrated dentists. Multinomial logistic regression models were performed to examine the association between number of teeth, denture use, and frailty.

Results

The overall prevalence of frailty was 6.7% among 4037 participants aged 60 and older in western China. Participants with no more than 20 teeth were associated with higher odds of being prefrail or frail whether wearing dentures or not. Denture using could not help lower the odds of being prefrail or frail for older adults with fewer teeth.

Conclusions

This study suggested that frailty was associated with having fewer teeth (≤20 teeth) among older Chinese adults. Future research involving targeted interventions addressing number of teeth may help provide information to establish effective strategies for frailty prevention in older adults.
Literatur
1.
Zurück zum Zitat Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J. Frailty Consensus: A Call to Action. Journal of the American Medical Directors Association 2013;14 (6):392–397. doi:https://doi.org/10.1016/j.jamda.2013.03.022 PubMedPubMedCentral Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J. Frailty Consensus: A Call to Action. Journal of the American Medical Directors Association 2013;14 (6):392–397. doi:https://​doi.​org/​10.​1016/​j.​jamda.​2013.​03.​022 PubMedPubMedCentral
5.
Zurück zum Zitat Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA. Frailty in older adults: evidence for a phenotype. The journals of gerontology Series A, Biological sciences and medical sciences 2001;56 (3):M146–156. doi:https://doi.org/10.1093/gerona/56.3.ml46 PubMed Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA. Frailty in older adults: evidence for a phenotype. The journals of gerontology Series A, Biological sciences and medical sciences 2001;56 (3):M146–156. doi:https://​doi.​org/​10.​1093/​gerona/​56.​3.​ml46 PubMed
6.
Zurück zum Zitat Wu C, Kim DH, Xue QL, Lee DSH, Varadhan R, Odden MC. Association of Frailty With Recovery From Disability Among Community-Dwelling Older Adults: Results From Two Large U.S. Cohorts. The journals of gerontology Series A, Biological sciences and medical sciences 2019;74 (4):575–581. doi:https://doi.org/10.1093/gerona/gly080 PubMed Wu C, Kim DH, Xue QL, Lee DSH, Varadhan R, Odden MC. Association of Frailty With Recovery From Disability Among Community-Dwelling Older Adults: Results From Two Large U.S. Cohorts. The journals of gerontology Series A, Biological sciences and medical sciences 2019;74 (4):575–581. doi:https://​doi.​org/​10.​1093/​gerona/​gly080 PubMed
8.
Zurück zum Zitat Cesari M, Prince M, Thiyagarajan JA, De Carvalho IA, Bernabei R, Chan P, Gutierrez-Robledo LM, Michel JP, Morley JE, Ong P, Rodriguez Manas L, Sinclair A, Won CW, Beard J, Vellas B. Frailty: An Emerging Public Health Priority. Journal of the American Medical Directors Association 2016;17 (3): 188–192. doi:https://doi.org/10.1016/j.jamda.2015.12.016 PubMed Cesari M, Prince M, Thiyagarajan JA, De Carvalho IA, Bernabei R, Chan P, Gutierrez-Robledo LM, Michel JP, Morley JE, Ong P, Rodriguez Manas L, Sinclair A, Won CW, Beard J, Vellas B. Frailty: An Emerging Public Health Priority. Journal of the American Medical Directors Association 2016;17 (3): 188–192. doi:https://​doi.​org/​10.​1016/​j.​jamda.​2015.​12.​016 PubMed
9.
Zurück zum Zitat Mello Ade C, Engstrom EM, Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cadernos de saude publica 2014;30 (6):1143–1168PubMed Mello Ade C, Engstrom EM, Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cadernos de saude publica 2014;30 (6):1143–1168PubMed
10.
