Association of Oral Health with Multimorbidity among Older Adults: Findings from the Longitudinal Ageing Study in India, Wave-1, 2017–2019

India is witnessing an increase in the prevalence of multimorbidity. Oral health is related to overall health but is seldom included in the assessment of multimorbidity. Hence, this study aimed to estimate the prevalence of oral morbidity and explore its association with physical multimorbidity using data from Longitudinal Ageing Study in India (LASI). LASI is a nationwide survey amongst adults aged ≥ 45 years conducted in 2018. Descriptive analysis was performed on included participants (n = 59,764) to determine the prevalence of oral morbidity. Multivariable logistic regression assessed the association between oral morbidity and physical multimorbidity. Self-rated health was compared between multimorbid participants with and without oral morbidity. Oral morbidity was prevalent in 48.56% of participants and physical multimorbidity in 50.36%. Those with multimorbidity were at a higher risk of having any oral morbidity (AOR: 1.60 (1.48–1.73)) than those without multimorbidity. Participants who had only oral morbidity rated their health to be good more often than those who had physical multimorbidity and oral morbidity (40.84% vs. 32.98%). Oral morbidity is significantly associated with physical multimorbidity. Multimorbid participants perceived their health to be inferior to those with only oral morbidity. The findings suggest multidisciplinary health teams in primary care should include the management of oral morbidity and physical multimorbidity.

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Relationship between Eating Alone and Poor Appetite Using the Simplified Nutritional Appetite Questionnaire

Nutrients ◽

10.3390/nu14020337 ◽

2022 ◽

Vol 14 (2) ◽

pp. 337

Author(s):

Yurie Mikami ◽

Keiko Motokawa ◽

Maki Shirobe ◽

Ayako Edahiro ◽

Yuki Ohara ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Living Alone ◽

Geriatric Depression ◽

Poor Appetite ◽

Self Rated Health ◽

The Poor ◽

Multivariable Logistic Regression

One prominent factor associated with malnutrition is poor appetite. In Japan, the number of older adults living alone has increased annually. Those living alone tended to eat alone, which may lead to poor appetite. This study aimed to investigate the association between eating alone and poor appetite using an index called the Simplified Nutritional Appetite Questionnaire (SNAQ). We surveyed 818 people aged 70 and over in Takashimadaira, Itabashi-ku, Tokyo, Japan, in 2016. Comparisons were made between two groups, a poor appetite group (n = 295) and a good appetite group (n = 523), and results indicate that the poor appetite group had a higher rate of eating alone than the good appetite group (38.0% vs. 20. 1%: p < 0.001). Multivariable logistic regression (OR; 95%CI) was performed and poor appetite was significantly associated with the Geriatric Depression Scale (GDS) score (1.707; 1.200–2.427), the number of medications (1.061; 1.007–1.118), JST score (0.894; 0.841–0.950), the indication of “very healthy” on a self-rated health scale (0.343; 0.152–0.774), and reports of eating alone (1.751; 1.130–2.712). Our results suggest that eating alone is associated with a poor appetite.

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HOUSING COSTS BURDEN AND SELF-RATED HEALTH: PRELIMINARY FINDINGS FROM A U.S. SAMPLE

Innovation in Aging ◽

10.1093/geroni/igz038.3412 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S938-S938

Author(s):

Ji Hyang Cheon ◽

John Cagle ◽

Amanda Lehning

Keyword(s):

Older Adults ◽

Well Being ◽

Policy Implications ◽

Housing Cost ◽

Cost Burden ◽

Linear Regression Models ◽

Assistance Programs ◽

Self Rated Health ◽

Housing Cost Burden ◽

Using Data

Abstract Self-rated health is a multidimensional construct that includes not only physical health but also emotional and social well-being. Previous research has demonstrated that multiple factors contribute to individual self-rated health, including income. Because income is a somewhat limited indicator of older adults' financial circumstances, alternative measures such as housing cost burden may enhance our understanding of contributors to self-rated health. Further, because homeowners and renters may have a different attachment to their home and neighborhood, homeownership may moderate the association between housing cost burden and self-rated health. This study examined these relationships using data from 3,212 older adults in round 7 (2017) of the National Health & Aging Trends Study. Findings from multiple linear regression models indicate that the housing cost burden is associated with lower self-rated health, and this association is stronger for renters compared to homeowners. The findings indicate the potential for reduced housing cost burden to have a positive effect on health. The poster will conclude with practice and policy implications, including the potential benefits of expanding rental assistance programs to older adults who may not meet current income requirements but are experiencing high housing cost burden, as well as research implications, including the need for longitudinal approaches.

