Tooth loss and caries prevalence in very old Swedish people: the relationship to cognitive function and functional ability
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Tooth loss and caries prevalence in very old Swedish people: the relationship to cognitive function and functional ability. / Avlund, Kirsten; Holm-Pedersen, Poul; Morse, Douglas E; Viitanen, Matti; Winblad, Bengt.
In: Gerodontology, Vol. 21, No. 1, 2004, p. 17-26.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Tooth loss and caries prevalence in very old Swedish people: the relationship to cognitive function and functional ability
AU - Avlund, Kirsten
AU - Holm-Pedersen, Poul
AU - Morse, Douglas E
AU - Viitanen, Matti
AU - Winblad, Bengt
N1 - Keywords: Activities of Daily Living; Aged; Aged, 80 and over; Cognition; Cognition Disorders; Cross-Sectional Studies; Dental Care for Aged; Dental Caries; Educational Status; Female; Health Status; Humans; Logistic Models; Male; Risk Factors; Root Caries; Social Class; Sweden; Tooth Loss
PY - 2004
Y1 - 2004
N2 - OBJECTIVE: To analyse whether cognitive function and functional ability are related to oral health among community-dwelling older people over the age of 80 years. BACKGROUND: This cross-sectional study is based on the Kungsholmen Elders Oral Health Survey (KEOHS). The study included oral examinations carried out in two local clinics by standardised examiners and interviews using structured questionnaires. MATERIALS AND METHODS: Altogether 159 individuals were included in this study. Coronal caries and root caries were assessed using the National Institute of Dental and Craniofacial Research (NIDCR) diagnostic criteria. Cognitive function was assessed by the Mini-Mental State Examination (MMSE) index and functional ability was assessed by a global measure of self-reported changes. RESULTS: Older adults with a low MMSE score (< or = 23) tended to have a higher risk of coronal caries than those with higher scores. Participants with mild cognitive decline (MMSE = 24-26) and with a decrease in functional ability had a significantly higher risk of root caries. These associations changed little when adjusted by the covariates. In addition, people with a low MMSE (0-23) had a four times higher risk of not using dental services regularly. This result was unchanged after adjusting for the variables studied. CONCLUSIONS: This study revealed associations between the cognitive and functional status of the individual and aspects of oral health, that may contribute to a deeper understanding of the background of oral health status in older adults.
AB - OBJECTIVE: To analyse whether cognitive function and functional ability are related to oral health among community-dwelling older people over the age of 80 years. BACKGROUND: This cross-sectional study is based on the Kungsholmen Elders Oral Health Survey (KEOHS). The study included oral examinations carried out in two local clinics by standardised examiners and interviews using structured questionnaires. MATERIALS AND METHODS: Altogether 159 individuals were included in this study. Coronal caries and root caries were assessed using the National Institute of Dental and Craniofacial Research (NIDCR) diagnostic criteria. Cognitive function was assessed by the Mini-Mental State Examination (MMSE) index and functional ability was assessed by a global measure of self-reported changes. RESULTS: Older adults with a low MMSE score (< or = 23) tended to have a higher risk of coronal caries than those with higher scores. Participants with mild cognitive decline (MMSE = 24-26) and with a decrease in functional ability had a significantly higher risk of root caries. These associations changed little when adjusted by the covariates. In addition, people with a low MMSE (0-23) had a four times higher risk of not using dental services regularly. This result was unchanged after adjusting for the variables studied. CONCLUSIONS: This study revealed associations between the cognitive and functional status of the individual and aspects of oral health, that may contribute to a deeper understanding of the background of oral health status in older adults.
M3 - Journal article
C2 - 15074536
VL - 21
SP - 17
EP - 26
JO - Gerodontology
JF - Gerodontology
SN - 0734-0664
IS - 1
ER -
ID: 6109399