Serveur d'exploration sur le patient édenté

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General Health Status and Changes in Chewing Ability in Older Canadians over Seven Years

Identifieur interne : 008493 ( Main/Curation ); précédent : 008492; suivant : 008494

General Health Status and Changes in Chewing Ability in Older Canadians over Seven Years

Auteurs : David Locker [Canada] ; David Matear [Canada] ; Herenia Lawrence [Canada]

Source :

RBID : ISTEX:5BAF8D4375C8F1E75B3D17A8B2F6DD9B573DAA72

Descripteurs français

English descriptors

Abstract

Objectives: The purpose of this study was to describe the onset of and recovery from chewing problems in an older adult population over a seven‐year period and to describe factors associated with these changes. Of particular interest was the relationship between general health and changes in oral functioning‐ Methods: The data came from a longitudinai study of community‐dwelling individuals who were aged 50 years and older when first recruited. Data were collected at baseline (n=907) and at three (n=611) and seven‐year (n=425) follow‐ups. Oral function was assessed by means of a six‐item index of chewing ability. Data were weighted to account for loss to follow‐up using weights derived from the seven‐year response proportions for dentate and edentulous subjects. Logistic regression analysis using backward stepwise selection was used to identify. predictors of onset and recovery. Results: At baseline, 25 percent of subjects reported a problem chewing. This rose to 26 percent at three years and 34 percent at seven years. The seven‐year incidence of chewing dysfunction was 19 percent. Of those with a chewing problem at baseline, 21 percent did not have a problem at seven years. A logistic regression model predicting the seven‐year incidence of chewing problems indicated that subjects aged 65 years or older, the edentulous, those rating their oral health as poor, those without dental insurance and those without a regular source of dentai care were more likely to be an incident case. In addition, a variable denoting the number of chronic medical conditions at baseline also entered the model. A logistic regression model predicting recovery indicated that older subjects, the edentulous, those from low‐income households, and those with limitations in activities of daily living were less likely to recover over the observation period. Conclusion: The results of this study indicate a marked increase in the prevalence of chewing problems in this older adult population over the seven‐year observation period. Poorer general health at baseline increased the probability of the onset of a chewing problem and decreased the probability of recovery.

Url:
DOI: 10.1111/j.1752-7325.2002.tb03425.x

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ISTEX:5BAF8D4375C8F1E75B3D17A8B2F6DD9B573DAA72

