scholarly journals Influence of Oral Health on Frailty in Patients With Type 2 Diabetes Aged 75 Years or Older

Author(s):  
Masaki Ishii ◽  
Yasuhiro Yamaguchi ◽  
Hironobu Hamaya ◽  
Yuko Iwata ◽  
Kazufumi Takada ◽  
...  

Abstract Background: The purpose of this study was to evaluate the influence of oral health on frailty in elderly patients with type 2 diabetes.Methods: Patients with type 2 diabetes aged 75 years or older were included in this retrospective study. Eligible patients were surveyed by questionnaire for frailty, oral health status, and cognitive and living functions. Factors influencing pre-frailty, frailty, and individual frailty score categories were evaluated. Results: Of the 111 patients analyzed, 66 cases (59.5%) were categorized as robust, 33 cases (29.7%) as pre-frailty, and 5 cases (4.5 %) as frailty. The oral frailty index, the cognitive and living functions score, and BMI were factors influencing pre-frailty or frailty. In the evaluation by individual frailty score categories, BMI was found to only influence those with a frailty score ≤2. The cognitive and living functions score was a factor influencing those with frailty scores ≤3. The oral frailty index was found to have a significant influence on all frailty score categories.Conclusion: Poor oral health has an influence on frailty in patients with type 2 diabetes aged ≥75. The management of oral health is an important consideration in the prevention of the frailty of elderly patients with diabetes.

2021 ◽  
Author(s):  
Masaki Ishii ◽  
Yasuhiro Yamaguchi ◽  
Hironobu Hamaya ◽  
Yuko Iwata ◽  
Kazufumi Takada ◽  
...  

Abstract Background Poor oral health conditions are known to affect frailty in the elderly. Diabetes is a risk factor for both poor oral health and frailty, and, therefore, oral health status may affect frailty in diabetic patients more than in the general population. The purpose of this study was to evaluate the influence of oral health on frailty in elderly patients with type 2 diabetes. Methods Patients with type 2 diabetes aged 75 years or older were included in this retrospective study. Eligible patients were surveyed by questionnaire for frailty, oral health status, and cognitive and living functions. Factors influencing pre-frailty, frailty, and individual frailty score categories were evaluated. Results Of the 111 patients analyzed, 66 cases (59.5%) were categorized as robust, 33 cases (29.7%) as pre-frailty, and 12 cases (4.5 %) as frailty. The oral frailty index, the cognitive and living functions score, and BMI were found to be factors influencing pre-frailty or frailty. In the evaluation of individual frailty score categories, BMI only had an influence on those with a frailty score ≤ 2. The cognitive and living functions score was a factor influencing those with frailty scores ≤ 3. The oral frailty index was found to have a significant influence on all frailty score categories. Conclusion Poor oral health has an influence on frailty in patients with type 2 diabetes aged ≥ 75. In this patient population, as frailty progresses, the impact of oral health on frailty may increase. Trial registration: This study was retrospectively registered in UMIN-CTR (UMIN000044227).


2016 ◽  
Vol 62 ◽  
pp. 10-19 ◽  
Author(s):  
Evelyn Mikaela Kogawa ◽  
Daniela Corrêa Grisi ◽  
Denise Pinheiro Falcão ◽  
Ingrid Aquino Amorim ◽  
Taia Maria Berto Rezende ◽  
...  

2021 ◽  
Vol 24 (4 suppl 1) ◽  
Author(s):  
Ahmed Makki Abdulrazzaq Al-Qarakhli ◽  
Firas Bashir Al-Taweel ◽  
Lubaba Abdulsamad Abdul Ameer ◽  
Saif sehaam saliem ◽  
Ali Abbas Abdulkareem

2019 ◽  
Vol 33 (1) ◽  
pp. 58-65
Author(s):  
Lisa E. Simon ◽  
Deepti Shroff Karhade ◽  
Matthew L. Tobey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nasser Laouali ◽  
Douae El Fatouhi ◽  
Gloria Aguayo ◽  
Beverley Balkau ◽  
Marie-Christine Boutron-Ruault ◽  
...  

Abstract Background Type 2 diabetes (T2D) has been identified as a risk factor for poor oral health, however, a limited number of oral health and T2D characteristics have been studied so far. We sought to assess T2D status, age at diagnosis, duration since diagnosis and treatment in relation to a variety of oral diseases. Methods Cross-sectional data were analyzed from the E3N (Etude Epidémiologique auprès de femmes de l'Education Nationale) cohort study which enrolled 60,590 women. Participants self-reported oral health status, and T2D cases were identified using diabetes-specific questionnaires and drug reimbursement insurance databases. Multivariable-adjusted ORs and 95% CIs were estimated using logistic regression models. Results The mean age (SD) of the women was 70 years (7.2), and 4.7% (n = 2857) had T2D. Compared to women without T2D, women with T2D were more likely to report a poor perceived oral health (OR 1.37 [95% CI 1.18, 1.60]), wearing dental prostheses (1.26 [1.14, 1.39]) and having problems of biting and chewing food (1.19 [1.07, 1.33]). In addition, for women with T2D the age at diagnosis (inversely) and the duration (positively) were associated with the likelihood to report poor oral health. Conclusions For women with T2D, duration and age at diagnosis are associated with wearing prostheses, problems of biting and chewing, periodontitis and gingivitis.


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