Impact of oral health status on healthy life expectancy in community-dwelling population: The AGES Project cohort study

This article examines the health status of the population in Bulgaria at age 65 by gender during the period 2006-2014. The health status is examined by some of the most frequently used demographic indicators, namely life expectancy, based on mortality data and healthy life years and healthy life expectancy, based on mortality, life expectancy and self-perceived health. The main results show that despite of the observed increase in life expectancy at age 65 in Bulgaria during the period it is the lowest compared to other European countries. The share for both men and women reported their health status as without limitations in respect to daily activities decline, while those reported their health status as good increase. These contradictory facts reflect on the measures of health status. Thus, the trend in healthy life years for both sexes decline over the period, whereas the trend in healthy life expectancy increases. Compared with the other European countries, the expected number of years without limitations in Bulgaria is among the largest, while the healthy life expectancy is the lowest. These differences could be explained by the different levels in mortality and the nature of the measures of health status themselves.

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Health Status of Old Age Population in Bulgaria

European Journal of Interdisciplinary Studies ◽

10.26417/ejis.v6i1.p126-131 ◽

2016 ◽

Vol 6 (1) ◽

pp. 126

Author(s):

Mariana Mourgova

Keyword(s):

Health Status ◽

Life Expectancy ◽

European Countries ◽

Healthy Life Expectancy ◽

Mortality Data ◽

Healthy Life ◽

Healthy Life Years ◽

Demographic Indicators ◽

Life Years ◽

Different Levels

This article examines the health status of the population in Bulgaria at age 65 by gender during the period 2006-2014. The health status is examined by some of the most frequently used demographic indicators, namely life expectancy, based on mortality data and healthy life years and healthy life expectancy, based on mortality, life expectancy and self-perceived health. The main results show that despite of the observed increase in life expectancy at age 65 in Bulgaria during the period it is the lowest compared to other European countries. The share for both men and women reported their health status as without limitations in respect to daily activities decline, while those reported their health status as good increase. These contradictory facts reflect on the measures of health status. Thus, the trend in healthy life years for both sexes decline over the period, whereas the trend in healthy life expectancy increases. Compared with the other European countries, the expected number of years without limitations in Bulgaria is among the largest, while the healthy life expectancy is the lowest. These differences could be explained by the different levels in mortality and the nature of the measures of health status themselves.

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Assessment of oral health status of children with epilepsy: A retrospective cohort study

International Journal of Paediatric Dentistry ◽

10.1111/ipd.12432 ◽

2018 ◽

Vol 29 (1) ◽

pp. 79-85 ◽

Cited By ~ 2

Author(s):

Heba Imam Morgan ◽

Reham Khaled Abou El Fadl ◽

Noha Samir Kabil ◽

Iman Elagouza

Keyword(s):

Cohort Study ◽

Health Status ◽

Oral Health ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Oral Health Status

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Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study

10.1101/652529 ◽

2019 ◽

Author(s):

Kamini Kaura Parbhakar ◽

Laura C. Rosella ◽

Sonica Singhal ◽

Carlos R. Quiñonez

Keyword(s):

Cohort Study ◽

Health Status ◽

Oral Health ◽

Diabetes Complications ◽

Canadian Community Health Survey ◽

Oral Health Status ◽

Social Characteristics ◽

Diabetes Complication ◽

Increased Risk ◽

Wide Range

AbstractBackgroundPeriodontitis has persistently been associated with diabetes and poor health outcomes. While clear associations have been identified for the diabetes–oral health link, less is known about the implications of poor oral health on incident complications of diabetes. This study sought to investigate the risk of diabetes complications associated with self-reported “poor to fair” and “good to excellent” oral health status among diabetics living in Ontario, Canada.MethodsThis cohort study was undertaken of diabetics from the Canadian Community Health Survey (2003 and 2007-8). Self-reported oral health was linked to electronic health records at the Institute for Clinical Evaluative Sciences. Participants under the age of 40, missing self-reported oral health and those who could not be identified in linked databases were excluded (N=5,183). A series of Cox Proportional hazard models were constructed to determine the risk of diabetes complications. Participants who did not experience any diabetes complication were censored at time of death or at the study termination date (March 31, 2016). Models were adjusted for age and sex, followed by social characteristics and behavioural factors.ResultsDiabetes complications differed by self-reported oral health. For those reporting “poor to fair” oral health, the hazard of a diabetes complication was 30% greater (HR 1.29 95%CI 1.03, 1.61) than those reporting “good to excellent” oral health.ConclusionsOur findings indicate that oral health status is associated with increased risk for complications among diabetics, after adjusting for a wide range of confounders. Examining oral health and the risk for diabetes complications from a broader perspective including socio-behavioural and biological pathways is principal for informing policies and interventions that aim to mitigate the burdens of poor systemic health.

