Oral health status and change in handgrip strength over a 5‐year period in 80‐year‐old people

Hämäläinen, Päivi; Rantanen, Taina; Keskinen, Marja; Meurman, Jukka H.

doi:10.1111/j.1741-2358.2004.00022.x

Cited by 72 publications

(116 citation statements)

References 27 publications

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“…The results support previous research that links poor dentition to physical impairments [6, 8–10, 15, 16]. Tooth loss may be an indicator of low physiological reserve [29] resulting from cumulative effects of unfavorable exposures throughout the life course, which also has adverse effects on walking speed.…”

Section: Discussionsupporting

confidence: 88%

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Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

et al. 2016

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Background Tooth loss has been linked to poor health such as chronic diseases and mobility limitations. Prospective evidence on the association between tooth loss and walking speed decline is however lacking.AimsTo examine the impact of tooth loss on walking speed over time and explore whether inflammation may account for this association.MethodsThis study included 2695 persons aged 60 years and older, who were free from severe mobility limitation at baseline. Information on dental status was assessed through self-report during the nurse interview at baseline. Walking speed baseline and at 3- and 6-year follow-ups was assessed when participants walked at their usual pace. Covariates included age, sex, education, lifestyle-related factors, and chronic diseases. Blood samples were taken, and C-reactive protein (CRP) was tested.ResultsAt baseline, 389 (13.1 %) participants had partial tooth loss and 204 (6.9 %) had complete tooth loss. Mixed-effects models showed that tooth loss was associated with a greater decline in walking speed over time after adjustment for lifestyle-related factors and chronic diseases (p = 0.001 for interaction between time and tooth loss on walking speed decline); however, when further adjusting for inflammation (CRP), the association was attenuated and no longer significant.ConclusionTooth loss was associated with an accelerated decline in walking speed in older adults. Inflammation may play a role in the association between tooth loss and walking speed decline.

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Section: Discussionsupporting

confidence: 88%

“…So far, few studies have examined longitudinal associations between oral health and physical function. Prospective studies have shown that periodontitis and tooth loss are associated with decline in physical functions such as balance and muscle strength [15, 16], and incident disability [6]. …”

Section: Introductionmentioning

confidence: 99%

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

et al. 2016

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“…Moreover, HGS was found to be significantly correlated with the strength and power of the muscles of the lower limbs, the cross-sectional size of the Achilles tendon, and knee bending torque 23. Hämäläinen et al observed a correlation between HGS and the number of teeth present in a group of elderly men, but they did not find an association between the number of teeth and change in HGS over the course of 5 years of follow-up 7. We have not found association between masticatory muscles activity and HGS, although in our previously conducted study, HGS was positively correlated with strong masseter muscle tension 24…”

Section: Discussionmentioning

confidence: 98%

“…Handheld dynamometry and bioelectrical impedance analysis provide a valid and reliable measurement of muscle strength and muscle mass, respectively 6. Missing teeth might be the measure of the past appearance of oral inflammation 7. One of the most commonly applied measurements of nutritional status is BMI.…”

Section: Introductionmentioning

confidence: 99%

Electromyographic activity of masticatory muscles in elderly women – a pilot study

