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. 2024 Feb 21;24(1):260.
doi: 10.1186/s12903-024-03946-y.

An analysis of influencing factors of oral frailty in the elderly in the community

Shuying Hu  1 , Xia Li  2
Affiliations

An analysis of influencing factors of oral frailty in the elderly in the community

Shuying Hu et al. BMC Oral Health. .

Abstract

Objective: This study aimed to investigate the current situation of oral frailty (OF) in the elderly in the community in China and analyse its influencing factors.

Methods: Using convenience sampling, 380 elderly people from three communities in our city were selected as participants in the study. The Oral Frailty Index-8, the Frailty Scale, the Oral Health Assessment Tool, the Mini-nutritional Assessment Scale and the Pittsburgh Sleep Quality Index were used to investigate and analyse OF influencing factors.

Results: In this study, the 380 elderly participants were categorized into three groups: frailty, pre-frailty, and non-physical frailty, based on their responses to the questionnaires.The influencing factor analysis showed that age, gender, education level, frailty score, frailty stage, number of dentures, dry mouth, subjective chewing difficulty, oral health score and sleep quality were the influencing factors of OF in the elderly in the community (R2 = 0.712, F = 434.73, P < 0.05). The evaluation of the prediction results showed that the frailty score (area under the curve [AUC]: 0.751, 95% confidence interval [CI]: 0.683-0.862), subjective chewing difficulty (AUC: 0.765, 95% CI: 0.655-0.831) and sleep quality (AUC: 0.736, 95% CI: 0.652-0.781) had a higher predictive value for OF.

Conclusion: The main OF influencing factors in the elderly in the community are age, gender, education level, physical frailty (PF) score, PF stage, number of dentures, dry mouth, subjective chewing difficulties, oral health score and sleep quality. Nursing staff should pay attention to the OF of the elderly in the community and take targeted intervention measures in time to reduce and control OF occurrence and progression.

Keywords: Analysis of influencing factors; Elderly; Oral weakness; Physical frailty.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
ROC curve diagram
See this image and copyright information in PMC

References

    1. Petersen P, Kandelman D, Arpin S, et al. Global oral health of older people-call for public health action. Community Dent Health. 2010;27(Suppl 2):257–267. - PubMed
    1. Japan Dental Association. Manual for oral frailty. 2020 Edition. [EB/OL]. https://www.shika-implant.org/.
    1. Watanabe Y, Okada K, Miyako K, et al. Oral frailty. Hokkaido J Dent Sci. 2021;41(2):110–115.
    1. Tanaka T, Takahashi K, Hirano H, et al. Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly. J Gerontol A Biol Sci Med Sci. 2018;73(12):1661–1667. doi: 10.1093/gerona/glx225. - DOI - PubMed
    1. Baba H, Watanabe Y, Miura K, et al. Oral frailty and carriage of oral Candida in community-dwelling older adults (check-up to discover health with energy for senior residents in Iwa-mizawa; CHEER Iwamizawa) Gerodontology. 2022;39(1):49–58. doi: 10.1111/ger.12621. - DOI - PubMed