Oral health condition of French elderly and risk of dementia: a longitudinal cohort study
Identifieur interne : 005805 ( Istex/Corpus ); précédent : 005804; suivant : 005806Oral health condition of French elderly and risk of dementia: a longitudinal cohort study
Auteurs : E. Arrivé ; L. Letenneur ; F. Matharan ; C. Laporte ; C. Helmer ; P. Barberger-Gateau ; J. L. Miquel ; J. F. DartiguesSource :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 2012-06.
English descriptors
- KwdEn :
- Alzheimer disease, Amalgam, Body mass index, Cognitive, Cognitive decline, Cognitive impairment, Cohort, Decayed teeth, Dementia, Dementia table, Dent assoc, Dental amalgam, Dental amalgams, Dental condition, Dental consultation, Dental examination, Dental origin, Denture, Depressive symptoms, Dietary habits, Dmft, Dmft index, Education level, Educational level, Elderly population, Eligible sextant, Gironde, Hazard ratio, Higher education, Higher school level, Higher school level group, Interquartile range, Lled, Lled teeth, Longitudinal cohort study, Lower education, Lower risk, Lower school level, Masticatory function, Median, Mental disorders, Mild memory impairment, Multivariate analyses, Neurol neurosurg psychiatry, Nutr health, Occluding pairs, Oral condition, Oral examination, Oral health, Oral health condition, Oral variables, Other group, Paquid, Paquid study, Paquident, Paquident study, Periodontal, Periodontal assessment, Periodontal care, Periodontal condition, Periodontal disease, Posterior occluding pairs, Proportional hazard model, Removable denture, School level, Survival analysis, Survivor function estimate, Time scale, Tooth loss, Univariate, Univariate analyses, Univariate analysis, Vascular disease, Vascular risk factors, World health organization.
- Teeft :
- Alzheimer disease, Amalgam, Body mass index, Cognitive, Cognitive decline, Cognitive impairment, Cohort, Decayed teeth, Dementia, Dementia table, Dent assoc, Dental amalgam, Dental amalgams, Dental condition, Dental consultation, Dental examination, Dental origin, Denture, Depressive symptoms, Dietary habits, Dmft, Dmft index, Education level, Educational level, Elderly population, Eligible sextant, Gironde, Hazard ratio, Higher education, Higher school level, Higher school level group, Interquartile range, Lled, Lled teeth, Longitudinal cohort study, Lower education, Lower risk, Lower school level, Masticatory function, Median, Mental disorders, Mild memory impairment, Multivariate analyses, Neurol neurosurg psychiatry, Nutr health, Occluding pairs, Oral condition, Oral examination, Oral health, Oral health condition, Oral variables, Other group, Paquid, Paquid study, Paquident, Paquident study, Periodontal, Periodontal assessment, Periodontal care, Periodontal condition, Periodontal disease, Posterior occluding pairs, Proportional hazard model, Removable denture, School level, Survival analysis, Survivor function estimate, Time scale, Tooth loss, Univariate, Univariate analyses, Univariate analysis, Vascular disease, Vascular risk factors, World health organization.
