Association between oral, social, and physical frailty in community -dwelling older adults

• Hironaka, Sanae

• Kugimiya, Yoshihiro

• Watanabe, Yutaka

• Motokawa, Keiko

• Hirano, Hirohiko

• Kawai, Hisashi

• Kera, Takeshi

• Kojima, Motonaga

• Fujiwara, Yoshinori

• Ihara, Kazushige

• Kim, Hunkyung

• Obuchi, Shuichi

• Kakinoki, Yasuaki

Abstract

Objectives: Oral frailty (OF) has been shown to be a predictor of disability. Therefore, it is important to be able to identify factors associated with OF in order to prevent long-term dependence. The purpose of this study was to clarify the relationships between OF, social frailty (SF), and physical frailty (PF) in community-dwelling older adults, with the overarching aim of informing the future development of effective measures to prevent frailty. Methods: Oral, physical, and social function, nutritional and psychological status, and medical history were examined in 682 community-dwelling individuals (267 men, 415 women) aged ≥ 65 years. Ordinal logistic regression analysis with SF and PF as independent variables was performed with pass analysis to determine the relationship between the different types of frailty. Results: Logistic regression analysis revealed significant associations between OF and decline in social function, physical function, and nutritional status, and an increase in the number of medications used. Path analysis showed that SF was directly related to OF and that OF and SF were directly related to PF. Conclusions: These findings suggest that a decline in social function may directly influence a decline in oral and physical function. The results of this study provide initial evidence, that may guide the future development of measures that aim to prevent and manage OF.

Journal

• Archives of gerontology and geriatrics

  Archives of gerontology and geriatrics 89 104105-, 2020-07

  Elsevier

Keywords

• Oral frailty
• Social frailty
• Physical frailty
• Path analysis
• Oral function
• Polypharmacy

Details

• CRID: 1050007128105772416
• NII Article ID: 120007097397
• DOI: 10.1016/j.archger.2020.104105
• HANDLE: 2115/82114
• ISSN: 01674943
• Web Site: https://api.elsevier.com/content/article/PII:S0167494320300996?httpAccept=text/xml
• Web Site: https://api.elsevier.com/content/article/PII:S0167494320300996?httpAccept=text/plain
• Text Lang: en
• Article Type: journal article
• Data Source:
  • IRDB
  • Crossref
  • CiNii Articles
  • KAKEN