Cognitive decline and oral health in middle-aged adults in the ARIC study.
Identifieur interne : 001226 ( Main/Exploration ); précédent : 001225; suivant : 001227Cognitive decline and oral health in middle-aged adults in the ARIC study.
Auteurs : S. Naorungroj [États-Unis] ; G D Slade ; J D Beck ; T H Mosley ; R F Gottesman ; A. Alonso ; G. HeissSource :
- Journal of dental research [ 1544-0591 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Afro-Américains, Apprentissage verbal (physiologie), Bouche édentée (), Brossage dentaire, Classe sociale, Cognition (physiologie), Comportement en matière de santé, Dispositifs d'hygiène buccodentaire à usage domestique, Facteurs temps, Femelle, Fonction exécutive (physiologie), Gingivite (), Humains, Langage, Mâle, Niveau d'instruction, Parodontite (), Perte dentaire (), Plaque dentaire (), Population d'origine européenne, Rappel mnésique (physiologie), Santé buccodentaire, Soins dentaires (utilisation), Troubles de la cognition (physiopathologie), État de santé, Études de cohortes, Études de suivi, Études prospectives.
- MESH :
- physiologie : Apprentissage verbal, Cognition, Fonction exécutive, Rappel mnésique.
- physiopathologie : Troubles de la cognition.
- utilisation : Soins dentaires.
- Adulte d'âge moyen, Afro-Américains, Bouche édentée, Brossage dentaire, Classe sociale, Comportement en matière de santé, Dispositifs d'hygiène buccodentaire à usage domestique, Facteurs temps, Femelle, Gingivite, Humains, Langage, Mâle, Niveau d'instruction, Parodontite, Perte dentaire, Plaque dentaire, Population d'origine européenne, Santé buccodentaire, État de santé, Études de cohortes, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- African Americans, Cognition (physiology), Cognition Disorders (physiopathology), Cohort Studies, Dental Care (utilization), Dental Devices, Home Care, Dental Plaque (classification), Educational Status, European Continental Ancestry Group, Executive Function (physiology), Female, Follow-Up Studies, Gingivitis (classification), Health Behavior, Health Status, Humans, Language, Male, Mental Recall (physiology), Middle Aged, Mouth, Edentulous (classification), Oral Health, Periodontitis (classification), Prospective Studies, Social Class, Time Factors, Tooth Loss (classification), Toothbrushing, Verbal Learning (physiology).
- MESH :
- classification : Dental Plaque, Gingivitis, Mouth, Edentulous, Periodontitis, Tooth Loss.
- physiology : Cognition, Executive Function, Mental Recall, Verbal Learning.
- physiopathology : Cognition Disorders.
- utilization : Dental Care.
- African Americans, Cohort Studies, Dental Devices, Home Care, Educational Status, European Continental Ancestry Group, Female, Follow-Up Studies, Health Behavior, Health Status, Humans, Language, Male, Middle Aged, Oral Health, Prospective Studies, Social Class, Time Factors, Toothbrushing.
Abstract
Even before dementia becomes apparent, cognitive decline may contribute to deterioration in oral health. This cohort study of middle-aged adults evaluated associations of six-year change in cognitive function with oral health behaviors and conditions in the Atherosclerosis Risk in Communities (ARIC) study. Cognitive function was measured at study visits in 1990-1992 and 1996-1998 with three tests: (a) Delayed Word Recall (DWR), (b) Digit Symbol Substitution (DSS), and (c) Word Fluency (WF). Cognitive decline scores were computed as 'studentized' residuals of 1996-1998 scores regressed against 1990-1992 scores. In 1996-1998, 10,050 participants answered dental screening questions, and 5,878 of 8,782 dentate participants received a comprehensive oral examination. Multiple regression models used cognitive change to predict oral health behaviors and conditions with adjustment for covariates. In the fully adjusted models, greater decline in all three measures of cognitive function was associated with increased odds of complete tooth loss. Greater decline in DSS and WF scores was associated with infrequent toothbrushing. Decline in WF scores was also associated with higher plaque levels. In these middle-aged adults, six-year cognitive decline was modestly associated with less frequent toothbrushing, plaque deposit, and greater odds of edentulism, but not with other oral behaviors or diseases.
