Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA

Abstract Preventing deterioration of oral health in older age can be crucial for survival. We aimed to examine associations of oral health problems with all-cause, cardiovascular disease (CVD), and respiratory mortality in older people. We used cohort data from the British Regional Health Study (BRH...

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Autores principales:	Eftychia Kotronia, Heather Brown, A. Olia Papacosta, Lucy T. Lennon, Robert J. Weyant, Peter H. Whincup, S. Goya Wannamethee, Sheena E. Ramsay
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/11f6597785b94280aafb171c7936289f
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spelling	oai:doaj.org-article:11f6597785b94280aafb171c7936289f2021-12-02T16:27:50ZOral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA10.1038/s41598-021-95865-z2045-2322https://doaj.org/article/11f6597785b94280aafb171c7936289f2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95865-zhttps://doaj.org/toc/2045-2322Abstract Preventing deterioration of oral health in older age can be crucial for survival. We aimed to examine associations of oral health problems with all-cause, cardiovascular disease (CVD), and respiratory mortality in older people. We used cohort data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) Study (USA) (N = 3075, 71–80 years). Follow-up was 9 years (BRHS) and 15 years (HABC Study). Oral health comprised tooth loss, periodontal disease, dry mouth, and self-rated oral health. Cox regression was performed for all-cause mortality, competing risks for CVD mortality, and accelerated failure time models for respiratory mortality. In the BRHS, tooth loss was associated with all-cause mortality (hazard ratio (HR) = 1.59, 95% CI 1.09, 2.31). In the HABC Study, tooth loss, dry mouth, and having ≥ 3 oral problems were associated with all-cause mortality; periodontal disease was associated with increased CVD mortality (subdistribution hazard ratio (SHR) = 1.49, 95% CI 1.01, 2.20); tooth loss, and accumulation of oral problems were associated with high respiratory mortality (tooth loss, time ratio (TR) = 0.73, 95% CI 0.54, 0.98). Findings suggest that poor oral health is associated with mortality. Results highlight the importance of improving oral health to lengthen survival in older age.Eftychia KotroniaHeather BrownA. Olia PapacostaLucy T. LennonRobert J. WeyantPeter H. WhincupS. Goya WannametheeSheena E. RamsayNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eftychia Kotronia Heather Brown A. Olia Papacosta Lucy T. Lennon Robert J. Weyant Peter H. Whincup S. Goya Wannamethee Sheena E. Ramsay Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA
description	Abstract Preventing deterioration of oral health in older age can be crucial for survival. We aimed to examine associations of oral health problems with all-cause, cardiovascular disease (CVD), and respiratory mortality in older people. We used cohort data from the British Regional Health Study (BRHS) (N = 2147, 71–92 years), and the Health, Aging and Body Composition (HABC) Study (USA) (N = 3075, 71–80 years). Follow-up was 9 years (BRHS) and 15 years (HABC Study). Oral health comprised tooth loss, periodontal disease, dry mouth, and self-rated oral health. Cox regression was performed for all-cause mortality, competing risks for CVD mortality, and accelerated failure time models for respiratory mortality. In the BRHS, tooth loss was associated with all-cause mortality (hazard ratio (HR) = 1.59, 95% CI 1.09, 2.31). In the HABC Study, tooth loss, dry mouth, and having ≥ 3 oral problems were associated with all-cause mortality; periodontal disease was associated with increased CVD mortality (subdistribution hazard ratio (SHR) = 1.49, 95% CI 1.01, 2.20); tooth loss, and accumulation of oral problems were associated with high respiratory mortality (tooth loss, time ratio (TR) = 0.73, 95% CI 0.54, 0.98). Findings suggest that poor oral health is associated with mortality. Results highlight the importance of improving oral health to lengthen survival in older age.
format	article
author	Eftychia Kotronia Heather Brown A. Olia Papacosta Lucy T. Lennon Robert J. Weyant Peter H. Whincup S. Goya Wannamethee Sheena E. Ramsay
author_facet	Eftychia Kotronia Heather Brown A. Olia Papacosta Lucy T. Lennon Robert J. Weyant Peter H. Whincup S. Goya Wannamethee Sheena E. Ramsay
author_sort	Eftychia Kotronia
title	Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA
title_short	Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA
title_full	Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA
title_fullStr	Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA
title_full_unstemmed	Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA
title_sort	oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the uk and usa
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/11f6597785b94280aafb171c7936289f
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Oral health and all-cause, cardiovascular disease, and respiratory mortality in older people in the UK and USA

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