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NEIGHBORHOOD AGE COMPOSITION AND SELF-RATED HEALTH: FINDINGS FROM A NATIONALLY REPRESENTATIVE STUDY

Innovation in Aging ◽

10.1093/geroni/igz038.247 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S64-S64

Author(s):

Amanda Lehning ◽

Amanda J Lehning ◽

Nicole Mattocks ◽

Kyeongmo Kim ◽

Richard J Smith

Keyword(s):

Older Adults ◽

Regression Models ◽

Neighborhood Change ◽

Age Composition ◽

Logistic Regression Models ◽

Self Rated Health ◽

Representative Study ◽

Nationally Representative ◽

Using Data ◽

Conceptual Work

Abstract Neighborhood age composition is an understudied area. Furthermore, existing empirical and conceptual work is conflicting, with some indicating neighborhoods with more older adults are beneficial and other scholarship suggesting it can be detrimental. Using data from 7,197 older adults from the first wave (2011) of the National Health & Aging Trends Study combined with census tract data from the National Neighborhood Change Database, we examined the association between neighborhood age composition and self-rated health. Findings from logistic regression models indicate those living in neighborhoods with a growing concentration of older residents are significantly more likely to report lower self-rated health compared to those living in a neighborhood in which older adults overall are declining (β=1.51, p < .05) or are becoming diluted by younger residents (β=.66, p < .05). Results have implications for interventions promoting aging in place, particularly for those who may be stuck in place in age-concentrated neighborhoods.

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Epidemiology of recreational football in Brazil: prevalence and association with risk factors for chronic diseases and self-rated health in adults

Motriz Revista de Educação Física ◽

10.1590/s1980-65742013000100023 ◽

2013 ◽

Vol 19 (1) ◽

pp. 224-230 ◽

Cited By ~ 1

Author(s):

Alex Antonio Florindo ◽

José Cazuza de Farias Júnior ◽

Jonathan Charles Kingdon Wells ◽

Pedro Curi Hallal

Keyword(s):

Descriptive Analysis ◽

Logistic Models ◽

Cross Sectional Study ◽

Football Players ◽

Cross Sectional ◽

Health And Wellbeing ◽

Self Rated Health ◽

The Social ◽

Using Data ◽

Weekly Frequency

The aim of this study was to describe the social and health characteristics of adults who practice football for recreation in adult living in Brazil. This was a cross-sectional study using data from the VIGITEL Surveillance System. In 2006, 54,369 interviews were carried out with adults. Individuals were classified in three groups: inactive in leisure-time; recreational football participants: one/ two times per week or three or more times per week. We ran descriptive analysis and binary logistic models. Recreation footballers in Brazil are mostly young men of low schooling levels. The southeastern region had the greatest proportion of practitioners in Brazil. Most footballers practiced once or two times per week (75.9%), for 60 minutes or more per day (87.7%), and used public locations (94.2%). Football players had less obesity and poor self-rated health compared with inactive. Football practice seems to provide health and wellbeing benefits, independent of the weekly frequency.

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Health Behaviors and Tooth Retention among Older Adults in China: Findings from the 4th Chinese National Oral Health Survey

10.21203/rs.3.rs-820638/v1 ◽

2021 ◽

Author(s):

Xiaoyan Ou ◽

Liwei Zeng ◽

Yixuan Zeng ◽

Yaolin Pei ◽

Xiujuan Zhang ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Oral Health ◽

Health Behaviors ◽

Health Survey ◽

Urban Areas ◽

Univariate Analysis ◽

Education Levels ◽

Natural Teeth ◽

Tooth Retention

Abstract Background This study aimed to examine the association between oral health behaviors and tooth retention among Chinese older adults. Methods Data were used from the 4th Chinese National Oral Health Survey, a nationally representative sample. The sample included 9054 older adults aged 55 to 74. A chi-square test was used for univariate analysis. Multivariate Logistic regression was used to explore the association between health behaviors and the number of remaining teeth. Results The average number of remaining teeth in the sample was 24.4 ± 7.8. There was a higher proportion of residents living in urban areas with ≥ 20 teeth than rural residents (83.2% vs 79.4%, χ2 = 20.862, p = 0.000); and a higher proportion of individuals with high education levels with ≥ 20 teeth compared to those with low education levels (χ2 = 148.168, P = 0.000). Logistic regression models showed that older adults who used toothpicks (OR = 3.37, 95% CI: 2.94–3.85), dental floss (OR = 1.93, 95%CI: 1.05–3.53), toothpaste (OR = 3.89, 95%CI: 3.14–4.83); and never smoked (OR = 1.43 95%CI: 1.20–1.70) were more likely to retain 20 or more natural teeth; whereas older adults who had a dental visit were less likely to retain 20 or more natural teeth (OR = 0.45, 95% CI: 0.39-052). Conclusion This study did not find the association between frequency of tooth brushing and tooth retention. This study demonstrates that improvement of oral hygiene and preventive dental care are key for good oral health.

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Community-Dwelling People Screened Positive for Dementia in Primary Care: A Comprehensive, Multivariate Descriptive Analysis Using Data from the DelpHi-Study

Journal of Alzheimer s Disease ◽

10.3233/jad-151076 ◽

2016 ◽

Vol 52 (2) ◽

pp. 609-617 ◽

Cited By ~ 15

Author(s):

Jochen René Thyrian ◽

Tilly Eichler ◽

Bernhard Michalowsky ◽

Diana Wucherer ◽

Melanie Reimann ◽

...

