Prognosis‐related factors concerning oral and general conditions for homebound older adults in Japan

Abstract

ADL was strongly correlated with life prognosis in homebound older adults. Within the higher ADL participants, occlusal support was related to this outcome.

Association between posterior teeth occlusion and functional dependence among older adults in nursing homes in Japan

“…We also confirmed the significant associations of functional dependence with comorbid conditions (as indicated by CCI) and smoking history. Our findings agree with those of previous studies showing that lower CCI were significantly associated with increased activities of daily living, as indicated by BI ≥ 60 points . In addition, the present results support the views of previous cohort studies reporting that ever or current smokers were more likely to have greater odds of functional decline …”

“…Furthermore, the present findings are generally consistent with those of previous reports showing that the loss of posterior teeth occlusion might cause functional decline among older people. It has been reported that the loss of posterior occlusal support was significantly correlated with decremental changes in the BI . However, these previous reports roughly classified posterior teeth occlusion according to the presence or absence of at least one occlusal support among posterior teeth.…”

“…It has been reported that the loss of posterior occlusal support was significantly correlated with decremental changes in the BI. 17,23 However, these previous reports roughly classified posterior teeth occlusion according to the presence or absence of at least one occlusal support among posterior teeth. The present study provides the first evidence supporting the hypothesis that the loss of posterior teeth occlusion could be an important marker of progression of functional dependence, treating posterior teeth occlusion as a continuous value within a fixed range in a multivariate regression analysis.…”

“…15 The score ranged from 0 to 100, with higher scores representing greater independence. In the present study, independence for essential personal care was defined as BI ≥ 60 points in accordance with cut‐offs described in previous studies . We used independence for essential personal care (BI ≥ 60 points) as a primary outcome measure.…”

Multicentered epidemiological study of factors associated with total bacterial count in the saliva of older people requiring nursing care

“…Swallowing function was evaluated using cervical auscultation. For detection of dysphagia, participants were asked to swallow 3 mL of water, and the presence of choking, gargling sounds or other findings as detected by cervical auscultation was considered to indicate the presence of dysphagia . Before carrying out cervical auscultation, a dentist specializing in swallowing function calibrated the evaluators to avoid the occurrence of any inter‐evaluator differences in the evaluation method and criteria.…”