Zurück zum Zitat Artaza-Artabe I, Saez-Lopez P, Sanchez-Hernandez N, Fernandez-Gutierrez N, Malafarina V. The relationship between nutrition and frailty: Effects of protein intake, nutritional supplementation, vitamin D and exercise on muscle metabolism in the elderly. A systematic review. Maturitas 2016;93:89–99. doi:https://doi.org/10.1016/j.maturitas.2016.04.009 PubMed Artaza-Artabe I, Saez-Lopez P, Sanchez-Hernandez N, Fernandez-Gutierrez N, Malafarina V. The relationship between nutrition and frailty: Effects of protein intake, nutritional supplementation, vitamin D and exercise on muscle metabolism in the elderly. A systematic review. Maturitas 2016;93:89–99. doi:https://​doi.​org/​10.​1016/​j.​maturitas.​2016.​04.​009 PubMed
11.
16.
Zurück zum Zitat Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, Furuya H, Tsuji T, Akishita M, Iijima K. Oral Frailty as a Risk Factor for Physical Frailty and Mortality in Community-Dwelling Elderly. The journals of gerontology Series A, Biological sciences and medical sciences. 2017;doi:https://doi.org/10.1093/gerona/glx225 Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, Furuya H, Tsuji T, Akishita M, Iijima K. Oral Frailty as a Risk Factor for Physical Frailty and Mortality in Community-Dwelling Elderly. The journals of gerontology Series A, Biological sciences and medical sciences. 2017;doi:https://​doi.​org/​10.​1093/​gerona/​glx225
17.
18.
Zurück zum Zitat Castrejon-Perez RC, Jimenez-Corona A, Bernabe E, Villa-Romero AR, Arrive E, Dartigues JF, Gutierrez-Robledo LM, Borges-Yanez SA. Oral Disease and 3-Year Incidence of Frailty in Mexican Older Adults. The journals of gerontology Series A, Biological sciences and medical sciences 2017;72 (7):951–957. doi:https://doi.org/10.1093/gerona/glw201 PubMed Castrejon-Perez RC, Jimenez-Corona A, Bernabe E, Villa-Romero AR, Arrive E, Dartigues JF, Gutierrez-Robledo LM, Borges-Yanez SA. Oral Disease and 3-Year Incidence of Frailty in Mexican Older Adults. The journals of gerontology Series A, Biological sciences and medical sciences 2017;72 (7):951–957. doi:https://​doi.​org/​10.​1093/​gerona/​glw201 PubMed
19.
Zurück zum Zitat Ramsay SE, Papachristou E, Watt RG, Tsakos G, Lennon LT, Papacosta AO, Moynihan P, Sayer AA, Whincup PH, Wannamethee SG. Influence of Poor Oral Health on Physical Frailty: A Population-Based Cohort Study of Older British Men. Journal of the American Geriatrics Society 2018;66 (3):473–479. doi:https://doi.org/10.1111/jgs.15175 PubMed Ramsay SE, Papachristou E, Watt RG, Tsakos G, Lennon LT, Papacosta AO, Moynihan P, Sayer AA, Whincup PH, Wannamethee SG. Influence of Poor Oral Health on Physical Frailty: A Population-Based Cohort Study of Older British Men. Journal of the American Geriatrics Society 2018;66 (3):473–479. doi:https://​doi.​org/​10.​1111/​jgs.​15175 PubMed
21.
Zurück zum Zitat Sheiham A, Steele J. Does the condition of the mouth and teeth affect the ability to eat certain foods, nutrient and dietary intake and nutritional status amongst older people? Public Health Nutr 2001;4 (3):797–803PubMed Sheiham A, Steele J. Does the condition of the mouth and teeth affect the ability to eat certain foods, nutrient and dietary intake and nutritional status amongst older people? Public Health Nutr 2001;4 (3):797–803PubMed
23.
Zurück zum Zitat Zhou BF. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults-study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci 2002;15(1):83–96PubMed Zhou BF. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults-study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci 2002;15(1):83–96PubMed
24.
Zurück zum Zitat Yan-yan W, Chuan-yao D, Ding D, Yi S, Tai-ping L, Ji-rong Y, Ning G. Development and validation of the China Leisure Time Physical Activity Questionnaire in the elderly. Practical Geriatrics 2019;33 (03):229–233 Yan-yan W, Chuan-yao D, Ding D, Yi S, Tai-ping L, Ji-rong Y, Ning G. Development and validation of the China Leisure Time Physical Activity Questionnaire in the elderly. Practical Geriatrics 2019;33 (03):229–233
