Posterior Teeth Occlusion Associated with Cognitive Function in Nursing Home Older Residents: A Cross-Sectional Observational Study
Identifieur interne : 000E24 ( Main/Exploration ); précédent : 000E23; suivant : 000E25Posterior Teeth Occlusion Associated with Cognitive Function in Nursing Home Older Residents: A Cross-Sectional Observational Study
Auteurs : Kenji Takeuchi [Japon] ; Maya Izumi [Japon] ; Michiko Furuta [Japon] ; Toru Takeshita [Japon] ; Yukie Shibata [Japon] ; Shinya Kageyama [Japon] ; Seijun Ganaha [Japon] ; Yoshihisa Yamashita [Japon]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
Early detection and subsequent reduction of modifiable risk factors for cognitive decline is important for extending healthy life expectancy in the currently aging society. Although a recent increase in studies on the state or number of the teeth and cognitive function, few studies have focused on the association between posterior teeth occlusion necessary to maintain chewing function and cognitive function among older adults. This study examined the association between posterior teeth occlusion and cognitive function in nursing home older residents. In this cross-sectional study, 279 residents aged ≥60 years from eight nursing homes in Aso City, Japan participated in cognitive function and dental status assessments and completed a comprehensive questionnaire survey in 2014. Cognitive function was measured using a Mini-Mental State Examination (MMSE). Posterior teeth occlusion was assessed using a total number of functional tooth units (total-FTUs), depending on the number and location of the remaining natural and artificial teeth on implant-supported, fixed, and removable prostheses. Linear regression models were used to assess univariate and multivariate associations between total-FTUs and MMSE scores. Models were sequentially adjusted for demographic characteristics, number of natural teeth, socioeconomic status, health behaviors, comorbidities, physical function, and nutritional status. Among the 200 residents included in our analysis, mean MMSE scores and total-FTUs were 11.0 ± 8.6 and 9.3 ± 4.6, respectively. Higher total-FTUs were significantly associated with higher MMSE scores after adjustment for demographics and teeth number (B = 0.48, 95% confidence interval [CI] = 0.22–0.74). The association remained significant even after adjustment for all covariates (B = 0.25, 95% CI = 0.01–0.49). The current findings demonstrated that loss of posterior teeth occlusion was independently associated with cognitive decline in nursing home older residents in Japan. Maintenance and restoration of posterior teeth occlusion may be a preventive factor against cognitive decline in aged populations.
Url:
DOI: 10.1371/journal.pone.0141737
PubMed: 26512900
PubMed Central: 4626072
Affiliations:
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type="main">Posterior Teeth Occlusion Associated with Cognitive Function in Nursing Home Older Residents: A Cross-Sectional Observational Study</title><author><name sortKey="Takeuchi, Kenji" sort="Takeuchi, Kenji" uniqKey="Takeuchi K" first="Kenji" last="Takeuchi">Kenji Takeuchi</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author><author><name sortKey="Izumi, Maya" sort="Izumi, Maya" uniqKey="Izumi M" first="Maya" last="Izumi">Maya Izumi</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author><author><name sortKey="Furuta, Michiko" sort="Furuta, Michiko" uniqKey="Furuta M" first="Michiko" last="Furuta">Michiko Furuta</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author><author><name sortKey="Takeshita, Toru" sort="Takeshita, Toru" uniqKey="Takeshita T" first="Toru" last="Takeshita">Toru Takeshita</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author><author><name sortKey="Shibata, Yukie" sort="Shibata, Yukie" uniqKey="Shibata Y" first="Yukie" last="Shibata">Yukie Shibata</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author><author><name sortKey="Kageyama, Shinya" sort="Kageyama, Shinya" uniqKey="Kageyama S" first="Shinya" last="Kageyama">Shinya Kageyama</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author><author><name sortKey="Ganaha, Seijun" sort="Ganaha, Seijun" uniqKey="Ganaha S" first="Seijun" last="Ganaha">Seijun Ganaha</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Kizuna-kai, Aso-kizuna Dental Clinic, Aso, Kumamoto, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kizuna-kai, Aso-kizuna Dental Clinic, Aso, Kumamoto</wicri:regionArea><wicri:noRegion>Kumamoto</wicri:noRegion></affiliation></author><author><name sortKey="Yamashita, Yoshihisa" sort="Yamashita, Yoshihisa" uniqKey="Yamashita Y" first="Yoshihisa" last="Yamashita">Yoshihisa