Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis

BMC Public Health

J Alberto Ávila-Funes¹  Luis M Gutiérrez-Robledo²  S Aída Borges-Yáñez³  Roberto Carlos Castrejón-Pérez² 

[1] Clínica de Geriatría, Instituto Nacional de Ciencias Médicas y Nutrición,“Salvador Zubirán”, Vasco de Quiroga 15, Col. Sección XVI, Del. Tlalpan, C.P. 14000, Distrito Federal, México;Instituto Nacional de Geriatría, Blvd. Adolfo Ruíz Cortines 2767, Col. San Jerónimo Lídice, Del. Magdalena Contreras, C.P. 10200, Distrito Federal, México;Coordinación de Salud Pública Bucal, División de Estudios de Posgrado e Investigación, Facultad de Odontología, Universidad Nacional Autónoma de México, Ciudad Universitaria, Av. Universidad 3000, Del. Coyoacán, C.P. 04510, Distrito Federal, México

关键词: Utilization of dental services;    Frailty syndrome;    Oral health;    Elderly;   

Others  :  1163112
DOI  :  10.1186/1471-2458-12-773

 received in 2012-04-05, accepted in 2012-09-03,  发布年份 2012

【 摘 要 】

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, and comorbidity. 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.

【 授权许可】

   
2012 Castrejón-Pérez et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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