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[Association between oral health and cognitive decline in older Chileans].
- Source :
-
Gaceta sanitaria [Gac Sanit] 2023 May 06; Vol. 37, pp. 102303. Date of Electronic Publication: 2023 May 06 (Print Publication: 2023). - Publication Year :
- 2023
-
Abstract
- Objective: To identify the association between oral health and suspected cognitive impairment in older adults in Chile.<br />Method: Cross-sectional study including 1826 people ≥60 years who participated in the National Health Survey of Chile, 2016-2017. Oral health was evaluated by the number of teeth, presence of caries, use of dental prostheses, self-reported oral health, and pain and/or discomfort in the oral cavity. Cognitive impairment was assessed using the Mini-Mental State Examination (MMSE). The association was evaluated by logistic and linear regression, adjusted for sociodemographic and lifestyle variables.<br />Results: Compared with people without suspicion of cognitive impairment, people with suspected impairment had five fewer teeth (13.4 vs. 8.5 teeth), a much higher difference in women than in men, and a higher frequency of oral pain. Edentulism and fewer teeth were associated with a higher likelihood of suspected cognitive impairment, associations that were not maintained in adjusted models. Oral pain was associated with a higher likelihood of suspected impairment even in the most adjusted model (odds ratio: 1.99; 95% confidence interval [95%CI]: 1.09-3.63). In linear models, an increase of 2% (95%CI: 0.01-0.05) in the MMSE score was observed for each additional tooth.<br />Conclusions: Poor oral health, particularly tooth loss and the presence of pain, was associated with cognitive impairment in older adults in Chile.<br /> (Copyright © 2023 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1578-1283
- Volume :
- 37
- Database :
- MEDLINE
- Journal :
- Gaceta sanitaria
- Publication Type :
- Academic Journal
- Accession number :
- 37156068
- Full Text :
- https://doi.org/10.1016/j.gaceta.2023.102303