DOI: 10.1177/0022034513497960
PubMed: 23872988
Affiliations:
- États-Unis
- Caroline du Nord
- Chapel Hill (Caroline du Nord)
- Université de Caroline du Nord à Chapel Hill
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Le document en format XML
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Heiss</name></author></analytic><series><title level="j">Journal of dental research</title><idno type="eISSN">1544-0591</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Americans</term><term>Cognition (physiology)</term><term>Cognition Disorders (physiopathology)</term><term>Cohort Studies</term><term>Dental Care (utilization)</term><term>Dental Devices, Home Care</term><term>Dental Plaque (classification)</term><term>Educational Status</term><term>European Continental Ancestry Group</term><term>Executive Function (physiology)</term><term>Female</term><term>Follow-Up Studies</term><term>Gingivitis (classification)</term><term>Health Behavior</term><term>Health Status</term><term>Humans</term><term>Language</term><term>Male</term><term>Mental Recall (physiology)</term><term>Middle Aged</term><term>Mouth, Edentulous (classification)</term><term>Oral Health</term><term>Periodontitis (classification)</term><term>Prospective Studies</term><term>Social Class</term><term>Time Factors</term><term>Tooth Loss (classification)</term><term>Toothbrushing</term><term>Verbal Learning (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Afro-Américains</term><term>Apprentissage verbal (physiologie)</term><term>Bouche édentée ()</term><term>Brossage dentaire</term><term>Classe sociale</term><term>Cognition (physiologie)</term><term>Comportement en matière de santé</term><term>Dispositifs d'hygiène buccodentaire à usage domestique</term><term>Facteurs temps</term><term>Femelle</term><term>Fonction exécutive (physiologie)</term><term>Gingivite ()</term><term>Humains</term><term>Langage</term><term>Mâle</term><term>Niveau d'instruction</term><term>Parodontite ()</term><term>Perte dentaire ()</term><term>Plaque dentaire ()</term><term>Population d'origine européenne</term><term>Rappel mnésique (physiologie)</term><term>Santé buccodentaire</term><term>Soins dentaires (utilisation)</term><term>Troubles de la cognition (physiopathologie)</term><term>État de santé</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dental Plaque</term><term>Gingivitis</term><term>Mouth, Edentulous</term><term>Periodontitis</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Apprentissage verbal</term><term>Cognition</term><term>Fonction exécutive</term><term>Rappel mnésique</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Cognition</term><term>Executive Function</term><term>Mental Recall</term><term>Verbal Learning</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Troubles de la cognition</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Soins dentaires</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Dental Care</term></keywords><keywords scheme="MESH" xml:lang="en"><term>African Americans</term><term>Cohort Studies</term><term>Dental Devices, Home Care</term><term>Educational Status</term><term>European Continental Ancestry Group</term><term>Female</term><term>Follow-Up Studies</term><term>Health Behavior</term><term>Health Status</term><term>Humans</term><term>Language</term><term>Male</term><term>Middle Aged</term><term>Oral Health</term><term>Prospective Studies</term><term>Social Class</term><term>Time Factors</term><term>Toothbrushing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Afro-Américains</term><term>Bouche édentée</term><term>Brossage dentaire</term><term>Classe sociale</term><term>Comportement en matière de santé</term><term>Dispositifs d'hygiène buccodentaire à usage domestique</term><term>Facteurs temps</term><term>Femelle</term><term>Gingivite</term><term>Humains</term><term>Langage</term><term>Mâle</term><term>Niveau d'instruction</term><term>Parodontite</term><term>Perte dentaire</term><term>Plaque dentaire</term><term>Population d'origine européenne</term><term>Santé buccodentaire</term><term>État de santé</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Even before dementia becomes apparent, cognitive decline may contribute to deterioration in oral health. This cohort study of middle-aged adults evaluated associations of six-year change in cognitive function with oral health behaviors and conditions in the Atherosclerosis Risk in Communities (ARIC) study. Cognitive function was measured at study visits in 1990-1992 and 1996-1998 with three tests: (a) Delayed Word Recall (DWR), (b) Digit Symbol Substitution (DSS), and (c) Word Fluency (WF). Cognitive decline scores were computed as 'studentized' residuals of 1996-1998 scores regressed against 1990-1992 scores. In 1996-1998, 10,050 participants answered dental screening questions, and 5,878 of 8,782 dentate participants received a comprehensive oral examination. Multiple regression models used cognitive change to predict oral health behaviors and conditions with adjustment for covariates. In the fully adjusted models, greater decline in all three measures of cognitive function was associated with increased odds of complete tooth loss. Greater decline in DSS and WF scores was associated with infrequent toothbrushing. Decline in WF scores was also associated with higher plaque levels. In these middle-aged adults, six-year cognitive decline was modestly associated with less frequent toothbrushing, plaque deposit, and greater odds of edentulism, but not with other oral behaviors or diseases.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Nord</li></region><settlement><li>Chapel Hill (Caroline du Nord)</li></settlement><orgName><li>Université de Caroline du Nord à Chapel Hill</li></orgName></list><tree><noCountry><name sortKey="Alonso, A" sort="Alonso, A" uniqKey="Alonso A" first="A" last="Alonso">A. Alonso</name><name sortKey="Beck, J D" sort="Beck, J D" uniqKey="Beck J" first="J D" last="Beck">J D Beck</name><name sortKey="Gottesman, R F" sort="Gottesman, R F" uniqKey="Gottesman R" first="R F" last="Gottesman">R F Gottesman</name><name sortKey="Heiss, G" sort="Heiss, G" uniqKey="Heiss G" first="G" last="Heiss">G. Heiss</name><name sortKey="Mosley, T H" sort="Mosley, T H" uniqKey="Mosley T" first="T H" last="Mosley">T H Mosley</name><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name></noCountry><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Naorungroj, S" sort="Naorungroj, S" uniqKey="Naorungroj S" first="S" last="Naorungroj">S. Naorungroj</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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