Keyword(s):

Primary Care ◽

Delphi Study ◽

Descriptive Analysis ◽

Community Dwelling ◽

Using Data

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Mild behavioral impairment is related to frailty in non-dementia older adults: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-020-01903-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Shaoyi Fan ◽

Ximin Liang ◽

Tianchan Yun ◽

Zhong Pei ◽

Bin Hu ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Cross Sectional Study ◽

Consecutive Series ◽

Sectional Study ◽

Behavioral Impairment ◽

Cross Sectional ◽

Multivariable Logistic Regression ◽

Increased Risk ◽

The Relationship

Abstract Background Frailty and cognitive decline are highly prevalent among older adults. However, the relationship between frailty and mild behavioral impairment (MBI), a dementia risk syndrome characterized by later-life emergence of persistent neuropsychiatric symptoms, has yet to be elucidated. We aimed to evaluate the associations between MBI and frailty in older adults without dementia. Methods In this cross-sectional study, a consecutive series of 137 older adults without dementia in the Anti-Aging Study, recruited from primary care clinics, were enrolled. Frailty was estimated using the Fried phenotype. MBI was evaluated by the Mild Behavioral Impairment Checklist (MBI-C) at a cut-off point of > 8. Cognition was assessed with the Chinese versions of the Montreal Cognitive Assessment (MoCA-BC) and Mini-mental State Examination (MMSE). Multivariable logistic regression was performed to estimate the relationship between MBI and objective cognition with frailty status. Results At baseline, 30.7% of the older adults had frailty and 18.2% had MBI (MBI+ status). Multivariable logistic regression analysis demonstrated that compared to those without MBI (MBI- status), MBI+ was more likely to have frailty (odds ratio [OR] = 7.44, 95% CI = 1.49–37.21, p = 0.02). Frailty and MBI were both significantly associated with both MMSE and MoCA-BC score (p < 0.05). Conclusions Both frailty and MBI status were associated with higher odds of cognitive impairment. MBI was significantly associated with an increased risk of having frailty in the absence of dementia. This association merits further study to identify potential strategies for the early detection, prevention and therapeutic intervention of frailty.

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INTERGENERATIONAL TRANSFERS, RESILIENCE, AND SELF-RATED HEALTH: FINDINGS FROM HONOLULU AND WUHAN

Innovation in Aging ◽

10.1093/geroni/igz038.2190 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S590-S590

Author(s):

Sizhe Liu ◽

Wei Zhang ◽

Keqing Zhang ◽

Bei Wu

Keyword(s):

Older Adults ◽

Intergenerational Transfers ◽

Chinese Older Adults ◽

Negatively Associated ◽

Self Rated Health ◽

Economic Support ◽

Country Differences ◽

Using Data ◽

The Impact

Abstract This study investigated the association between intergenerational transfer and self-rated health (SRH) using data collected from 323 older Chinese immigrants in Honolulu and 752 Chinese older adults in Wuhan. We also explored the mediating role of resilience and the moderating role of gender in linking the associations. Findings show, for both study sites, receiving greater emotional support was associated with increased levels of SRH and this association was partially explained by resilience for females but not for males. For country differences, receiving economic support was negatively associated with SRH whereas providing economic support was positively associated with SRH for males but not for females in Honolulu. In Wuhan, receiving housework support was negatively associated with SRH for females but not for males. These findings indicate that future studies need to consider country differences as well as the impact of acculturation when examining intergenerational transfers and health among Chinese older adults.

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Volunteering Served as a Transitional Role That Enhances the Well-Being and Cognitive Health Among Older Adults With Cognitive Impairments

Journal of Applied Gerontology ◽

10.1177/0733464820982731 ◽

2020 ◽

pp. 073346482098273

Author(s):

Kathy Lee ◽

Holly Dabelko-Schoeny ◽

Virginia E. Richardson

Keyword(s):

Older Adults ◽

Mixed Models ◽

Older Persons ◽

Cognitive Impairments ◽

Well Being ◽

Volunteer Work ◽

Cognitive Health ◽

Self Rated Health ◽

Using Data ◽

Retirement Study

Objectives: We examined whether volunteering among older adults with cognitive impairments serves as a transitional role that can enhance these older persons’ well-being and cognitive health. Methods: Using data from the Health and Retirement Study, we selected older adults with cognitive impairments ( N = 472) and developed linear mixed models to assess associations between volunteering and health outcomes. Results: Volunteers in our sample were mostly females, non-Hispanic whites, those with higher income, and those with a high-school diploma. Volunteering was associated with higher levels of self-rated health, and consistent participation in volunteer work was related to stronger feelings of purpose in life. Cognitive health slightly improved over time only among those who volunteered. Discussion: We demonstrate that cognitive impaired older adults’ participation in the volunteer role can benefit cognitive health while strengthening their late life resilience.

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