A systematic review and gap analysis of frailty and oral health characteristics in older adults: A call for clinical translation

Slashcheva, Lyubov; Karjalahti, Erika; Hassett, Leslie; Smith, Barbara J.; Chamberlain, Alanna M.

doi:10.1111/ger.12577

Cited by 25 publications

(27 citation statements)

References 51 publications

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“…Twenty-three systematic reviews provided data on physical outcomes, of which 7 included a meta-analysis. Nine systematic reviews (2 with a meta-analysis) ( 29 , 30 ) focused on respiratory diseases ( 13 , 15 , 50 – 56 ), 5 (2 with a meta-analysis) ( 39 , 40 ) on age-related oral changes ( 39 – 43 ), 6 (3 with a meta-analysis) ( 28 , 36 , 38 ) mainly on malnutrition and 3 (none with a meta-analysis) on frailty ( 29 , 57 , 58 ).…”

Section: Resultsmentioning

confidence: 99%

“…Although there is an increasing amount of research and systematic reviews on the impacts of oral health on different health outcomes, and published articles on corresponding topics have covered a variety of general health outcomes among elderly individuals, such studies have mainly focused on the association between oral health and some specific diseases; a body of work describing the current landscape of intervention and nursing measures that links oral health and the diverse outcomes covering physical, mental, and social health is still missing ( 28 , 29 ). Accordingly, it is still challenging for practitioners and decision-makers to find, interpret, and utilize related evidence in daily nursing and medical processes.…”

Section: Introductionmentioning

confidence: 99%

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Oral health-related multiple outcomes of holistic health in elderly individuals: An umbrella review of systematic reviews and meta-analyses

Liu

Song

et al. 2022

Front. Public Health

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Background and aimsAlong with an aging population, exploring the impact of oral health on holistic health and determining exact outcomes in elderly individuals are important in both scientific research and clinical practice. Significant increase in the number of systematic reviews shows that oral health can directly or indirectly affect the overall health of elderly people physically, mentally and socially. To systematically collate, appraise, and synthesize the current evidence, we carried out an umbrella review of the impacts of oral health on holistic health in elderly individuals.MethodsA systematic reviews and meta-analyses search was performed in the major databases PubMed, MEDLINE, Web of Science and the Cochrane Library from inception to February 1, 2022, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The JBI (Joanna Briggs Institute) Critical Appraisal Checklist for Systematic Reviews and Research Syntheses was referred to assess methodological quality, and the GRADE (Grading of Recommendations, assessment, Development, and Evaluation working group classification) was used to assess the quality of evidence for each outcome included in the umbrella review.ResultsOut of 1,067 records, a total of 35 systematic reviews were included. Respiratory diseases, malnutrition, age-related oral changes, frailty, cognitive impairment, depression and poor quality of life were identified as seven key outcomes that affect the physical, mental and social health of elderly individuals. Meanwhile, three intervention measures of oral health were summarized as (i) more rigorous and universal scales, (ii) dental cleaning and denture installation, and (iii) improving self-awareness regarding oral care.ConclusionsEvidence showed that oral health can significantly affect holistic health, and the diverse oral diseases directly lead to multiple health outcomes in elderly individuals. Clear high-quality evidence revealed that oral health is strongly associated with seven health outcomes covering physical, mental, and social levels, which directly corresponds to holistic health, and impacts the quality of life of elderly individuals. Such the results remind the importance of oral care in public health, and further studies need to be conducted to verity more specific association between oral health and other chronic diseases.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier: CRD42022315315.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oral health-related multiple outcomes of holistic health in elderly individuals: An umbrella review of systematic reviews and meta-analyses

Liu

Song

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

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“…Several studies suggest that focusing on frailty and pre-frailty is important for preventing nursing care and concluded that exercise and nutrition interventions are among the most successful methods to reduce frailty [ 7 , 8 ]. However, these reviews did not focus on oral functions, although oral functions are closely related to physical functions [ 9 , 10 ] and nutrition [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Association between oral function and physical pre-frailty in community-dwelling older people: a cross-sectional study