Gaszyńska¹,

Kopacz

Fronczek–Wojciechowska

et al. 2017

CIA

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ObjectivesTo evaluate the effect of age and chosen factors related to aging such as dentition, muscle strength, and nutrition on masticatory muscles electromyographic activity during chewing in healthy elderly women.BackgroundWith longer lifespan there is a need for maintaining optimal quality of life and health in older age. Skeletal muscle strength deteriorates in older age. This deterioration is also observed within masticatory muscles.MethodsA total of 30 women, aged 68–92 years, were included in the study: 10 individuals had natural functional dentition, 10 were missing posterior teeth in the upper and lower jaw reconstructed with removable partial dentures, and 10 were edontoulous, using complete removable dentures. Surface electromyography was performed to evaluate masticatory muscles activity. Afterwards, measurement of masseter thickness with ultrasound imaging was performed, body mass index and body cell mass index were calculated, and isometric handgrip strength was measured.ResultsIsometric maximal voluntary contraction decreased in active masseters with increasing age and in active and passive temporalis muscles with increasing age and increasing body mass index. In active masseter, mean electromyographic activity during the sequence (time from the start of chewing till the end when the test food became ready to swallow) decreased with increasing age and during the cycle (single bite time) decreased with increasing age and increasing body mass index. In active and passive temporalis muscles, mean electromyographic activity during the sequence and the cycle decreased with increasing age, increasing body mass index, and loss of natural dentition. Individuals with natural dentition had significantly higher mean muscle activity during sequence and cycle in active temporalis muscles than those wearing full dentures and higher maximal activity during cycle in individuals with active and passive temporalis muscles than in complete denture wearers.ConclusionDecrease in electromyographic activity of masticatory muscles in elderly women is related to age, deterioration of dental status, and body mass index.

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“…People with periodontitis are at increased risk of oral pain and tooth loss, which leads to limited oral function such as eating, swallowing, and speaking (Furuta & Yamashita, 2013). Poor oral health is related to decreased functional ability and physical fitness and decreased dietary intakes and variety (Hamalainen, Rantanen, Keskinen, & Meurman, 2004; Iwasaki et al, 2014; Iwasaki et al, 2015). Periodontitis also may cause halitosis, which can negatively impact on daily life activities such as socializing and communication with other people (Azodo, Onyeagba, & Odai, 2011).…”

Section: Discussionmentioning

confidence: 99%

Periodontitis and health‐related quality of life in hemodialysis patients

Iwasaki

Borgnakke

Awano

et al. 2016

Clinical & Exp Dental Res

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Periodontitis is common among dialysis patients. The current cross‐sectional study aimed to explore associations between periodontitis and health‐related quality of life (HRQoL) among hemodialysis patients. Data from 188 dentate patients undergoing hemodialysis between May and July 2008 at a medical center in Kitakyushu city, Japan, were analyzed while applying modified Centers for Disease Control and Prevention/American Academy of Periodontology periodontitis case definitions to categorize the participants into the following three groups: severe, moderate, and no/mild periodontitis, respectively. HRQoL was assessed by the Medical Outcomes Study 36‐Item Short Form Health Survey (SF‐36) where a higher score indicates better health status. Associations between periodontitis groups and the eight health domains of SF‐36 were evaluated using general linear models that were adjusted for age, sex, underlying cause of dialysis, duration of dialysis, comorbidities, serum biomarkers, body mass index, smoking status, and alcohol use. Among the 188 participants, 18 (9.6%) had severe periodontitis, 100 (53.2%) had moderate periodontitis, and the remaining 70 (37.2%) had no/mild periodontitis. Compared with the participants with no/mild periodontitis, those with severe periodontitis had worse scores in the following five of eight SF‐36 health scales: physical functioning, role physical, vitality, social functioning, and mental health (P < 0.05). The findings suggest an independent relationship between severe periodontitis and decreased HRQoL among dialysis patients.

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Oral health status and change in handgrip strength over a 5‐year period in 80‐year‐old people

Abstract: The presence of oral inflammation may lead to loss in muscle strength increasing the risk of disability. Therefore, good dental care throughout the life span may decrease risk of disability in old age.

Cited by 72 publications

References 27 publications

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

Electromyographic activity of masticatory muscles in elderly women – a pilot study

Periodontitis and health‐related quality of life in hemodialysis patients

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Oral health status and change in handgrip strength over a 5‐year period in 80‐year‐old people

Abstract: The presence of oral inflammation may lead to loss in muscle strength increasing the risk of disability. Therefore, good dental care throughout the life span may decrease risk of disability in old age.

Cited by 72 publications

References 27 publications

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

Impact of tooth loss on walking speed decline over time in older adults: a population-based cohort study

Electromyographic activity of masticatory muscles in elderly women &ndash; a pilot study

Periodontitis and health‐related quality of life in hemodialysis patients

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Electromyographic activity of masticatory muscles in elderly women – a pilot study