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Longitudinal Impact of Oral Health on Geriatric Syndromes and Clinical Outcomes in Community-dwelling Older Adults

10.21203/rs.3.rs-125527/v1 ◽

2020 ◽

Author(s):

Jihye Lim ◽

Hyungchul Park ◽

Heayon Lee ◽

Eunju Lee ◽

Danbi Lee ◽

...

Keyword(s):

Older Adults ◽

Health Status ◽

Oral Health ◽

Oral Health Status ◽

Community Dwelling ◽

Health Conditions ◽

Longitudinal Impact ◽

Composite Outcome ◽

Geriatric Syndromes ◽

Community Dwelling Older Adults

Abstract BackgroundOral health is essential for daily living and plays a pivotal role in overall health conditions and well-being. This study evaluated the impact of self-reported oral health on geriatric conditions, institutionalization, and mortality. MethodsThis study analyzed the population of the Aging Study of Pyeongchang Rural Area that had undergone geriatric assessments between 2016 and 2017. The oral health status of the participants was determined using three items from the General Oral Health Assessment Index, and the participants were classified into three groups according to the total sum of the scores as good (3), fair (4–7), or poor (8-15). The outcomes were the incidence of geriatric syndromes at 2 years and the composite outcome of mortality and institutionalization.ResultsAmong the 1189 participants, 44.1% were women, and the mean age of the study population was 75.0 years. Good, fair, and poor oral health were observed in 597 (50.2%), 406 (34.1%), and 186 (15.6%) individuals, respectively. Worsening oral health status was associated with the incidences of various geriatric syndromes at follow-up, and these associations were attenuated after adjusting for baseline demographic and geriatric parameters. Similarly, the significant association between baseline oral health status and the incidence of the composite outcome was attenuated after adjusting for demographic and geriatric parameters. ConclusionsOral health affected the geriatric health conditions in this prospective, longitudinal cohort of community-dwelling older adults. The correlations and interactions of oral health status with other functional parameters may deserve consideration as a geriatric domain.

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Dental Status and Compression of Life Expectancy with Disability

Journal of Dental Research ◽

10.1177/0022034517713166 ◽

2017 ◽

Vol 96 (9) ◽

pp. 1006-1013 ◽

Cited By ~ 20

Author(s):

Y. Matsuyama ◽

J. Aida ◽

R.G. Watt ◽

T. Tsuboya ◽

S. Koyama ◽

...

Keyword(s):

Life Expectancy ◽

Functional Disability ◽

Community Dwelling ◽

Healthy Life Expectancy ◽

Baseline Survey ◽

Compression Of Morbidity ◽

Healthy Life ◽

Number Of Teeth ◽

Significant Compression

This study examined whether the number of teeth contributes to the compression of morbidity, measured as a shortening of life expectancy with disability, an extension of healthy life expectancy, and overall life expectancy. A prospective cohort study was conducted. A self-reported baseline survey was given to 126,438 community-dwelling older people aged ≥65 y in Japan in 2010, and 85,161 (67.4%) responded. The onset of functional disability and all-cause mortality were followed up for 1,374 d (follow-up rate = 96.1%). A sex-stratified illness-death model was applied to estimate the adjusted hazard ratios (HRs) for 3 health transitions (healthy to dead, healthy to disabled, and disabled to dead). Absolute differences in life expectancy, healthy life expectancy, and life expectancy with disability according to the number of teeth were also estimated. Age, denture use, socioeconomic status, health status, and health behavior were adjusted. Compared with the edentulous participants, participants with ≥20 teeth had lower risks of transitioning from healthy to dead (adjusted HR, 0.58 [95% confidence interval (CI), 0.50–0.68] for men and 0.70 [95% CI, 0.57–0.85] for women) and from healthy to disabled (adjusted HR, 0.52 [95% CI, 0.44–0.61] for men and 0.58 [95% CI, 0.49–0.68] for women). They also transitioned from disabled to dead earlier (adjusted HR, 1.26 [95% CI, 0.99–1.60] for men and 2.42 [95% CI, 1.72–3.38] for women). Among the participants aged ≥85 y, those with ≥20 teeth had a longer life expectancy (men: +57 d; women: +15 d) and healthy life expectancy (men: +92 d; women: +70 d) and a shorter life expectancy with disability (men: –35 d; women: –55 d) compared with the edentulous participants. Similar associations were observed among the younger participants and those with 1 to 9 or 10 to 19 teeth. The presence of remaining teeth was associated with a significant compression of morbidity: older Japanese adults’ life expectancy with disability was compressed by 35 to 55 d within the follow-up of 1,374 d.

