scholarly journals Orofacial Pain Symptoms Among Chinese Older Adults in the Last Year of Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 32-32
Author(s):  
Yaolin Pei ◽  
Xiang Qi ◽  
Xi Chen ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Joint Pain ◽  
Orofacial Pain ◽  
Lower Socioeconomic Status ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Lower Socioeconomic ◽  
Natural Teeth ◽  
Jaw Joint ◽  
Pain Symptoms

Abstract The aims of this study were to examine the prevalence of orofacial pain symptoms and its associated factors in Chinese older adults in the last year of life. We retrospectively followed 1,646 participants (60 years or older) in the last year of life to death from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The 6-month prevalence of toothache and jaw joint pain or facial pain for older adults in the last year of life to death were 14.1% and 4.5%, respectively. Older adults who had lower socioeconomic status, were smokers, and had any chronic disease tended to have orofacial pain symptoms. This study generated interesting but counterintutive findings that Chinese older adults who brusehed their teeth at least daily and those who had at least one natural teeth were more likely to have orofacial pain. It is important to include dental care as a part of end-of-life medical treatment.

scholarly journals Risk Factors of Orofacial Pain Symptoms Among Older Adults at the End of Life

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 832-833
Author(s):  
Yaolin Pei ◽  
Bei Wu
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Oral Health ◽  
End Of Life ◽  
Orofacial Pain ◽  
Oldest Old ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Prevalence Of Pain ◽  
Pain Symptoms

Abstract The aims of this study were to examine the prevalence of orofacial pain symptoms in Chinese older adults at the end of life, and to investigate risk factors related to orofacial pain. The sample derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a national respresentative sample of the oldest-old. The results showed that the 6-month prevalence of pain when chewing or biting at the end of life was 11.1%, and the rate was 5% for jaw joint pain/facial pain. Lower SES, smokers, and having chronic diseases were associated with having orofacial symptoms. Unexpectedly, the results revealed that dentate older adults (retain at least one natural tooth) who brushed their teeth more often were more likely to have orofacial symptoms. Older adults have poor oral health, particularly at the end of their life. This study highlights the importance of improving oral health for vulnerable older adults.

Tooth Loss, Denture Use, and Cognitive Impairment in Chinese Older Adults: A Community Cohort Study

2021 ◽  
Author(s):  
Hai-Lian Yang ◽  
Fu-Rong Li ◽  
Pei-Liang Chen ◽  
Xin Cheng ◽  
Chen Mao ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Confidence Interval ◽  
Tooth Loss ◽  
Potential Interaction ◽  
Hazard Ratio ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Natural Teeth ◽  
State Examination

Abstract Background Evidence regarding the associations of tooth loss and denture use with incident cognitive impairment is inconclusive in older adults, and few prospective studies have examined the potential interaction between tooth loss and denture use in these specific populations. Methods Data were assessed from 17 079 cognitively normal older adults aged ≥65 years, participating in the Chinese Longitudinal Healthy Longevity Survey. The outcome of interest was cognitive impairment (assessed by the Chinese version of Mini-Mental State Examination). The number of natural teeth and status of denture use were collected by a structural questionnaire. Results A total of 6456 cases of cognitive impairment were recorded during 88 627 person-years of follow-up. We found that compared with participants with 20+ teeth, those with 10–19, 1–9, and 0 teeth had increased risks of incident cognitive impairment (p-trend < .001). Participants without dentures also had a higher risk of incident cognitive impairment, compared with those who wore dentures. Effect modification by denture use was observed (p-interaction = .010). Specifically, among those without dentures, the adjusted hazard ratio (95% confidence interval) for participants with 10–19, 1–9, and 0 teeth were 1.19 (1.08, 1.30), 1.28 (1.17, 1.39), and 1.28 (1.16, 1.41), respectively, as compared to those with 20+ teeth. In contrary, among denture users, detrimental effect was only observed among those with 0 teeth (hazard ratio 1.14, 95% confidence interval: 1.16, 1.41). Conclusions In Chinese older adults, maintaining 20+ teeth is important for cognitive health; denture use would attenuate the detrimental effects of tooth loss, especially for partial tooth loss, on cognitive impairment.

scholarly journals Socioeconomic Status, Health Behaviors, and Oral Health of Older Adults In China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 832-832
Author(s):  
Yaolin Pei ◽  
Xi Chen ◽  
Michele Saunders
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Oral Health ◽  
Health Behaviors ◽  
Dental Care ◽  
National Level ◽  
Current Status ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Pain Symptoms

