Tooth retention predicts good physical performance in older adults.
<h4>Background</h4>Oral health is closely related to both physical and psychological well-being, as it enables individuals to eat, speak, and socialize. The number of teeth is the most used indicator of oral health. Several reports document a relationship of dental status with a variety...
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oai:doaj.org-article:3dc52c3642ed471a971bc3354f7d81842021-12-02T20:08:09ZTooth retention predicts good physical performance in older adults.1932-620310.1371/journal.pone.0255741https://doaj.org/article/3dc52c3642ed471a971bc3354f7d81842021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255741https://doaj.org/toc/1932-6203<h4>Background</h4>Oral health is closely related to both physical and psychological well-being, as it enables individuals to eat, speak, and socialize. The number of teeth is the most used indicator of oral health. Several reports document a relationship of dental status with a variety of indicators of general health but longitudinal studies employing standardized physical performance tests are infrequent in the scientific literature.<h4>Subjects and methods</h4>The Italian elderly participating in the Pro.V.A. longitudinal Study (3099 subjects aged 65+ at baseline, 2196 at the 5-year follow-up 1 and 1641 at the 7-year follow- up 2) underwent detailed interview and extensive clinical and instrumental examination that included validated physical performance measures. Participants were classified into 4 groups according to the number of remaining teeth: 0, 1-7, 8-19, and 20+. To explore the association of the number of remaining teeth with physical function and disability, we performed logistic regression analyses with models progressively adjusted for a wide number of covariates, namely anthropometric (gender, age, BMI), comorbidity (cardio-vascular, osteoarticular, and neurological diseases including depression), muscle strength (assessed for upper and lower limbs), lifestyle (smoking status, alcohol use, leisure time activities) and socioeconomical status (education, income, marital status, loneliness).<h4>Results</h4>Dental status correlated with most comorbidities, lifestyle, and socio-economic variables at the univariate analysis at baseline and at follow-ups. A good dental status was significantly associated with better physical functioning and lower disability. The presence of 20+ teeth resulted significantly protective (reference group: 0 teeth) versus mobility-related disability (OR = 0.67), disability (OR = 0.54) and inability to perform heavy duties (OR = 0.62), at follow up 1 and low physical performance score (OR = 0.59) at follow up 2. Conversely, the detrimental effect of edentulism, explored in subjects with or without dentures, was present but not as straightforward. Conclusion. The assessment of a geriatric patient should include an oral evaluation as a good dental status is a crucial component of successful aging.Estella MusacchioPierluigi BinottoEgle PerissinottoGiuseppe SergiSabina ZambonMaria-Chiara CortiAnna-Chiara FrigoLeonardo SartoriPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0255741 (2021) |
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Medicine R Science Q Estella Musacchio Pierluigi Binotto Egle Perissinotto Giuseppe Sergi Sabina Zambon Maria-Chiara Corti Anna-Chiara Frigo Leonardo Sartori Tooth retention predicts good physical performance in older adults. |
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<h4>Background</h4>Oral health is closely related to both physical and psychological well-being, as it enables individuals to eat, speak, and socialize. The number of teeth is the most used indicator of oral health. Several reports document a relationship of dental status with a variety of indicators of general health but longitudinal studies employing standardized physical performance tests are infrequent in the scientific literature.<h4>Subjects and methods</h4>The Italian elderly participating in the Pro.V.A. longitudinal Study (3099 subjects aged 65+ at baseline, 2196 at the 5-year follow-up 1 and 1641 at the 7-year follow- up 2) underwent detailed interview and extensive clinical and instrumental examination that included validated physical performance measures. Participants were classified into 4 groups according to the number of remaining teeth: 0, 1-7, 8-19, and 20+. To explore the association of the number of remaining teeth with physical function and disability, we performed logistic regression analyses with models progressively adjusted for a wide number of covariates, namely anthropometric (gender, age, BMI), comorbidity (cardio-vascular, osteoarticular, and neurological diseases including depression), muscle strength (assessed for upper and lower limbs), lifestyle (smoking status, alcohol use, leisure time activities) and socioeconomical status (education, income, marital status, loneliness).<h4>Results</h4>Dental status correlated with most comorbidities, lifestyle, and socio-economic variables at the univariate analysis at baseline and at follow-ups. A good dental status was significantly associated with better physical functioning and lower disability. The presence of 20+ teeth resulted significantly protective (reference group: 0 teeth) versus mobility-related disability (OR = 0.67), disability (OR = 0.54) and inability to perform heavy duties (OR = 0.62), at follow up 1 and low physical performance score (OR = 0.59) at follow up 2. Conversely, the detrimental effect of edentulism, explored in subjects with or without dentures, was present but not as straightforward. Conclusion. The assessment of a geriatric patient should include an oral evaluation as a good dental status is a crucial component of successful aging. |
format |
article |
author |
Estella Musacchio Pierluigi Binotto Egle Perissinotto Giuseppe Sergi Sabina Zambon Maria-Chiara Corti Anna-Chiara Frigo Leonardo Sartori |
author_facet |
Estella Musacchio Pierluigi Binotto Egle Perissinotto Giuseppe Sergi Sabina Zambon Maria-Chiara Corti Anna-Chiara Frigo Leonardo Sartori |
author_sort |
Estella Musacchio |
title |
Tooth retention predicts good physical performance in older adults. |
title_short |
Tooth retention predicts good physical performance in older adults. |
title_full |
Tooth retention predicts good physical performance in older adults. |
title_fullStr |
Tooth retention predicts good physical performance in older adults. |
title_full_unstemmed |
Tooth retention predicts good physical performance in older adults. |
title_sort |
tooth retention predicts good physical performance in older adults. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/3dc52c3642ed471a971bc3354f7d8184 |
work_keys_str_mv |
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_version_ |
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