December 2023

Volume 40, Issue 4

Risk factors for oral frailty among community-dwelling pre-frail older adults in Japan: A cross-sectional analysis

Authors: Miku Izutsu Kengo Hirayama Ya Su Michiko Yuki
doi: 10.1922/CDH_00030Miku06


Objectives: Oral frailty is a well-established risk factor for frailty and plays a significant role in progression to frailty. However, the association between oral frailty and pre-frailty in elderly individuals remains unclear. This cross-sectional study aimed to clarify the characteristics and risk factors of pre-frailty in elderly individuals with oral frailty. Methods: A total of 377 elderly individuals participated. Oral examinations comprised simple and non-invasive measures of chewing function, self-reported swallowing function, and oral moisture. The frailty screening index was used to assess frailty phenotypes. Results: The overall prevalence of pre-frailty was 63.1%, after excluding 40 frail and 99 robust individuals. The mean age of the pre-frail participants was 76.6 ± 5.8 years; 70.6% were women. 10.5% of the pre-frail elderly participants had oral frailty. In multivariate analysis diabetes mellitus, history of cancer, denture wearing, and malnutrition were independently associated with oral frailty among pre-frail elderly individuals (adjusted odds ratio (OR) 3.8, 95% confidence interval (CI) 1.06–13.54; OR 4.5, CI 1.32–15.36; OR 8.8, CI 1.76–43.78; and OR 3.6, CI 1.30–9.67; respectively). Conclusions: The prevalence of oral frailty was low among community-dwelling pre-frail elderly individuals. Early interventions involving oral, nutritional, and disease management may prevent or improve oral frailty in pre-frail elderly individuals and may prevent progression to frailty. Further studies are required to elucidate the underlying mechanisms. Keywords: malnutrition, oral health, frailty, Japan, elderly, cross-sectional analysis


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Abstracts Presented on 15 September 2023 during 27th Annual European Association of Dental Public Health (EADPH) Congress Introduction 0-0 Download
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Editorial: BASCD at 50 196-198 Download
Dental Public Health in Action: Oral Health Advice for Looked-After-Children: A pilot care pathway in Buckinghamshire, UK 199-204 Download
Associations and discrepancies between global self-ratings of oral health and general health: a Bayesian approach 205-211 £10 single article
Investigating a Causal Relationship Between Diabetes Mellitus and Oropharyngeal Cancer: A Mendelian Randomization Study 212-220 £10 single article
Risk factors for oral frailty among community-dwelling pre-frail older adults in Japan: A cross-sectional analysis 221-226 Download
Determinants of Early Childhood Caries and their interactions: A Structural Equation Modelling approach 227-232 £10 single article
Modelling a Consultant Workforce for the United Kingdom: needs-based planning for Dental Public Health 233-241 £10 single article
Marginalization and tooth loss in older Mexican adults 242-247 Download
Mini-publics in dental public health policymaking 248-251 £10 single article
Methodological Issues with Head and Neck Cancer Prognostic Risk Prediction Models 252-260 £10 single article
Addendum to: The WHO Action Plan for Oral Health – How Can the EADPH Contribute - Opportunities and Challenges 261-261 Download


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