Abstract
Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger‐Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. Community Dent Oral Epidemiol 2011. © 2011 John Wiley & Sons A/S
Url:
DOI: 10.1111/j.1600-0528.2011.00650.x
Links to Exploration step
ISTEX:B05D53E6F2D28C02904DEAAC64130C29DA292DB3Le document en format XML
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type="ISSN">0301-5661</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer disease</term><term>Amalgam</term><term>Body mass index</term><term>Cognitive</term><term>Cognitive decline</term><term>Cognitive impairment</term><term>Cohort</term><term>Decayed teeth</term><term>Dementia</term><term>Dementia table</term><term>Dent assoc</term><term>Dental amalgam</term><term>Dental amalgams</term><term>Dental condition</term><term>Dental consultation</term><term>Dental examination</term><term>Dental origin</term><term>Denture</term><term>Depressive symptoms</term><term>Dietary habits</term><term>Dmft</term><term>Dmft index</term><term>Education level</term><term>Educational level</term><term>Elderly population</term><term>Eligible sextant</term><term>Gironde</term><term>Hazard ratio</term><term>Higher education</term><term>Higher school level</term><term>Higher school level group</term><term>Interquartile range</term><term>Lled</term><term>Lled teeth</term><term>Longitudinal cohort study</term><term>Lower education</term><term>Lower risk</term><term>Lower school level</term><term>Masticatory function</term><term>Median</term><term>Mental disorders</term><term>Mild memory impairment</term><term>Multivariate analyses</term><term>Neurol neurosurg psychiatry</term><term>Nutr health</term><term>Occluding pairs</term><term>Oral condition</term><term>Oral examination</term><term>Oral health</term><term>Oral health condition</term><term>Oral variables</term><term>Other group</term><term>Paquid</term><term>Paquid study</term><term>Paquident</term><term>Paquident study</term><term>Periodontal</term><term>Periodontal assessment</term><term>Periodontal care</term><term>Periodontal condition</term><term>Periodontal disease</term><term>Posterior occluding pairs</term><term>Proportional hazard model</term><term>Removable denture</term><term>School level</term><term>Survival analysis</term><term>Survivor function estimate</term><term>Time scale</term><term>Tooth loss</term><term>Univariate</term><term>Univariate analyses</term><term>Univariate analysis</term><term>Vascular disease</term><term>Vascular risk factors</term><term>World health organization</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Alzheimer disease</term><term>Amalgam</term><term>Body mass index</term><term>Cognitive</term><term>Cognitive decline</term><term>Cognitive impairment</term><term>Cohort</term><term>Decayed teeth</term><term>Dementia</term><term>Dementia table</term><term>Dent assoc</term><term>Dental amalgam</term><term>Dental amalgams</term><term>Dental condition</term><term>Dental consultation</term><term>Dental examination</term><term>Dental origin</term><term>Denture</term><term>Depressive symptoms</term><term>Dietary habits</term><term>Dmft</term><term>Dmft index</term><term>Education level</term><term>Educational level</term><term>Elderly population</term><term>Eligible sextant</term><term>Gironde</term><term>Hazard ratio</term><term>Higher education</term><term>Higher school level</term><term>Higher school level group</term><term>Interquartile range</term><term>Lled</term><term>Lled teeth</term><term>Longitudinal cohort study</term><term>Lower education</term><term>Lower risk</term><term>Lower school level</term><term>Masticatory function</term><term>Median</term><term>Mental disorders</term><term>Mild memory impairment</term><term>Multivariate analyses</term><term>Neurol neurosurg psychiatry</term><term>Nutr health</term><term>Occluding pairs</term><term>Oral condition</term><term>Oral examination</term><term>Oral health</term><term>Oral health condition</term><term>Oral variables</term><term>Other group</term><term>Paquid</term><term>Paquid study</term><term>Paquident</term><term>Paquident study</term><term>Periodontal</term><term>Periodontal assessment</term><term>Periodontal care</term><term>Periodontal condition</term><term>Periodontal disease</term><term>Posterior occluding pairs</term><term>Proportional hazard model</term><term>Removable denture</term><term>School level</term><term>Survival analysis</term><term>Survivor function estimate</term><term>Time scale</term><term>Tooth loss</term><term>Univariate</term><term>Univariate analyses</term><term>Univariate analysis</term><term>Vascular disease</term><term>Vascular risk factors</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger‐Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. 