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Improving oral hygiene for better cognitive health: Interrelationships of oral hygiene habits, oral health status, and cognitive function in older adults.
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- Author(s): Yang, Yajie; Liang, Lizhu; Cai, Jinfen; You, Jie; Liao, Xiaoyan
- Source:
Journal of Advanced Nursing (John Wiley & Sons, Inc.); Jan2024, Vol. 80 Issue 1, p275-286, 12p- Subject Terms:
DENTAL pathology prevention; CAVITY prevention; COGNITION disorder risk factors; DEMENTIA prevention; COGNITION disorders; RESEARCH; STATISTICS; ORAL hygiene; CONFIDENCE intervals; DENTAL plaque; DENTAL calculus; TOOTH loss; PERIODONTIUM; ORAL health; PERIODONTITIS; CROSS-sectional method; SELF-evaluation; TOOTH care & hygiene; ONE-way analysis of variance; HEALTH status indicators; QUANTITATIVE research; RISK assessment; NEUROPSYCHOLOGICAL tests; TREATMENT delay (Medicine); COMPARATIVE studies; HEALTH behavior; RESEARCH funding; DESCRIPTIVE statistics; FACTOR analysis; CHI-squared test; HOSPITAL care of older people; COGNITIVE testing; DENTAL pathology; STATISTICAL correlation; ODDS ratio; MEDICAL appointments; STATISTICAL sampling; DATA analysis; DATA analysis software; ELDER care; HEMORRHAGE; LONG-term health care; DISEASE complications; OLD age - Source:
- Additional Information
- Abstract: Objectives: To explore the interrelationships between oral hygiene habits, oral health status and cognitive function in older adults. Design: A cross‐sectional study. Setting and Participants: A total of 371 participants (age 76.79 [7.99] years) were enrolled from June 2020 to November 2021 in an aged care facility. Methods: Cognitive function was screened using the mini‐mental state examination (MMSE) with adjusted cut‐off points for age and education. Periodontal status (Biofilm‐Gingival Interface index based on periodontal probing depth and bleeding on probing), dental status (plaque, calculus, and caries), and tooth loss were assessed through full‐mouth examination. Oral hygiene habits were based on self‐ or informant‐reporting. Results: Poor periodontal status was an associated factor for MCI (OR = 2.89, 95% CI = 1.20–6.95), while multiple tooth loss (OR = 4.90, 95% CI = 1.06 ~ 22.59), brushing teeth less than once a day (OR = 2.88, 95% CI = 1.12 ~ 7.45) and delayed dental visits (OR = 2.45, 95% CI = 1.05 ~ 5.68) were associated factors for cognitive impairment. An indirect effect of brushing teeth ≥2 daily on MMSE score through periodontal status was observed only in older adults without cognitive impairment (Bootstrap‐corrected B = 0.17, 95%CI = 0.03 ~ 0.36, SE = 0.08, β = 0.08). Conclusions and Implications: Adequate toothbrushing might prevent cognitive decline indirectly by improving periodontal health only in older adults without cognitive impairment. Multiple tooth loss, infrequent toothbrushing, and delayed dental visits were associated factors for cognitive impairment. Nursing professionals and health care policymakers should advocate for the improvement of basic oral hygiene in older adults, and provide regular professional oral hygiene care for older adults with cognitive impairment. Patient or Public Contribution: The information on oral health habits of this study was based on an interview with the participants or their caregivers during the study period. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Advanced Nursing (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. 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.)
- Abstract:
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