Poor oral function is associated with loss of independence or death in functionally independent older adults.

<h4>Aim</h4>To clarify the association of poor oral function with loss of independence (LOI) or death in functionally independent older adults in the community.<h4>Methods</h4>We conducted a secondary analysis of data from a prospective cohort study in two municipalities in J...

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Autores principales:	Yusuke Nagamine, Tsukasa Kamitani, Hajime Yamazaki, Yusuke Ogawa, Shunichi Fukuhara, Yosuke Yamamoto
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f05e8e63359249bab5a87afc4859a2f3
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spelling	oai:doaj.org-article:f05e8e63359249bab5a87afc4859a2f32021-12-02T20:10:08ZPoor oral function is associated with loss of independence or death in functionally independent older adults.1932-620310.1371/journal.pone.0253559https://doaj.org/article/f05e8e63359249bab5a87afc4859a2f32021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253559https://doaj.org/toc/1932-6203<h4>Aim</h4>To clarify the association of poor oral function with loss of independence (LOI) or death in functionally independent older adults in the community.<h4>Methods</h4>We conducted a secondary analysis of data from a prospective cohort study in two municipalities in Japan. We included participants who were older than 65 years of age and had no certification in long-term care at baseline. Poor oral function was evaluated by the Kihon Checklist. Among participants with poor oral function, they were further classified by the degree of quality of life (QOL) impairment due to dysphagia. Main outcome is LOI or death from all cause. The hazard ratio (HR) and 95% confidence of intervals (CIs) were estimated by Cox proportional hazard models adjusted for potential confounders.<h4>Results</h4>Of 1,272 participants, 150 participants (11.8%) had poor oral function. The overall incidence of LOI or death was 10.0% in the participants with poor oral function, while 3.3% in the participants without. Participants with poor oral function were more likely to develop LOI or death than those without (crude HR = 3.17 [95% CIs 1.74-5.78], adjusted HR = 2.30 [95% CIs 1.22-4.36]). 10 participants (0.79%) were classified as poor oral function with QOL impairment, and were more likely to develop LOI or death than those without poor oral function (crude HR = 7.45 [95% CIs 1.80-30.91], adjusted HR = 8.49 [95% CIs 1.88-38.34]).<h4>Conclusions</h4>Poor oral function was associated with higher risk of LOI or death in functionally independent older adults in the community.Yusuke NagamineTsukasa KamitaniHajime YamazakiYusuke OgawaShunichi FukuharaYosuke YamamotoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253559 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yusuke Nagamine Tsukasa Kamitani Hajime Yamazaki Yusuke Ogawa Shunichi Fukuhara Yosuke Yamamoto Poor oral function is associated with loss of independence or death in functionally independent older adults.
description	<h4>Aim</h4>To clarify the association of poor oral function with loss of independence (LOI) or death in functionally independent older adults in the community.<h4>Methods</h4>We conducted a secondary analysis of data from a prospective cohort study in two municipalities in Japan. We included participants who were older than 65 years of age and had no certification in long-term care at baseline. Poor oral function was evaluated by the Kihon Checklist. Among participants with poor oral function, they were further classified by the degree of quality of life (QOL) impairment due to dysphagia. Main outcome is LOI or death from all cause. The hazard ratio (HR) and 95% confidence of intervals (CIs) were estimated by Cox proportional hazard models adjusted for potential confounders.<h4>Results</h4>Of 1,272 participants, 150 participants (11.8%) had poor oral function. The overall incidence of LOI or death was 10.0% in the participants with poor oral function, while 3.3% in the participants without. Participants with poor oral function were more likely to develop LOI or death than those without (crude HR = 3.17 [95% CIs 1.74-5.78], adjusted HR = 2.30 [95% CIs 1.22-4.36]). 10 participants (0.79%) were classified as poor oral function with QOL impairment, and were more likely to develop LOI or death than those without poor oral function (crude HR = 7.45 [95% CIs 1.80-30.91], adjusted HR = 8.49 [95% CIs 1.88-38.34]).<h4>Conclusions</h4>Poor oral function was associated with higher risk of LOI or death in functionally independent older adults in the community.
format	article
author	Yusuke Nagamine Tsukasa Kamitani Hajime Yamazaki Yusuke Ogawa Shunichi Fukuhara Yosuke Yamamoto
author_facet	Yusuke Nagamine Tsukasa Kamitani Hajime Yamazaki Yusuke Ogawa Shunichi Fukuhara Yosuke Yamamoto
author_sort	Yusuke Nagamine
title	Poor oral function is associated with loss of independence or death in functionally independent older adults.
title_short	Poor oral function is associated with loss of independence or death in functionally independent older adults.
title_full	Poor oral function is associated with loss of independence or death in functionally independent older adults.
title_fullStr	Poor oral function is associated with loss of independence or death in functionally independent older adults.
title_full_unstemmed	Poor oral function is associated with loss of independence or death in functionally independent older adults.
title_sort	poor oral function is associated with loss of independence or death in functionally independent older adults.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f05e8e63359249bab5a87afc4859a2f3
work_keys_str_mv	AT yusukenagamine poororalfunctionisassociatedwithlossofindependenceordeathinfunctionallyindependentolderadults AT tsukasakamitani poororalfunctionisassociatedwithlossofindependenceordeathinfunctionallyindependentolderadults AT hajimeyamazaki poororalfunctionisassociatedwithlossofindependenceordeathinfunctionallyindependentolderadults AT yusukeogawa poororalfunctionisassociatedwithlossofindependenceordeathinfunctionallyindependentolderadults AT shunichifukuhara poororalfunctionisassociatedwithlossofindependenceordeathinfunctionallyindependentolderadults AT yosukeyamamoto poororalfunctionisassociatedwithlossofindependenceordeathinfunctionallyindependentolderadults
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Poor oral function is associated with loss of independence or death in functionally independent older adults.

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