Influence of oral health on frailty in patients with type 2 diabetes aged 75 years or older

BMC Geriatrics

Yasuhiro Yamaguchi¹  Mitsuo Imura²  Masaki Ishii³  Sumito Ogawa³  Kazufumi Takada³  Yuko Iwata³  Hironobu Hamaya³  Masahiro Akishita³ 

[1]Department of Pulmonary Medicine, Saitama Medical Center, Jichi Medical University, 1- 847, Amanumacho, Omiya-ku, Saitama City, Saitama, Japan

[2]Okamoto Internal Medicine Clinic, 6-14-8, Honmachi, Yaizu City, Shizuoka, Japan

[3]The Department of Geriatric Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 1138655, Tokyo, Japan

关键词: Frailty;    Oral frailty index-8;    Older adults;    Oral health;    Type 2 diabetes;   

DOI  :  10.1186/s12877-022-02841-x

来源: Springer

【 摘 要 】

BackgroundPoor oral health conditions are known to affect frailty in the older adults. Diabetes is a risk factor for both poor oral health and frailty, therefore, oral health status may affect frailty in diabetic patients more than in the general population. The purpose of this study was to evaluate the influence of oral health and other factors on frailty and the relationship among oral health, diabetes and frailty in older adult patients with type 2 diabetes.MethodsPatients with type 2 diabetes aged 75 years or older were included in this cross-sectional study. Eligible patients were surveyed by questionnaire for frailty, oral health status, and cognitive and living functions. Factors influencing pre-frailty, frailty, and individual frailty screening index (FSI) classes were evaluated.ResultsOf the 111 patients analyzed, 66 cases (59.5%) were categorized as robust, 33 cases (29.7%) as pre-frailty, and 12 cases (10.8%) as frailty. The oral frailty index, the cognitive and living functions score, and BMI were found to be factors influencing pre-frailty or frailty. In the evaluation of individual FSI classes, BMI had an influence on those with a FSI ≤2. The cognitive and living functions score was a factor influencing those with FSI ≤3. The oral frailty index was found to have a significant influence on all FSI classes.ConclusionsPoor oral health has an influence on frailty in patients with type 2 diabetes aged ≥75. In this patient population, as frailty progresses, the impact of oral health on frailty may increase.Trial registration:This study was retrospectively registered in UMIN-CTR (UMIN000044227).

【 授权许可】

CC BY