28.
Zurück zum Zitat Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Maryland St Med J 1965;14 Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Maryland St Med J 1965;14
29.
Zurück zum Zitat Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982;17 (1):37–49PubMed Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982;17 (1):37–49PubMed
30.
Zurück zum Zitat Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. The journals of gerontology Series A, Biological sciences and medical sciences 2004;59 (3):255–263. doi: https://doi.org/10.1093/gerona/59.3.m255 PubMed Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. The journals of gerontology Series A, Biological sciences and medical sciences 2004;59 (3):255–263. doi: https://​doi.​org/​10.​1093/​gerona/​59.​3.​m255 PubMed
35.
Zurück zum Zitat Semba RD, Blaum CS, Bartali B, Xue QL, Ricks MO, Guralnik JM, Fried LP. Denture use, malnutrition, frailty, and mortality among older women living in the community. The journal of nutrition, health & aging 2006;10 (2): 161–167 Semba RD, Blaum CS, Bartali B, Xue QL, Ricks MO, Guralnik JM, Fried LP. Denture use, malnutrition, frailty, and mortality among older women living in the community. The journal of nutrition, health & aging 2006;10 (2): 161–167
37.
Zurück zum Zitat Jain M, Kaira LS, Sikka G, Singh S, Gupta A, Sharma R, Sawla L, Mathur A. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two state samples of gujarat and rajasthan. J Dent (Tehran) 2012;9 (2):135–144 Jain M, Kaira LS, Sikka G, Singh S, Gupta A, Sharma R, Sawla L, Mathur A. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two state samples of gujarat and rajasthan. J Dent (Tehran) 2012;9 (2):135–144
42.
Zurück zum Zitat Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people-call for public health action. Community dental health 2010;27 (4 Suppl 2):257–267PubMed Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people-call for public health action. Community dental health 2010;27 (4 Suppl 2):257–267PubMed
43.
Zurück zum Zitat Bakker MH, Vissink A, Spoorenberg SLW, Jager-Wittenaar H, Wynia K, Visser A. Are Edentulousness, Oral Health Problems and Poor Health-Related Quality of Life Associated with Malnutrition in Community-Dwelling Elderly (Aged 75 Years and Over)? A Cross-Sectional Study. Nutrients 2018;10 (12). doi:https://doi.org/10.3390/nul0121965 Bakker MH, Vissink A, Spoorenberg SLW, Jager-Wittenaar H, Wynia K, Visser A. Are Edentulousness, Oral Health Problems and Poor Health-Related Quality of Life Associated with Malnutrition in Community-Dwelling Elderly (Aged 75 Years and Over)? A Cross-Sectional Study. Nutrients 2018;10 (12). doi:https://​doi.​org/​10.​3390/​nul0121965
45.
Zurück zum Zitat Wang H, Zhang L, Zou H-F. Regional disparity in health and health care in China. China Economics And Management Academy, Central University of Finance and Economics, 2012 Wang H, Zhang L, Zou H-F. Regional disparity in health and health care in China. China Economics And Management Academy, Central University of Finance and Economics, 2012
Metadaten
Titel
Association Between Number of Teeth, Denture Use and Frailty: Findings from the West China Health and Aging Trend Study
verfasst von
Y. Zhang
M. Ge
W. Zhao
L. Hou
X. Xia
X. Liu
Z. Zuo
Y. Zhao
J. Yue
Birong Dong
Publikationsdatum
25.03.2020
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 4/2020
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-020-1346-z

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