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http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17106| Título : | Oral health conditions and frailty in mexican community-dwelling elderly: a cross sectional analysis |
| Autor: | ROBERTO CARLOS CASTREJON PEREZ SOCORRO AIDA BORGES YAÑEZ LUIS MIGUEL FRANCISCO GUTIERREZ ROBLEDO JOSE ALBERTO AVILA FUNES |
| Palabras clave : | MEDICINA Y CIENCIAS DE LA SALUD;Ciencias médicas;Ciencias clínicas;Geriatría;Síndrome de fragilidad;Salud bucal;Personas mayores;Geriatrics;Frailty;Oral health;Elderly |
| Fecha de publicación: | 12-sep-2012 |
| Editorial : | BioMed Central |
| Descripción : | Abstract
Background: Oral health is an important component of general well-being for the elderly. Oral health-related
problems include loss of teeth, nonfunctional removable dental prostheses, lesions of the oral mucosa,
periodontitis, and root caries. They affect food selection, speaking ability, mastication, social relations, and quality of life. Frailty is a geriatric syndrome that confers vulnerability to negative health-related outcomes. The association between oral health and frailty has not been explored thoroughly. This study sought to identify associations between the presence of some oral health conditions, and frailty status among Mexican community-dwelling elderly.
Methods: Analysis of baseline data of the Mexican Study of Nutritional and Psychosocial Markers of Frailty, a cohort study carried out in a representative sample of people aged 70 and older residing in one district of Mexico City. Frailty was defined as the presence of three or more of the following five components: weight loss, exhaustion, slowness, weakness, and low physical activity. Oral health variables included self-perception of oral health compared with others of the same age; utilization of dental services during the last year, number of teeth, dental condition (edentate, partially edentate, or completely dentate), utilization and functionality of removable partial or complete dentures, severe periodontitis, self-reported chewing problems and xerostomia. Covariates included were gender, age, years of education, cognitive performance, smoking status, recent falls, hospitalization, number of drugs, andcomorbidity. The association between frailty and dental variables was determined performing a multivariate logistic regression analysis. Final models were adjusted by socio-demographic and health factors
Results: Of the 838 participants examined, 699 had the information needed to establish the criteria for diagnosis of frailty. Those who had a higher probability of being frail included women (OR = 1.9), those who reported myocardial infarction (OR = 3.8), urinary incontinence (OR = 2.7), those who rated their oral health worse than others (OR = 3.2), and those who did not use dental services (OR = 2.1). For each additional year of age and each additional drug consumed, the probability of being frail increased 10% and 30%, respectively.
Conclusions: Utilization of dental services and self-perception of oral health were associated with a higher
probability of being frail. Conclusions Low utilization of dental services and poor selfperception of oral health could be considered possible risk markers for frailty syndrome. The role of periodontitis and other oral clinical variables in frailty should be explored in longitudinal studies. The comprehensive geriatric assessment should include a question about self-perception of oral health, because this question reflects both objective and subjective aspects of health and is associated with a higher probability of being frail. The inclusion of a question about utilization of dental services during the previous year on the comprehensive geriatric assessment should also be considered, because the answer to this question is related to other factors that can promote the development of frailty. |
| URI : | http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17106 |
| Aparece en las colecciones: | 1. Artículos |
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