Abstract Many Chinese older adults suffer from oral health diseases and problems due to low oral health literacy, limited dental coverage and lack of dental care services for this segment of the population in China. However, so few studies have been conducted to examine social and behavior factors related to oral health among Chinese older adults. This symposium examines how socioeconomic status (SES) and health behaviors are associated with oral health among Chinese older adults. The first paper used the Nanjing Centenarians Study to examine the association between health behaviors and oral health among Chinese centenarians. The results showed that health behaviors were associated with self-rated oral health and edentulism. Using the Chinese Longitudinal Healthy Longevity Survey, the second one employed an ‘after death’ approach to examine risk factors for orofacial pain symptoms at the end of life among Chinese older adults. The third paper investigated the association between SES and tooth loss among middle-aged and older adults in ten cities of China. SES played a stronger role in tooth retention for non-migrants and migrants with high education vs those migrants with low education. The last paper examined the association between health behaviors and retention of teeth among Chinese older adults using data from the Chinese 4th National Oral health Survey. This symposium provides empirical evidence on the current status of oral health and health behaviors at the national level, and also suggests that is critical to improve oral health education and access to dental care.

scholarly journals Double Whammy for Older Smokers: Marginalized by Tobacco Control and Valued by the Tobacco Industry

2019 ◽  
Vol 41 (8) ◽  
pp. 1137-1151 ◽  
Author(s):  
Janine K. Cataldo
Keyword(s):  
United States ◽  
Older Adults ◽  
Tobacco Control ◽  
Health Disparity ◽  
Tobacco Industry ◽  
The United States ◽  
Tobacco Policy ◽  
Lower Socioeconomic Status ◽  
Lower Socioeconomic ◽  
Tobacco Addiction

In the last 20 years, the United States has made stunning progress reducing the rate of adult smoking. However, the smallest reduction is among older adults. Compared to younger smokers, older smokers are more likely to be lower socioeconomic status (SES), have several tobacco related comorbidities, and are less likely to be treated for tobacco addiction yet, in tobacco policy, they are not considered a marginalized group. The tobacco industry’s interest in older smokers contrasts with the lack of interest shown by tobacco control. A double whammy is a set of two bad events or situations that have an effect at the same time. The purposes of this article are to use the health disparity paradigm to (a) discuss the “double whammy” of marginalization by tobacco control and valuation by the tobacco industry on the health of older smokers and (b) provide strategies to promote health equity for older smokers.

scholarly journals Apolipoprotein E Genotype, Meat, Fish, and Egg Intake in Relation to Mortality Among Older Adults: A Longitudinal Analysis in China

2021 ◽  
Vol 8 ◽  
Author(s):  
Xurui Jin ◽  
Shangzhi Xiong ◽  
Changzheng Yuan ◽  
Enying Gong ◽  
Xian Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Apolipoprotein E ◽  
Cox Regression ◽  
Population Based ◽  
Fish Intake ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
All Cause Mortality ◽  
Diet Pattern ◽  
Interactive Relationship

Introduction: The interactions between apolipoprotein E (APOE) genotype and diet pattern changes were found significant in several trials, implying that APOE gene may modify the effect of animal protein-rich food on health outcomes. We aim to study the interaction of APOE genotype with the effect of meat, fish and egg intake on mortality.Methods: This population-based study enrolled 8,506 older adults (mean age: 81.7 years, 52.3% female) from the Chinese Longitudinal Healthy Longevity Study. The intake frequency of meat, fish and egg was assessed by 3-point questions at baseline. Cox regression was conducted to calculate the hazard ratios for all-cause mortality of intake levels of meat, fish and egg. The analyses were stratified by APOE genotype and sex. The analyses were performed in 2020.Results: In the multivariable-adjusted models, meat and fish intake was associated with all-cause mortality (high vs. low intake: meat: HR: 1.14, 95% CI: 1.01, 1.28; fish: HR: 0.83, 95% CI: 0.73, 0.95). APOE genotype have significant interactions with meat and fish intake (Ps < 0.05). Compared with low fish intake, high fish intake was associated with lower risk of mortality (HR: 0.74, 95% CI: 0.56–0.98) only among the APOE ε4 carriers. High meat intake was significantly associated with higher risks of mortality (HR: 1.13, 95% CI: 1.04–1.25) only among the APOE ε4 non-carriers. The interactive relationship was restricted among the male. No significant findings were observed between egg and mortality among carriers or non-carriers.Conclusions: Among Chinese older adults, the significance of associations of mortality with reported meat or fish intake depended on APOE-E4 carriage status. If validated by other studies, our findings provide evidence for gene-based “precision” lifestyle recommendations.

