Association between oral, social, and physical frailty in community-dwelling older adults

Hironaka, Sanae; Kugimiya, Yoshihiro; Watanabe, Yutaka; Motokawa, Köiti; Hirano, Hirohiko; Kawai, Hisashi; Kera, Takeshi; Kojima, Motonaga; Fujiwara, Yoshinori; Ihara, Kazushige; Kim, Hunkyung; Obuchi, Shuichi; Kakinoki, Yasuaki

doi:10.1016/j.archger.2020.104105

Cited by 68 publications

(76 citation statements)

References 56 publications

(2 reference statements)

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“…The prevalence of oral frailty was 14% in the present study, which was similar to that previously reported [5][6][7]. Among the subdomains of oral frailty, the item representing few remaining teeth was the most prevalent.…”

Section: Discussionsupporting

confidence: 91%

“…The present study has shown an association between physical frailty risk and oral frailty. A previous study reported higher prevalence of oral frailty among older adults with physical pre-frailty signs than among those without such signs [6]. A longitudinal study by Tanaka et al has shown that oral frailty is a risk factor for the future development of physical frailty [5].…”

Section: Discussionmentioning

confidence: 97%

“…Oral frailty is defined as poor oral status that increases the risk of physical frailty, sarcopenia, long-term care needs, and premature mortality [5]. Moreover, oral frailty has been associated with social frailty and malnutrition, both of which increase the risk of physical frailty [6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

Komatsu

Nagai

Hirabayashi

et al. 2021

IJERPH

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This cross-sectional study aimed to demonstrate the association between physical frailty subdomains and oral frailty. This study involved community-dwelling older adults (aged ≥65 years). Physical frailty was assessed with the Japanese version of the Cardiovascular Health Study criteria. Oral frailty was defined as limitations in at least three of six domains. Logistic regression analysis was used to analyze the association between physical frailty risk and oral frailty. In addition, we examined the association between physical frailty subdomains (gait speed, grip strength, exhaustion, low physical activity, and weight loss) and oral frailty. A total of 380 participants were recruited for this study. Overall, 18% and 14% of the participants were at risk of physical frailty and had oral frailty, respectively. Physical frailty risk (odds ratio (OR) = 2.40, 95% confidence interval (CI): 1.22–4.75, p = 0.012) was associated with oral frailty in multivariate analysis. In secondary analysis, among physical frailty subdomains, gait speed (OR = 0.85, 95% CI: 0.73–0.97, p = 0.019) was associated with oral frailty. The present findings suggest that physical frailty is closely related to oral frailty. Among physical frailty subdomains, decreased gait speed in particular is an important indicator related to the development of oral frailty.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 97%

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Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

Komatsu

Nagai

Hirabayashi

et al. 2021

IJERPH

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“…This study used pooled data from the Takashimadaira Study and the Otassha Study, which are cohort studies concerning older community members of the Tokyo metropolitan area of Japan. The designs and protocols of the two studies have been described in detail elsewhere [22][23][24]. The Takashimadaira Study was initiated in 2016 and targeted adults aged ≥ 70 years living at Takashimadaira, Itabashi ward, Tokyo, Japan.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study

et al. 2021

Self Cite

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The association between dietary diversity and frailty remains unknown in older people. We evaluated whether a limited dietary variety is associated with frailty in older adults with diabetes mellitus (DM). This cross-sectional investigation included 1357 adults (median age: 77 years, women: 61.3%). DM was determined by self-reporting, the Dietary Variety Score (DVS) was used to evaluate dietary variety, and the revised Japanese version of the Cardiovascular Health Study criteria evaluated frailty. Participants were divided into 4 groups: no DM/high DVS (non-DMHV), no DM/low DVS (non-DMLV), DM/high DVS (DMHV), and DM/low DVS (DMLV). The prevalence of frailty in each group was 3.6%, 6.7%, 6.7%, and 12.2%. After adjusting for covariates, logistic regression analysis revealed the highest odds ratio (OR) of frailty in the DMLV (non-DMLV, OR = 2.18 (95% confidence interval (CI): 1.25–‍3.83); DMHV, OR = 1.87 (95% CI: 0.63–5.52); DML, OR = 5.03 (95% CI: 2.05–12.35)). Another logistic regression analysis revealed that a low DVS and DM were independently associated with frailty. Both a low dietary variety and DM were independently related to frailty in older people and the combination increased the prevalence of frailty. These findings suggest that high dietary variety could be important for the prevention of frailty in people with DM.

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“…Persons with poor oral health are more likely to have aspiration malnutrition, sarcopenia and physical frailty (25,26). It needs to be recognized that while sarcopenic dysphagia can cause undernutrition it can also be caused by severe malnutrition such as cachexia (27). Poor grip strength, walking speed and head lifting strength, all of which are indicative of sarcopenia has been associated with dysphagia (28,29).…”

mentioning

confidence: 99%

Oral Frailty

Morley

2020

The Journal of nutrition, health and aging

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Association between oral, social, and physical frailty in community-dwelling older adults

Cited by 68 publications

References 56 publications

Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

Association between Physical Frailty Subdomains and Oral Frailty in Community-Dwelling Older Adults

Low Dietary Variety and Diabetes Mellitus Are Associated with Frailty among Community-Dwelling Older Japanese Adults: A Cross-Sectional Study

Oral Frailty

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