Complete dentures associated with frailty among edentulous older Japanese people: A prospective analysis

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-03-20 DOI:10.1111/cdoe.12956

Roberto C. Castrejón-Pérez BD, MSc, PhD, S. Aída Borges-Yáñez BD, MPH, PhD, Ricardo Ramírez-Aldana, Ikuo Nasu, Yasuhiko Saito PhD

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Abstract

Objective

This study aimed to explore the cross-sectional and prospective associations between self-reported functionality of complete dentures (FCD), satisfaction with complete dentures (SCD) and the ability to chew hard food (ACHF) on the one hand and the frailty index (FI) on the other hand among edentulous community-dwelling older Japanese people.

Methods

The study examined 770 edentulous participants of the Nihon University Japanese Longitudinal Study of Aging. The self-reported FCD, SCD and ability to chew six groups of food (from hardest to softest) with complete dentures were the independent variables at the baseline. The FI was computed including 40 deficits as the dependent variable at the baseline and 4 years later. Cross-sectional and prospective generalized linear regression models were fitted controlling for age, gender, marital status, education, working status and area of residence.

Results

The use of non-functional complete dentures and dissatisfaction with complete dentures were both associated with a higher FI cross-sectionally (3.9% [95% CI 2.2–5.6] and 3.2% [95% CI 1.5–4.9], respectively) and prospectively (3.9% [95% CI 2.0–6.0] and 3.3% [95% CI 1.3–5.3], respectively). Regarding the ability to chew, a higher FI at baseline was observed among those able to chew food of Group 2 (1.9%, [95% CI 0.1–3.7]) and Groups 4–6 (1.9%, [95% CI 0.1–3.7]), and a progressive increment in the FI, as the participants reported being able to chew softer groups of food at the follow-up (Group 2: 2.2% [95% CI 0.05–4.3]; Group 3: 3.6% [95% CI 1.2–6.0]; and Groups 4–6: 3.4 [95% CI 0.7–6.1]).

Conclusion

Self-reported use of non-functional complete dentures, dissatisfaction with dentures and a reduced ACHF with complete dentures were associated with a higher FI both cross-sectionally and prospectively.

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全口义齿与日本无牙老年人的虚弱有关：前瞻性分析

研究目的本研究旨在探讨日本社区无牙老年人自我报告的全口义齿功能（FCD）、全口义齿满意度（SCD）和咀嚼硬食物能力（ACHF）与虚弱指数（FI）之间的横断面和前瞻性关联：该研究对日本大学日本老龄化纵向研究中的 770 名无牙齿参与者进行了调查。基线自变量为自我报告的FCD、SCD和使用全口假牙咀嚼六组食物（从最硬到最软）的能力。FI 的计算包括基线和 4 年后的 40 项缺陷，作为因变量。在控制年龄、性别、婚姻状况、教育程度、工作状况和居住地区的情况下，对横截面和前瞻性广义线性回归模型进行了拟合：结果：使用非功能性全口义齿和对全口义齿不满意都与较高的 FI 相关，横断面数据（分别为 3.9% [95% CI 2.2-5.6] 和 3.2% [95% CI 1.5-4.9]）和前瞻性数据（分别为 3.9% [95% CI 2.0-6.0] 和 3.3% [95% CI 1.3-5.3]）均与较高的 FI 相关。在咀嚼能力方面，观察到基线时能够咀嚼食物的第 2 组（1.9%，[95% CI 0.1-3.7]）和第 4-6 组（1.9%，[95% CI 0.1-3.7]）的 FI 较高。7]），随着参与者报告在随访时能够咀嚼较软的食物组别，FI 值逐渐增加（第 2 组：2.2% [95% CI 0.05-4.3]；第 3 组：3.6% [95% CI 1.2-6.0]；第 4-6 组：3.4 [95% CI 0.7-6.1]）：结论：无论是横断面还是前瞻性研究，自我报告的使用无功能全口义齿、对义齿的不满意以及全口义齿的ACHF降低都与较高的FI有关。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.