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Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study.
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- Author(s): Dongxin Da; Suyu Ge; Hao Zhang; Xiaoli Zeng; Yiwei Jiang; Jin Yu; Huning Wang; Wanqing Wu; Zhenxu Xiao; Xiaoniu Liang; Qianhua Zhao; Ding Ding; Ying Zhang
- Source:
Frontiers in Aging Neuroscience; 5/1/2023, p1-7, 7p- Subject Terms:
COGNITION disorder risk factors; TOOTH loss; CONFIDENCE intervals; ANALYSIS of variance; CROSS-sectional method; DENTAL occlusion; RISK assessment; T-test (Statistics); PEARSON correlation (Statistics); NEUROPSYCHOLOGICAL tests; INDEPENDENT living; DESCRIPTIVE statistics; CHI-squared test; FACTOR analysis; RESEARCH funding; LOGISTIC regression analysis; ODDS ratio; DATA analysis software; DISEASE complications; OLD age - Source:
- Additional Information
- Subject Terms:
- Abstract: Introduction: The loss of occlusal support due to tooth loss is associated with systemic diseases. However, there was little about the association between occlusal support and cognitive impairment. The cross-sectional study aimed to investigate their association. Methods: Cognitive function was assessed and diagnosed in 1,225 communitydwelling adults aged 60 years or older in Jing’an District, Shanghai. Participants were diagnosed with mild cognitive impairment (MCI) by Peterson’s criteria, or dementia, according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. We determined the number of functional occlusal supporting areas according to Eichner classifications. We used multivariate logistic regression models to analyze the relationship between occlusal support and cognitive impairment and mediation effect models to analyze the mediation effect of age. Results: Six hundred sixty participants were diagnosed with cognitive impairment, averaging 79.92 years old. After adjusting age, sex, education level, cigarette smoking, alcohol drinking, cardiovascular disease, and diabetes, individuals with poor occlusal support had an OR of 3.674 (95%CI 1.141–11.829) for cognitive impairment compared to those with good occlusal support. Age mediated 66.53% of the association between the number of functional occlusal supporting areas and cognitive impairment. Discussion: In this study, cognitive impairment was significantly associated with the number of missing teeth, functional occlusal areas, and Eichner classifications with older community residents. Occlusal support should be a significant concern for people with cognitive impairment. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Frontiers in Aging Neuroscience is the property of Frontiers Media S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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