et al. 2022

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Background Few studies have examined the relationship between oral functions and the physical pre-frailty status, classified using physical function tests. This cross-sectional study aimed to clarify this association among community-dwelling older people from the Itoshima Frail Study in Itoshima Fukuoka Prefecture. Methods Of the 1,555 individuals invited to join the study, 381 (188 males and 193 females) enrolled. Their physical pre-frailty was assessed with a classification system consisting of two physical indicators (fatigue and unintentional weight loss, determined with a questionnaire), two functional components (declined walking speed and muscle weakness, determined using a body function measuring instrument), and declined physical activity (examined using a triaxial accelerometer). Subsequently, the individuals were classified into three groups: robust, pre-frailty, and frailty. Along with the number of teeth remaining, oral functions, such as masticatory performance, tongue pressure strength, and oral diadochokinesis (ODK), were examined. Data regarding social activity and exercise habits were collected, and the individuals’ body compositions were measured. Odds ratios (ORs) and 95% confidence intervals (CIs) for the physical pre-frailty were calculated using logistic regression models. Results In this study, 126 (33%) participants presented with physical pre-frailty. The participants in the robust group were younger, had stronger maximum handgrip strength, and walked faster than those in the physical pre-frailty group (p < 0.001). The robust group presented with better oral functions (masticatory performance, p = 0.015; oral ODK /ta/, p = 0.004). The physical pre-frailty status was significantly associated with age (OR, 1.111; 95% CI, 1.048–1.178; p < 0.001), masticatory performance (OR, 0.819; 95% CI, 0.680–0.986; p = 0.035), low ODK/ta/ (OR, 1.864; 95% CI, 1.069–3.250; p = 0.028), and low social activity (OR, 2.273; 95% CI, 1.308–3.951; p = 0.004). Conclusion This study indicated that older people with higher age, lower anterior tongue movement, lower masticatory performance, and lower social activity are positively associated with physical pre-frailty.

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“…Evidence on association between masticatory dysfunction and frailty in the literature is mixed: some studies have documented significant associations [16], but others did not [17,18]. Although several review papers have investigated frailty and oral health indicators, including masticatory dysfunction [16,[19][20][21], none of them specifically focused on masticatory dysfunction or conducted a meta-analysis. Therefore, the objectives of this study are to perform a systematic literature review specifically on the association between self-reported masticatory dysfunction and frailty among community-dwelling older adults, and to synthesize pooled quantitative evidence by conducting a meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

Associations between self-reported masticatory dysfunction and frailty: A systematic review and meta-analysis

Kojima¹,

Taniguchi

Iwasaki

et al. 2022

PLoS ONE

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Background Oral health is a key factor of overall health and closely associated with well-being and quality of life. Mastication is one the most important oral functions and may deteriorate with aging. Evidence on association between masticatory dysfunction and frailty in the literature is scarce and not coherent. Methods A search strategy was developed to conduct a systematic review of the literature in PubMed, CINAHL, and AMED in accordance with the PRISMA 2020 guidelines. We searched for studies published in 2000 or later that examined associations between self-reported masticatory dysfunction and frailty risk. The reference lists of the relevant articles were reviewed for additional studies. We calculated pooled odds ratios (OR) of association between self-reported masticatory dysfunction and the risk of frailty by fixed-effects meta-analysis. The Joanna Briggs Institute Critical Appraisal Checklist was used to assess risk of bias. Publication bias was assessed by visually inspecting a funnel plot. Results A total of 285 studies were identified by the literature search. Among 5 studies selected for this review, 4 cross-sectional studies including a total of 7425 individuals were used for meta-analysis. The pooled results by a fixed-effects model showed that there was a significant association between self-reported masticatory dysfunction and frailty risk (pooled OR = 1.83, 95%CI = 1.55–2.18, p<0.00001). There was no evidence of publication bias observed. Conclusions This systematic review and meta-analysis highlighted pooled cross-sectional evidence that community-dwelling older people who report masticatory dysfunction are significantly more likely to be frail than those who do not. The limitations of this study are: inclusion of only cross-sectional studies, no gold standard to measure masticatory functions, self-reported information on masticatory function, and the limited number of included studies. More longitudinal studies are warranted for further understanding of the causal pathways and elucidate underlying mechanisms. Registration: PROSPERO CRD42021277173

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A systematic review and gap analysis of frailty and oral health characteristics in older adults: A call for clinical translation

Cited by 25 publications

References 51 publications

Oral health-related multiple outcomes of holistic health in elderly individuals: An umbrella review of systematic reviews and meta-analyses

Oral health-related multiple outcomes of holistic health in elderly individuals: An umbrella review of systematic reviews and meta-analyses

Association between oral function and physical pre-frailty in community-dwelling older people: a cross-sectional study

Associations between self-reported masticatory dysfunction and frailty: A systematic review and meta-analysis

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