Relationship between status of dentition and incident functional disability in an elderly Japanese population: prospective cohort study of the Tsurugaya project

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著者

    • Komiyama Takamasa
    • Division of Aging and Geriatric Dentistry, Department of Oral Function and Morphology, Tohoku University Graduate School of Dentistry
    • Ohi Takashi
    • Division of Aging and Geriatric Dentistry, Department of Oral Function and Morphology, Tohoku University Graduate School of Dentistry|Japanese Red Cross Ishinomaki Hospital
    • Miyoshi Yoshitada
    • Division of Aging and Geriatric Dentistry, Department of Oral Function and Morphology, Tohoku University Graduate School of Dentistry
    • Murakami Takahisa
    • Division of Public Health, Hygiene and Epidemiology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University
    • Tsuboi Akito
    • Department of Community Medical Supports, Tohoku Medical Megabank Organization, Tohoku University
    • Tomata Yasutake
    • Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine
    • Tsuji Ichiro
    • Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine
    • Watanabe Makoto
    • Department of Social Welfare, Faculty of General Welfare, Tohoku Fukushi University
    • Hattori Yoshinori
    • Division of Aging and Geriatric Dentistry, Department of Oral Function and Morphology, Tohoku University Graduate School of Dentistry

抄録

<p><i>Purpose:</i> The purpose of this study was to examine whether the status of dentition is associated with incident functional disability in elderly people.</p><p><i>Methods:</i> This prospective cohort study targeted community-dwelling Japanese adults of age ≥70 years (<i>n</i> = 838). Participants were classified into the following four groups in accordance with Miyachi's Triangular Classification, which represents the status of dentition on the basis of numbers of remaining teeth and occlusal supports: Zone A, ≥10 occlusal supports; Zone B, 5–9 occlusal supports; Zone D, ≤4 occlusal supports and ≥11 remaining teeth and Zone C, ≤10 remaining teeth. Incident functional disability was defined by the first certification of long-term care insurance in Japan. Data regarding age, sex, body mass index, medical history, smoking, alcohol consumption, education, depressive symptoms, cognitive impairment, social support, history of fall, and subjective masticatory ability were collected.</p><p><i>Results:</i> During follow-up for 5185 person-years, 305 participants experienced functional disability. Considering the follow-up data of ≥3 years from baseline, participants in Zones C (hazard ratio [HR],1.98; 95 % confidence interval [CI], 1.26–3.11) and D (HR, 2.50; 95 %CI, 1.54–4.05) were found to be more likely to develop functional disability than those in Zone A (p for trend = 0.002).</p><p><i>Conclusions:</i> Status of dentition was associated with incident functional disability in an elderly Japanese population. The findings of this study suggest that maintenance of remaining teeth and retention of occlusal supports contribute to the prevention of functional disability.</p>

収録刊行物

  • 日本補綴歯科学会雑誌

    日本補綴歯科学会雑誌 62(4), 443-448, 2018

    社団法人 日本補綴歯科学会

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