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Arrivé</name><affiliations><json:string>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</json:string><json:string>INSERM, U897, Bordeaux, France</json:string><json:string>Université Victor‐Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>L. Letenneur</name><affiliations><json:string>INSERM, U897, Bordeaux, France</json:string><json:string>Université Victor‐Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>F. Matharan</name><affiliations><json:string>INSERM, U897, Bordeaux, France</json:string><json:string>Université Victor‐Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>C. Laporte</name><affiliations><json:string>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>C. Helmer</name><affiliations><json:string>INSERM, U897, Bordeaux, France</json:string><json:string>Université Victor‐Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>P. Barberger‐Gateau</name><affiliations><json:string>INSERM, U897, Bordeaux, France</json:string><json:string>Université Victor‐Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>J. L. Miquel</name><affiliations><json:string>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</json:string></affiliations></json:item><json:item><name>J. F. Dartigues</name><affiliations><json:string>INSERM, U897, Bordeaux, France</json:string><json:string>Université Victor‐Segalen, Bordeaux, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>cohort</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dementia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>France</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>geriatrics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral health</value></json:item></subject><articleId><json:string>CDOE650</json:string></articleId><arkIstex>ark:/67375/WNG-CCFWS6X1-S</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger‐Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. 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L.</forename><surname>Miquel</surname></persName><affiliation>Department of Oral Health, Universite Victor Segalen, Bordeaux, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">J. F.</forename><surname>Dartigues</surname></persName><affiliation>INSERM, U897, Bordeaux, France<address><country key="FR"></country></address></affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France<address><country key="FR"></country></address></affiliation></author><idno type="istex">B05D53E6F2D28C02904DEAAC64130C29DA292DB3</idno><idno type="ark">ark:/67375/WNG-CCFWS6X1-S</idno><idno type="DOI">10.1111/j.1600-0528.2011.00650.x</idno><idno type="unit">CDOE650</idno><idno type="toTypesetVersion">file:CDOE.CDOE650.pdf</idno></analytic><monogr><title level="j" type="main">Community Dentistry and Oral Epidemiology</title><title level="j" type="alt">COMMUNITY DENTISTRY ORAL EPIDEMIOLOGY</title><idno type="pISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><idno type="book-DOI">10.1111/(ISSN)1600-0528</idno><idno type="book-part-DOI">10.1111/cdoe.2012.40.issue-3</idno><idno type="product">CDOE</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">40</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="230">230</biblScope><biblScope unit="page" to="238">238</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger‐Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. Community Dent Oral Epidemiol 2011. © 2011 John Wiley & Sons A/S</p><p><hi rend="bold">Abstract – </hi><hi rend="bold"> Objectives: </hi> Oral condition could be associated with cognitive impairment, but this is not yet well documented. We therefore hypothesized that people with poor oral condition would be more at risk to develop dementia. The objective of this study thus was to describe the oral condition of French community‐dwelling elderly persons and to assess its relationship with the occurrence of dementia.</p><p><hi rend="bold">Methods: </hi> Oral examination was conducted on a sample of individuals aged 66–80 years followed‐up prospectively for screening of dementia over 15 years in Gironde, France. Univariate and multivariate analyses of the risk of dementia were performed using a Cox proportional hazard model with delayed entry.</p><p><hi rend="bold">Results: </hi> Data from 405 individuals were analyzed; 45.4% men; median age at baseline: 70 years [interquartile range (IQR): 68–75]. The median number of decayed, missing, and filled teeth was 18 (IQR: 13–24) and was higher in women (median: 20 versus 17, <hi rend="italic">P</hi> = 0.004) and in persons with lower school level (median: 21 versus 17, <hi rend="italic">P</hi> = 0.003). Among 348 persons with sextant eligible for periodontal assessment, 2/3 required periodontal care: 5.2% had bleeding observed, 44.8% calculus, 17.8% 4–5 mm pockets, and 2.9%≥6 mm pockets. The incidence of dementia during a median follow‐up of 10 years (IQR: 6.5–13.7) was 19 per 1000 person‐years. The adjusted hazard ratio for a number of missing teeth≥11 (median) on the risk of dementia was 1.13 (95% confidence interval, CI = [0.60–2.12]) in people with higher education (<hi rend="italic">n</hi> = 312) and 0.30 (CI = 0.11–0.79) in persons with lower school level (<hi rend="italic">n</hi> = 93) (<hi rend="italic">P</hi> for modification effect = 0.0002).</p><p><hi rend="bold">Conclusions: </hi> Having eleven or more missing teeth seemed to be associated with a lower risk of dementia in people with lower education possibly owing to the suppression of source of chronic inflammation.