Le document en format XML

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<term>Perte dentaire (épidémiologie)</term>
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<term>Soins dentaires pour personnes âgées (utilisation)</term>
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<term>Mouth, Edentulous</term>
<term>Tooth Loss</term>
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<term>Perte dentaire</term>
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<term>Perte dentaire</term>
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<term>Mastication</term>
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<term>More dentures</term>
<term>More limitations</term>
<term>More teeth</term>
<term>Multivariate analyses</term>
<term>National diet</term>
<term>Natural teeth</term>
<term>Nonresponse weights</term>
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<term>Odds ratio</term>
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<term>Public health dentistry</term>
<term>Recovery rate</term>
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<term>Statistical analysis</term>
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<term>Analyse de variance</term>
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<term>Humains</term>
<term>Incidence</term>
<term>Maladie chronique</term>
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<term>Modèles logistiques</term>
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<term>Odds ratio</term>
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<div type="abstract" xml:lang="en">Objectives: The purpose of this study was to describe the onset of and recovery from chewing problems in an older adult population over a seven‐year period and to describe factors associated with these changes. Of particular interest was the relationship between general health and changes in oral functioning‐ Methods: The data came from a longitudinai study of community‐dwelling individuals who were aged 50 years and older when first recruited. Data were collected at baseline (n=907) and at three (n=611) and seven‐year (n=425) follow‐ups. Oral function was assessed by means of a six‐item index of chewing ability. Data were weighted to account for loss to follow‐up using weights derived from the seven‐year response proportions for dentate and edentulous subjects. Logistic regression analysis using backward stepwise selection was used to identify. predictors of onset and recovery. Results: At baseline, 25 percent of subjects reported a problem chewing. This rose to 26 percent at three years and 34 percent at seven years. The seven‐year incidence of chewing dysfunction was 19 percent. Of those with a chewing problem at baseline, 21 percent did not have a problem at seven years. A logistic regression model predicting the seven‐year incidence of chewing problems indicated that subjects aged 65 years or older, the edentulous, those rating their oral health as poor, those without dental insurance and those without a regular source of dentai care were more likely to be an incident case. In addition, a variable denoting the number of chronic medical conditions at baseline also entered the model. A logistic regression model predicting recovery indicated that older subjects, the edentulous, those from low‐income households, and those with limitations in activities of daily living were less likely to recover over the observation period. Conclusion: The results of this study indicate a marked increase in the prevalence of chewing problems in this older adult population over the seven‐year observation period. Poorer general health at baseline increased the probability of the onset of a chewing problem and decreased the probability of recovery.</div>
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<term>Response proportions</term>
<term>Risk factor</term>
<term>Significant weight loss</term>
<term>Statistical analysis</term>
<term>Study phase</term>
<term>Study subjects</term>
<term>Subjects percent</term>
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<term>Higher scores</term>
<term>Incidence</term>
<term>Incidence rates</term>
<term>Incident case</term>
<term>Incident cases</term>
<term>Indicator foods</term>
<term>Logistic</term>
<term>Logistic regression analysis</term>
<term>Logistic regression model</term>
<term>Longitudinal study</term>
<term>Medical conditions</term>
<term>More dentures</term>
<term>More limitations</term>
<term>More teeth</term>
<term>Multivariate analyses</term>
<term>National diet</term>
<term>Natural teeth</term>
<term>Nonresponse weights</term>
<term>Observation period</term>
<term>Odds ratio</term>
<term>Older adult population</term>
<term>Older adults</term>
<term>Older subjects</term>
<term>Oral disease</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral health survey</term>
<term>Other variables</term>
<term>Particular interest</term>
<term>Predictor</term>
<term>Prevalence data</term>
<term>Prevalence rate</term>
<term>Public health dent</term>
<term>Public health dentistry</term>
<term>Recovery rate</term>
<term>Recovery rates</term>
<term>Regular source</term>
<term>Response proportions</term>
<term>Risk factor</term>
<term>Significant weight loss</term>
<term>Statistical analysis</term>
<term>Study phase</term>
<term>Study subjects</term>
<term>Subjects percent</term>
<term>Tooth loss</term>
<term>Weighted estimates</term>
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<div type="abstract" xml:lang="en">Objectives: The purpose of this study was to describe the onset of and recovery from chewing problems in an older adult population over a seven‐year period and to describe factors associated with these changes. Of particular interest was the relationship between general health and changes in oral functioning‐ Methods: The data came from a longitudinai study of community‐dwelling individuals who were aged 50 years and older when first recruited. Data were collected at baseline (n=907) and at three (n=611) and seven‐year (n=425) follow‐ups. Oral function was assessed by means of a six‐item index of chewing ability. Data were weighted to account for loss to follow‐up using weights derived from the seven‐year response proportions for dentate and edentulous subjects. Logistic regression analysis using backward stepwise selection was used to identify. predictors of onset and recovery. Results: At baseline, 25 percent of subjects reported a problem chewing. This rose to 26 percent at three years and 34 percent at seven years. The seven‐year incidence of chewing dysfunction was 19 percent. Of those with a chewing problem at baseline, 21 percent did not have a problem at seven years. A logistic regression model predicting the seven‐year incidence of chewing problems indicated that subjects aged 65 years or older, the edentulous, those rating their oral health as poor, those without dental insurance and those without a regular source of dentai care were more likely to be an incident case. In addition, a variable denoting the number of chronic medical conditions at baseline also entered the model. A logistic regression model predicting recovery indicated that older subjects, the edentulous, those from low‐income households, and those with limitations in activities of daily living were less likely to recover over the observation period. Conclusion: The results of this study indicate a marked increase in the prevalence of chewing problems in this older adult population over the seven‐year observation period. Poorer general health at baseline increased the probability of the onset of a chewing problem and decreased the probability of recovery.</div>
</front>
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<title xml:lang="en">General health status and changes in chewing ability in older Canadians over seven years.</title>
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<nlm:affiliation>Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, Ontario, M5G 1G6, Canada. david.locker@utoronto.ca</nlm:affiliation>
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<wicri:regionArea>Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, Ontario, M5G 1G6</wicri:regionArea>
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<name sortKey="Matear, David" sort="Matear, David" uniqKey="Matear D" first="David" last="Matear">David Matear</name>
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<name sortKey="Lawrence, Herenia" sort="Lawrence, Herenia" uniqKey="Lawrence H" first="Herenia" last="Lawrence">Herenia Lawrence</name>
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<title level="j">Journal of public health dentistry</title>
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<term>Dental Care for Aged (utilization)</term>
<term>Denture, Partial (statistics & numerical data)</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Health Status</term>
<term>Humans</term>
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<term>Longitudinal Studies</term>
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<term>Mastication</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Odds Ratio</term>
<term>Ontario (epidemiology)</term>
<term>Prevalence</term>
<term>Tooth Loss (epidemiology)</term>
<term>Tooth Loss (physiopathology)</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Bouche édentée (physiopathologie)</term>
<term>Bouche édentée (épidémiologie)</term>
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<term>Humains</term>
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<term>Perte dentaire (épidémiologie)</term>
<term>Prothèse partielle conjointe ()</term>
<term>Prévalence</term>
<term>Soins dentaires pour personnes âgées (utilisation)</term>
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<term>État de santé</term>
<term>Études longitudinales</term>
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<term>Tooth Loss</term>
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<term>Soins dentaires pour personnes âgées</term>
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<term>Ontario</term>
<term>Perte dentaire</term>
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<term>Aged</term>
<term>Analysis of Variance</term>
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<term>Female</term>
<term>Geriatric Assessment</term>
<term>Health Status</term>
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<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Maladie chronique</term>
<term>Mastication</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Prothèse partielle conjointe</term>
<term>Prévalence</term>
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<term>Études longitudinales</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of this study was to describe the onset of and recovery from chewing problems in an older adult population over a seven-year period and to describe factors associated with these changes. Of particular interest was the relationship between general health and changes in oral functioning.</div>
</front>
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