Yamashita</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka</wicri:regionArea><orgName type="university">Université de Kyūshū</orgName><placeName><settlement type="city">Fukuoka</settlement><region type="province">Kyūshū</region><region type="prefecture">Préfecture de Fukuoka</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Early detection and subsequent reduction of modifiable risk factors for cognitive decline is important for extending healthy life expectancy in the currently aging society. Although a recent increase in studies on the state or number of the teeth and cognitive function, few studies have focused on the association between posterior teeth occlusion necessary to maintain chewing function and cognitive function among older adults. This study examined the association between posterior teeth occlusion and cognitive function in nursing home older residents. In this cross-sectional study, 279 residents aged ≥60 years from eight nursing homes in Aso City, Japan participated in cognitive function and dental status assessments and completed a comprehensive questionnaire survey in 2014. Cognitive function was measured using a Mini-Mental State Examination (MMSE). Posterior teeth occlusion was assessed using a total number of functional tooth units (total-FTUs), depending on the number and location of the remaining natural and artificial teeth on implant-supported, fixed, and removable prostheses. Linear regression models were used to assess univariate and multivariate associations between total-FTUs and MMSE scores. Models were sequentially adjusted for demographic characteristics, number of natural teeth, socioeconomic status, health behaviors, comorbidities, physical function, and nutritional status. Among the 200 residents included in our analysis, mean MMSE scores and total-FTUs were 11.0 ± 8.6 and 9.3 ± 4.6, respectively. Higher total-FTUs were significantly associated with higher MMSE scores after adjustment for demographics and teeth number (B = 0.48, 95% confidence interval [CI] = 0.22–0.74). The association remained significant even after adjustment for all covariates (B = 0.25, 95% CI = 0.01–0.49). The current findings demonstrated that loss of posterior teeth occlusion was independently associated with cognitive decline in nursing home older residents in Japan. Maintenance and restoration of posterior teeth occlusion may be a preventive factor against cognitive decline in aged populations.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dewey, Me" uniqKey="Dewey M">ME Dewey</name></author><author><name sortKey="Saz, P" uniqKey="Saz P">P Saz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daviglus, Ml" uniqKey="Daviglus M">ML Daviglus</name></author><author><name sortKey="Bell, Cc" uniqKey="Bell C">CC Bell</name></author><author><name sortKey="Berrettini, W" uniqKey="Berrettini W">W Berrettini</name></author><author><name sortKey="Bowen, Pe" uniqKey="Bowen P">PE Bowen</name></author><author><name sortKey="Connolly, Es" uniqKey="Connolly E">ES Connolly</name></author><author><name sortKey="Cox, Nj" uniqKey="Cox N">NJ Cox</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Qaseem, A" uniqKey="Qaseem A">A 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sortKey="Rabins, Pv" uniqKey="Rabins P">PV Rabins</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><region><li>Kyūshū</li><li>Préfecture de Fukuoka</li></region><settlement><li>Fukuoka</li></settlement><orgName><li>Université de Kyūshū</li></orgName></list><tree><country name="Japon"><region name="Kyūshū"><name sortKey="Takeuchi, Kenji" sort="Takeuchi, Kenji" uniqKey="Takeuchi K" first="Kenji" last="Takeuchi">Kenji Takeuchi</name></region><name sortKey="Furuta, Michiko" sort="Furuta, Michiko" uniqKey="Furuta M" first="Michiko" last="Furuta">Michiko Furuta</name><name sortKey="Ganaha, Seijun" sort="Ganaha, Seijun" uniqKey="Ganaha S" first="Seijun" last="Ganaha">Seijun Ganaha</name><name sortKey="Izumi, Maya" sort="Izumi, Maya" uniqKey="Izumi M" first="Maya" last="Izumi">Maya Izumi</name><name sortKey="Kageyama, Shinya" sort="Kageyama, Shinya" uniqKey="Kageyama S" first="Shinya" last="Kageyama">Shinya Kageyama</name><name sortKey="Shibata, Yukie" sort="Shibata, Yukie" uniqKey="Shibata Y" first="Yukie" last="Shibata">Yukie Shibata</name><name sortKey="Takeshita, Toru" sort="Takeshita, Toru" uniqKey="Takeshita T" first="Toru" last="Takeshita">Toru Takeshita</name><name sortKey="Yamashita, Yoshihisa" sort="Yamashita, Yoshihisa" uniqKey="Yamashita Y" first="Yoshihisa" last="Yamashita">Yoshihisa Yamashita</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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