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">cohort</term><term xml:id="k2">dementia</term><term xml:id="k3">France</term><term xml:id="k4">geriatrics</term><term xml:id="k5">oral health</term></keywords><keywords rend="tocHeading1"><term>Original articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/B05D53E6F2D28C02904DEAAC64130C29DA292DB3/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0528</doi><issn type="print">0301-5661</issn><issn type="electronic">1600-0528</issn><idGroup><id type="product" value="CDOE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="COMMUNITY DENTISTRY ORAL EPIDEMIOLOGY">Community Dentistry and Oral Epidemiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="06103"><doi origin="wiley">10.1111/cdoe.2012.40.issue-3</doi><numberingGroup><numbering type="journalVolume" number="40">40</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2012-06">June 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="5" status="forIssue"><doi origin="wiley">10.1111/j.1600-0528.2011.00650.x</doi><idGroup><id type="unit" value="CDOE650"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Original articles</title></titleGroup><copyright>© 2011 John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.1.3 standalone mode:FullText" date="2012-04-19"></event><event agent="SPS" date="2012-04-19" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-11-08"></event><event type="firstOnline" date="2011-11-08"></event><event type="publishedOnlineFinalForm" date="2012-04-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-08"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="230">230</numbering><numbering type="pageLast" number="238">238</numbering></numberingGroup><correspondenceTo>Elise Arrivé, UFR d’Odontologie, 16‐20 Cours de la Marne, 33082 Bordeaux Cedex, France
Tel.: 33 (0) 5 57 57 48 10
Fax: 33 (0) 5 57 57 56 30
e‐mails: <email>elise.arrive@u-bordeaux2.fr</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CDOE.CDOE650.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Submitted 22 December 2010; accepted 24 September 2011</unparsedEditorialHistory><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="3"></count></countGroup><titleGroup><title type="main">Oral health condition of French elderly and risk of dementia: a longitudinal cohort study</title><title type="shortAuthors"><b>Arrivé et al.</b></title><title type="short"><b>Elderly’s oral health and risk of dementia</b></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2 #a3"><personName><givenNames>E.</givenNames><familyName>Arrivé</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2 #a3"><personName><givenNames>L.</givenNames><familyName>Letenneur</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2 #a3"><personName><givenNames>F.</givenNames><familyName>Matharan</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>C.</givenNames><familyName>Laporte</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a2 #a3"><personName><givenNames>C.</givenNames><familyName>Helmer</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a2 #a3"><personName><givenNames>P.</givenNames><familyName>Barberger‐Gateau</familyName></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a1"><personName><givenNames>J. L.</givenNames><familyName>Miquel</familyName></personName></creator><creator creatorRole="author" xml:id="cr8" affiliationRef="#a2 #a3"><personName><givenNames>J. F.</givenNames><familyName>Dartigues</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="FR"><unparsedAffiliation>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="FR"><unparsedAffiliation>INSERM, U897, Bordeaux, France</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="FR"><unparsedAffiliation>Université Victor‐Segalen, Bordeaux, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">cohort</keyword><keyword xml:id="k2">dementia</keyword><keyword xml:id="k3">France</keyword><keyword xml:id="k4">geriatrics</keyword><keyword xml:id="k5">oral health</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger‐Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. Community Dent Oral Epidemiol 2011. © 2011 John Wiley & Sons A/S</p><p><b>Abstract – </b><b> Objectives: </b> Oral condition could be associated with cognitive impairment, but this is not yet well documented. We therefore hypothesized that people with poor oral condition would be more at risk to develop dementia. The objective of this study thus was to describe the oral condition of French community‐dwelling elderly persons and to assess its relationship with the occurrence of dementia.</p><p><b>Methods: </b> Oral examination was conducted on a sample of individuals aged 66–80 years followed‐up prospectively for screening of dementia over 15 years in Gironde, France. Univariate and multivariate analyses of the risk of dementia were performed using a Cox proportional hazard model with delayed entry.</p><p><b>Results: </b> Data from 405 individuals were analyzed; 45.4% men; median age at baseline: 70 years [interquartile range (IQR): 68–75]. The median number of decayed, missing, and filled teeth was 18 (IQR: 13–24) and was higher in women (median: 20 versus 17, <i>P</i> = 0.004) and in persons with lower school level (median: 21 versus 17, <i>P</i> = 0.003). Among 348 persons with sextant eligible for periodontal assessment, 2/3 required periodontal care: 5.2% had bleeding observed, 44.8% calculus, 17.8% 4–5 mm pockets, and 2.9%≥6 mm pockets. The incidence of dementia during a median follow‐up of 10 years (IQR: 6.5–13.7) was 19 per 1000 person‐years. The adjusted hazard ratio for a number of missing teeth≥11 (median) on the risk of dementia was 1.13 (95% confidence interval, CI = [0.60–2.12]) in people with higher education (<i>n</i> = 312) and 0.30 (CI = 0.11–0.79) in persons with lower school level (<i>n</i> = 93) (<i>P</i> for modification effect = 0.0002).</p><p><b>Conclusions: </b> Having eleven or more missing teeth seemed to be associated with a lower risk of dementia in people with lower education possibly owing to the suppression of source of chronic inflammation.