Characterizing the Literature on Validity and Assessment Tool of Oral Frailty: A Systematic Scoping Review

Janakiram, Chandrashekar; Neelamana, Sandhya Kizhakke

doi:10.5005/jp-journals-10024-3346

Cited by 5 publications

(3 citation statements)

References 35 publications

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Oral diadochokinesis (OD) is an articulation test that assesses oral functions by measuring the number of pronunciations per second by repeating each syllable of /Pa/, /Ta/ and /Ka/ clearly as quickly as possible for 5 or 10 s. 1,2 Oral diadochokinesis tasks have been used as a diagnostic tool for oral frailty. 3,4 In order to monitor fine movements of the lips, cheeks and tongue, it is convenient to evaluate articulation using OD. The validity of OD as an index for assessing oral function in community-dwelling older adults has been reported by various studies.

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confidence: 99%

Can oral diadochokinesis be used as an assessment tool of oral function in older adults requiring care in nursing home?

Konishi

2023

J of Oral Rehabilitation

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BackgroundOral diadochokinesis (OD) test is an articulation test that analyses fine movements of the lips, cheeks and tongue. It is difficult to perform the test accurately in older people with reduced physical and cognitive functions.ObjectivesThis study aimed to investigate the number of older adults who could not be tested for OD and to investigate their characteristics.MethodsThe participants included 145 older residents of an aged care nursing home. They were divided into two groups: those who could be tested for OD and those who could not, and their characteristics were compared. The degree of requiring long‐term care was classified into five levels. The degree of dementia was classified into five levels. Those having difficulty in performing daily activities alone and having degree III or higher dementia were considered to have severe dementia.ResultsThe participants included 41 men and 104 women with a median age of 89 years (range, 64–105 years). Sixty‐eight participants failed the OD test (46.9%). In univariate and multivariate analyses, degree of dementia and oral care (among other characteristics in univariate analysis) showed statistically significant differences between the two groups. Cut‐off values for older adults who could not perform OD test were level 4 or higher in need of care and degree III or higher in dementia.ConclusionThis study suggests that additional assessment tools for oral function should be considered for older adults requiring a nursing care level of 4 or higher and a dementia degree of III or higher.

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confidence: 99%

Can oral diadochokinesis be used as an assessment tool of oral function in older adults requiring care in nursing home?

Konishi

2023

J of Oral Rehabilitation

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“…Currently, research on the development of assessment tools for oral frailty is limited. The predictive validity of tools for differentiating high and low risks for oral frailty has not been fully evaluated [ 61 ]. Although the Kihon Checklist was reliable for testing general frailty in older adults [ 59 ], the reliability and validity of the three items for oral frailty had not been tested.…”

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confidence: 99%

Oral frailty: a concept analysis

Zhao,

Wu,

Zhou

et al. 2024

BMC Oral Health

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Background Oral frailty has become a worldwide problem among older adults. Although researchers have conducted various studies on oral frailty, its definition remains controversial. Purpose To clarify the concept of oral frailty. Methods Online databases PubMed, Web of Science, CINAHL, Cochrane Library, ProQuest, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), and Wanfang database were searched from inception to September 20, 2023. The reference lists of relevant studies were searched manually. Eligible articles, theses, and books were analyzed using Walker & Avant’s concept analysis model. Results The attributes of oral frailty were abnormal oral structure and/or decline in multi-faceted oral function and coexisting decline in physical, cognitive and social functions. Its antecedents were aging, social frailty, and severe periodontitis, whereas its consequences were decline in physical health and mental health, social withdrawal, lower quality of life and systemic frailty. Conclusion Oral frailty could result in worse conditions among older adults physically, psychologically and socially. Tools based on the concept analysis need to be developed to comprehensively assess oral frailty.

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“…According to the literature review, only three structured assessment tools: the oral frailty checklist, the oral and maxillofacial frailty index, and OFI-8 are currently available to assess oral frailty. 52 . In our study, we used the adapted OMFI tool 53 and Tanaka oral frailty assessment measures to assess oral frailty.…”

Section: Oral Frailty and Associated Factorsmentioning

confidence: 99%

Prevalence of Physical and Oral Frailty Among the Community Dwelling Geriatric Population -a Cross Sectional Study From South India

Varma,

Janakiram

et al. 2024

Preprint

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Objective: Data on the prevalence of frailty in Kerala is sparse. The objective of this study was to estimate the prevalence of frailty among community-dwelling elderly people in Kerala and explore the sociodemographic factors associated with physical and oral frailty among this population. We further explored the associations between physical and oral frailty. Design: Community based cross-sectional study. Setting: Cluster sampled area of Thrissur District, Kerala. Participants: Random sample0 of adults aged 60 years and above, from the cluster sampled area of Thrissur district. Methods: We sampled 1079 community-dwelling adults aged ≥60 years from the Thrissur district of Kerala, using stratified random cluster sampling. Physical frailty was defined and recorded based on Fried’s Frailty Phenotype, Reported Edmonton Frail Scale (REFS), and SARC-F sarcopenia scales. Oral frailty was recorded based on Tanaka measures and Oral and Maxillofacial Frailty Index (OMFI). Logistic regressions with robust standard errors were utilized to examine the associations between socio-demographic determinants and frailty, and between physical frailty and oral frailty. Results: Overall, 35.2% were classified as physically frail and 62.2% as prefrail, while 22% of population had oral frailty. In the unadjusted model, individuals with oral frailty showed greater odds of being physically frail than those without oral frailty. (Crude OR= 1.584, 95% CI=1.157-2.169, p-value= 0.004). This association persisted after controlling for socio demographic variables and number of teeth. (Adjusted OR=1.423,95% CI=1.020-1.987, p value;0.038). Conclusion: Integrating the multidisciplinary approaches like oral frailty assessment along with general frailty assessment can promote healthy aging.

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Characterizing the Literature on Validity and Assessment Tool of Oral Frailty: A Systematic Scoping Review

Cited by 5 publications

References 35 publications

Can oral diadochokinesis be used as an assessment tool of oral function in older adults requiring care in nursing home?

Can oral diadochokinesis be used as an assessment tool of oral function in older adults requiring care in nursing home?

Oral frailty: a concept analysis

Prevalence of Physical and Oral Frailty Among the Community Dwelling Geriatric Population -a Cross Sectional Study From South India

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