Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function
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Abstract
Aims
The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.
Design
This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.
Methods
A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.
Results
The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = −0.038); (b) cognitive function (effect = −0.021); (c) nutritional status and cognitive function combined (effect = −0.038). The total mediating effect accounted for 50.26% of the overall effect.
Conclusion
These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.
期刊介绍:
International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.