Influence of oral health on frailty in patients with type 2 diabetes aged 75 years or older

Abstract

Background Poor oral health conditions are known to affect frailty in the older adults. Diabetes is a risk factor for both poor oral health and frailty, therefore, oral health status may affect frailty in diabetic patients more than in the general population. The purpose of this study was to evaluate the influence of oral health and other factors on frailty and the relationship among oral health, diabetes and frailty in older adult patients with type 2 diabetes. Methods Patients with type 2 diabetes aged 75 years or older were included in this cross-sectional study. Eligible patients were surveyed by questionnaire for frailty, oral health status, and cognitive and living functions. Factors influencing pre-frailty, frailty, and individual frailty screening index (FSI) classes were evaluated. Results Of the 111 patients analyzed, 66 cases (59.5%) were categorized as robust, 33 cases (29.7%) as pre-frailty, and 12 cases (10.8%) as frailty. The oral frailty index, the cognitive and living functions score, and BMI were found to be factors influencing pre-frailty or frailty. In the evaluation of individual FSI classes, BMI had an influence on those with a FSI ≤2. The cognitive and living functions score was a factor influencing those with FSI ≤3. The oral frailty index was found to have a significant influence on all FSI classes. Conclusions Poor oral health has an influence on frailty in patients with type 2 diabetes aged ≥75. In this patient population, as frailty progresses, the impact of oral health on frailty may increase. Trial registration: This study was retrospectively registered in UMIN-CTR (UMIN000044227).

Investigación multidisciplinaria desde una visión multidisciplinar. Libro 1

“…Por otro lado, se revela que aquellas personas que realizan algún tipo de actividad física, tienden a mantener mayor control glicémico y una nutrición balanceada (Ishii et al, 2022).…”

Relationship between oral hypofunction and salivary biomarkers in older adults: a cross-sectional study

“…Oral frailty is a new concept employed as a preventive strategy to maintain or improve the eating/chewing ability of older adults in Japan, affecting food intake diversity, appetite, and nutritional intake associated with physical frailty [ 10 ]. Some papers have reported on the association between poor oral health conditions and frailty, using oral frailty index-8 or the Geriatric Oral Health Assessment Index as indicators of oral frailty [ 11 , 12 ]. The relationship between oral frailty, including oral health status deterioration; deterioration of oral motor skills, saliva disorders; and oral pain, and frailty has been reported not only in Japan but also worldwide [ 13 ].…”

The Impact of Glucose-Lowering Strategy on the Risk of Increasing Frailty Severity among 49,519 Patients with Diabetes Mellitus: A Longitudinal Cohort Study

“…Wang et al revealed that diabetic complications such as chronic kidney disease (CKD) and vascular morbidities affected the risk of incident frailty at different timings following DM onset [11]. Oral function integrity and its associated factors, including chewing capacity, choking probability, and tooth brushing habits, also play a role in determining the risk of frailty in patients with DM [12]. Existing studies mainly address factors driving the initiation of frailty in this population; however, few studies focused on modifiable risk factors regarding the dynamic changes in frailty over time.…”