Secretaría de Gobernación
CONACYT
INGER
Please use this identifier to cite or link to this item: http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17238
Title: Oral disease and 3-year incidence of frailty in mexican older adults
metadata.dc.creator: ROBERTO CARLOS CASTREJON PEREZ
AIDA JIMENEZ CORONA
Eduardo Bernabe
ANTONIO RAFAEL VILLA ROMERO
Elise Arrivé
Jean François Dartigues
LUIS MIGUEL FRANCISCO GUTIERREZ ROBLEDO
SOCORRO AIDA BORGES YAÑEZ
Keywords: MEDICINA Y CIENCIAS DE LA SALUD;Ciencias médicas;Ciencias clínicas;Geriatría;Salud bucal;Enfermedades de la boca;Periodontitis;Perdida de dientes;Fragilidad;Personas mayores;Geriatrics;Oral health;Mouth diseases;Tooth loss;Frailty;Elderly
metadata.dc.date: 2017
Publisher: Oxford University Press & Gerontological Society of America
Description: Background: Poor oral health has been associated with some components of frailty. The objective of this study was to identify the association between clinical measures of oral health and the incidence of frailty among community-dwelling older adults aged 70 or older in Mexico City. Methods: A 3-year cohort study with a probabilistic representative sample of home-dwelling elders of one district of Mexico City was performed. Baseline and follow-up interview and oral clinical evaluations were carried out by standardized examiners in participants' homes. Dependent variable was incident frailty defined according to the frailty phenotype. Independent variables were the utilization of dental services, the presence of xerostomia, the number of natural teeth, use of removable dental prostheses, presence of severe periodontitis, and presence of root remnants. Sociodemographic, behavioral, and health measures were included as confounders. The association between oral health conditions and incident frailty was modeled using Poisson regression models with robust variance estimators. The models were adjusted for confounders and interactions. Results: We identified a 14.8% cumulative incidence of frailty. Each additional tooth was associated with a lower probability of developing frailty by 5.0% (risk ratio = 0.90; 95% CI 1.02-1.10). The 3-year risk ratio of developing frailty was 2.13 times higher (95% CI 1.01-4.50) among participants having severe periodontitis. Conclusions: The number of teeth and the presence of severe periodontitis are associated with the development of frailty after controlling for confounders. Further studies are needed on this topic.
URI: http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17238
Appears in Collections:1. Artículos

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Journals of Gerontology Series A (1758-535X) Vol. 72 (2017).pdf837.13 kBAdobe PDFView/Open