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Impaired oral health status on admission is associated with poor clinical outcomes in post-acute inpatients: A prospective cohort study

Clinical Nutrition ◽

10.1016/j.clnu.2018.11.020 ◽

2019 ◽

Vol 38 (6) ◽

pp. 2677-2683 ◽

Cited By ~ 14

Author(s):

Ai Shiraishi ◽

Yoshihiro Yoshimura ◽

Hidetaka Wakabayashi ◽

Yuri Tsuji ◽

Sayuri Shimazu ◽

...

Keyword(s):

Cohort Study ◽

Health Status ◽

Oral Health ◽

Clinical Outcomes ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Oral Health Status

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Oral health status of community dwelling adults aged 50 years and over in Ireland. A cross-sectional analysis of the Wave 3 TILDA cohort.

HRB Open Research ◽

10.12688/hrbopenres.12891.1 ◽

2018 ◽

Vol 1 ◽

pp. 26

Author(s):

Amara Naseer ◽

Jacinta McLoughlin ◽

Orna Donoghue ◽

Rose Anne Kenny ◽

Brian O'Connell

Keyword(s):

Health Status ◽

Oral Health ◽

Oral Health Status ◽

Community Dwelling ◽

World Health ◽

Current Status ◽

Health Examination ◽

Root Caries ◽

Cross Sectional ◽

The Mean

Background: Little is known about the current oral health status of adults in Ireland. The aim of this study was to measure the oral health status of community dwelling adults aged 50 years and over in Ireland, and to compare the current status to previous surveys of oral health in adults. Methods: The Irish Longitudinal Study on Ageing (TILDA) Wave 3 provided an opportunity to assess the oral health of a subset of TILDA participants. Respondents attending for health assessments at the TILDA centre were offered an oral health examination. The World Health Organization examination criteria were used. Results: Out of the 3111 people who were offered the oral health assessment (OHA), 2525 were examined. Adults below 50 years of age (n=17) and 4 respondents whose oral health data were unavailable at time of analysis were omitted, giving a final sample of 2504 respondents. Among the OHA sample, 9.9% (249) were edentate; 11.5% (159) of females and 8% (90) of males. Of those aged 65 years and older, 15.6% were edentate compared with 40.9% in 2000-02. The mean number of teeth present in those aged 65 years or older was 14.9 for males and 14.2 for females compared with 9.9 and 7.4, respectively, in 2000-02. 56.8% of the dentate sample had 10 or more tooth contacts. The mean DMFT of those aged 50 years or more was 18.5 and the Root Caries Index (RCI) was 6.3. For adults aged 65 years and over, the mean DMFT decreased from 25.9 to 20.1 and the Root Caries Index decreased from 11.6 to 9.1, between 2000-02 and 2014-15. Conclusion: The results suggest an improvement in oral health status of community dwelling adults aged 50 years and over in Ireland as compared to the previous Irish survey of 2000-02.

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Effects of lingual site toothbrushing on periodontal disease in the elderly: a cross-sectional study

10.21203/rs.3.rs-41579/v1 ◽

2020 ◽

Author(s):

Byung Ik Yang ◽

Jae-young Lee ◽

Bo-Hyoung Jin

Keyword(s):

Health Status ◽

Oral Health ◽

The Elderly ◽

Cross Sectional Study ◽

Oral Health Status ◽

Community Dwelling ◽

Related Factors ◽

Cross Sectional ◽

Health Related ◽

Systemic Health

Abstract Background: This study aimed to evaluate the association between periodontitis and toothbrushing on the lingual surfaces of teeth (lingual toothbrushing) among community dwelling Korean elders.Methods: A total of 150 elderly participants (34 males and 116 females) from Seoul, Korea, were cross-sectionally examined. Socio-demographic, habitual, and systemic health-related factors were analyzed. Logistic regression analysis was performed for outcomes of periodontitis.Results: Oral health activities including lingual toothbrushing were closely correlated with oral health status. Lingual toothbrushing demonstrated a significant association with periodontitis. The odds ratio (95% confidence interval) was 8.98 (1.30-62.15) with inclusion of demographic status, systemic health status, oral health activity, and oral health status.Conclusions: Here, we demonstrate that lingual toothbrushing is associated with periodontitis in the elderly. The importance of lingual toothbrushing should be emphasized in oral health education.

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