scholarly journals A New Classification of Function and Disability in China

2012 ◽  
Vol 24 (5) ◽  
pp. 779-798 ◽  
Author(s):  
Jama L. Purser ◽  
Qiushi Feng ◽  
Zeng Yi ◽  
Helen Hoenig
Keyword(s):  
Older Adults ◽  
Physical Performance ◽  
Environmental Predictors ◽  
New Classification ◽  
Chinese Older Adults ◽  
Rural Living ◽  
Healthy Longevity ◽  
Prevalent Subtype ◽  
Performance Limitations ◽  
And Performance

Objectives: To develop a new classification method to describe incidence and prevalence of function and disability and their predictors in Chinese older adults. Methods: Data were obtained from 16,020 older adults in the 2002 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS). The subtypes of function and disability were defined by combining physical performance (PP) tests and self-reported assessments of activities of daily living (ADL). Results: The most prevalent subtype involved PP limitations without ADL dependency. Rural living made it more likely that an individual with physical performance limitations would be independent in ADL, whereas city residence made dependence in ADL more likely, regardless of whether performance limitations were present. Discussion: Self-reported and performance-based tools can be used in combination to estimate conceptually different subtypes of function and disability, with different epidemiological rates of incidence and different social, medical, and environmental predictors.

scholarly journals COAST: A Comprehensive Older-Adult Screening Tool

EDIS ◽  
2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Karima Alabasi ◽  
Nancy J. Gal ◽  
Wendy Dahl
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Older Adult ◽  
Screening Tool ◽  
Community Dwelling ◽  
Lower Socioeconomic Status ◽  
Nutrition Risk ◽  
Lower Socioeconomic ◽  
Practical Tool ◽  
Community Dwelling Older Adults

Nutrition risk screening is a first step to quickly identify individuals who might be malnourished or at risk of malnutrition. A malnutrition screening tool should be easy to use, quick to administer, and valid&mdash;able to correctly identify those at risk of malnutrition. The Comprehensive Older Adult Screening Tool (COAST) is a valid and practical tool to determine if community-dwelling older adults, specifically older adults of lower socioeconomic status, are at risk for malnutrition. This new 6-page publication of the UF/IFAS Food Science and Human Nutrition Department, written by Karima Alabasi, Nancy J. Gal, and Wendy J. Dahl, provides an introduction to COAST as well as the 5-question screening tool.<br /><a href="https://edis.ifas.ufl.edu/fs393">https://edis.ifas.ufl.edu/fs393</a>

scholarly journals The Association between Allostatic Load and Mortality among Chinese Older Adults: The Chinese Longitudinal Health and Longevity Study

2020 ◽  
Author(s):  
Tianhang Zhang ◽  
Lijing Yan ◽  
Huashuai Chen ◽  
Haiyu Jin ◽  
Chenkai Wu
Keyword(s):  
Older Adults ◽  
Allostatic Load ◽  
Adverse Outcomes ◽  
Cox Models ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Increased Risk ◽  
Significant Difference ◽  
All Cause Mortality ◽  
Wear And Tear

Abstract Background Allostatic load, as multiple biomarker measures of ‘wear and tear’ on physiological systems, has shown some promise that high burden of AL is associated with increased risk of adverse outcomes, but little attention has been paid to China with largest aging population in the world. This study is to examine the association between allostatic load (AL) and all-cause mortality among Chinese adults aged at least 60 years. Methods Data were from 2,439 participants in the Chinese Longitudinal Healthy Longevity Survey. The final analytic sample consisted of 1,519 participants. Cox models were used to examine the association between AL and mortality among men and women, separately. Analysis were also adjusted for potential confounders including age, ethnicity, education, and marital status, smoking and exercise. Results In the fully adjusted model, males with a medium AL burden (score: 2–4) and high AL burden (score: 5–9) had a 34% and 128% higher hazard of death, respectively, than those with a low AL burden (score: 0–1). We did not find significant difference between females with different levels of AL burden. Discussion Higher AL burden was associated with increased all-cause mortality among Chinese men aged at least 60 years. However, we did not find strong evidence about Allostatic load was associated with specific causes of death over the same follow-up period among women. In conclusion Intervention programs targeting modifiable components of the AL burden may help prolong lifespan for older adults, especially men, in China.

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