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>This study has been presented at the IADR meeting held in 2010 in Barcelona, Spain, Poster # 15 21.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Oral health condition of French elderly and risk of dementia: a longitudinal cohort study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Elderly’s oral health and risk of dementia</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Oral health condition of French elderly and risk of dementia: a longitudinal cohort study</title></titleInfo><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Arrivé</namePart><affiliation>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</affiliation><affiliation>INSERM, U897, Bordeaux, France</affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.</namePart><namePart type="family">Letenneur</namePart><affiliation>INSERM, U897, Bordeaux, France</affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F.</namePart><namePart type="family">Matharan</namePart><affiliation>INSERM, U897, Bordeaux, France</affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Laporte</namePart><affiliation>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Helmer</namePart><affiliation>INSERM, U897, Bordeaux, France</affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Barberger‐Gateau</namePart><affiliation>INSERM, U897, Bordeaux, France</affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J. L.</namePart><namePart type="family">Miquel</namePart><affiliation>Department of Oral Health, Universite Victor Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J. F.</namePart><namePart type="family">Dartigues</namePart><affiliation>INSERM, U897, Bordeaux, France</affiliation><affiliation>Université Victor‐Segalen, Bordeaux, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-06</dateIssued><edition>Submitted 22 December 2010; accepted 24 September 2011</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">3</extent><extent unit="tables">3</extent></physicalDescription><abstract>Arrivé E, Letenneur L, Matharan F, Laporte C, Helmer C, Barberger‐Gateau P, Miquel JL, Dartigues JF. Oral health condition of French elderly and risk of dementia: a longitudinal cohort study. Community Dent Oral Epidemiol 2011. © 2011 John Wiley & Sons A/S</abstract><abstract>Abstract – Objectives: Oral condition could be associated with cognitive impairment, but this is not yet well documented. We therefore hypothesized that people with poor oral condition would be more at risk to develop dementia. The objective of this study thus was to describe the oral condition of French community‐dwelling elderly persons and to assess its relationship with the occurrence of dementia.</abstract><abstract>Methods: Oral examination was conducted on a sample of individuals aged 66–80 years followed‐up prospectively for screening of dementia over 15 years in Gironde, France. Univariate and multivariate analyses of the risk of dementia were performed using a Cox proportional hazard model with delayed entry.</abstract><abstract>Results: Data from 405 individuals were analyzed; 45.4% men; median age at baseline: 70 years [interquartile range (IQR): 68–75]. The median number of decayed, missing, and filled teeth was 18 (IQR: 13–24) and was higher in women (median: 20 versus 17, P = 0.004) and in persons with lower school level (median: 21 versus 17, P = 0.003). Among 348 persons with sextant eligible for periodontal assessment, 2/3 required periodontal care: 5.2% had bleeding observed, 44.8% calculus, 17.8% 4–5 mm pockets, and 2.9%≥6 mm pockets. The incidence of dementia during a median follow‐up of 10 years (IQR: 6.5–13.7) was 19 per 1000 person‐years. The adjusted hazard ratio for a number of missing teeth≥11 (median) on the risk of dementia was 1.13 (95% confidence interval, CI = [0.60–2.12]) in people with higher education (n = 312) and 0.30 (CI = 0.11–0.79) in persons with lower school level (n = 93) (P for modification effect = 0.0002).</abstract><abstract>Conclusions: Having eleven or more missing teeth seemed to be associated with a lower risk of dementia in people with lower education possibly owing to the suppression of source of chronic inflammation.</abstract><subject lang="en"><genre>keywords</genre><topic>cohort</topic><topic>dementia</topic><topic>France</topic><topic>geriatrics</topic><topic>oral health</topic></subject><relatedItem type="host"><titleInfo><title>Community Dentistry and Oral Epidemiology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0301-5661</identifier><identifier type="eISSN">1600-0528</identifier><identifier type="DOI">10.1111/(ISSN)1600-0528</identifier><identifier type="PublisherID">CDOE</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>40</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>230</start><end>238</end><total>9</total></extent></part></relatedItem><identifier type="istex">B05D53E6F2D28C02904DEAAC64130C29DA292DB3</identifier><identifier type="ark">ark:/67375/WNG-CCFWS6X1-S</identifier><identifier type="DOI">10.1111/j.1600-0528.2011.00650.x</identifier><identifier type="ArticleID">CDOE650</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/B05D53E6F2D28C02904DEAAC64130C29DA292DB3/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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