Tooth Loss and Subsequent Disability and Mortality in Old Age
Identifieur interne : 006508 ( Main/Exploration ); précédent : 006507; suivant : 006509Tooth Loss and Subsequent Disability and Mortality in Old Age
Auteurs : Poul Holm-Pedersen [Danemark] ; Kirsten Schultz-Larsen [Danemark] ; Niels Christiansen [Danemark] ; Kirsten Avlund [Danemark]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Mortalité, Personne âgée, Gérontologie.
English descriptors
- KwdEn :
Abstract
OBJECTIVES: To examine whether tooth loss at age 70 is associated with onset of disability at 5-, 10-, 15-, and 20-year follow-up and to mortality at 21-year follow-up. SETTING: Community-based population in Copenhagen. DESIGN: A baseline study of a random sample of 70-year-old people born in 1914 and follow-up 5, 10, 15, and 20 years later. PARTICIPANTS: A total of 573 nondisabled individuals participated in the study of 70-year-olds in 1984, 460 participated in the 5-year follow-up, 292 in the 10-year follow-up, 150 in the 15-year follow-up, and 78 in the 20-year follow-up. MEASUREMENTS: Data from interviews and a medical and oral examination. Oral health was measured according to number of teeth (0, 1-9, 10-19, >20). Disability was measured using the Avlund Mob-H scale at age 75, 80, 85, and 90. Mortality data were obtained from the National Death Register. RESULTS: Being edentulous or having one to nine teeth was associated with onset of disability at age 75 and 80. Health-related variables and education attenuated the associations between edentulism and onset of disability, although they remained marginally significant, whereas the association between having one to nine teeth and onset of disability remained unchanged and statistically significant at 10-year follow-up (odds ratio = 3.02, 95% confidence interval (CI) = 1.26-7.24). Persons who were edentulous at age 70 were at significantly higher risk of mortality 21 years later, also in the adjusted analysis (hazard ratio =1.26, 95% CI= 1.03-1.55). CONCLUSION: Tooth loss is independently associated with onset of disability and mortality in old age. The findings indicate that tooth loss may be an early indicator of accelerated aging.
Affiliations:
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Le document en format XML
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Kirsten" uniqKey="Schultz Larsen K" first="Kirsten" last="Schultz-Larsen">Kirsten Schultz-Larsen</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Social Medicine, Institute of Public Health, University of Copenhagen</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Christiansen, Niels" sort="Christiansen, Niels" uniqKey="Christiansen N" first="Niels" last="Christiansen">Niels Christiansen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Copenhagen Gerontological Oral Health Research Center, School of Dentistry</s1><s3>DNK</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Danemark</country><wicri:noRegion>Copenhagen Gerontological Oral Health Research Center, School of Dentistry</wicri:noRegion></affiliation></author><author><name sortKey="Avlund, Kirsten" sort="Avlund, Kirsten" uniqKey="Avlund K" first="Kirsten" last="Avlund">Kirsten Avlund</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Social Medicine, Institute of Public Health, University of Copenhagen</s1><s2>Copenhagen</s2><s3>DNK</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Preventive Medicine, Glostrup University Hospital</s1><s2>Glostrup</s2><s3>DNK</s3><sZ>4 aut.</sZ></inist:fA14><country>Danemark</country><wicri:noRegion>Glostrup</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ageing</term><term>Bucco-dental health</term><term>Dental disease</term><term>Disability</term><term>Elderly</term><term>Epidemiology</term><term>Evolution</term><term>Geriatrics</term><term>Gerontology</term><term>Morbidity</term><term>Mortality</term><term>Senescence</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Pathologie dentaire</term><term>Santé bucco-dentaire</term><term>Evolution</term><term>Incapacité</term><term>Mortalité</term><term>Epidémiologie</term><term>Personne âgée</term><term>Vieillissement</term><term>Sénescence</term><term>Morbidité</term><term>Gériatrie</term><term>Gérontologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Mortalité</term><term>Personne âgée</term><term>Gérontologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVES: To examine whether tooth loss at age 70 is associated with onset of disability at 5-, 10-, 15-, and 20-year follow-up and to mortality at 21-year follow-up. SETTING: Community-based population in Copenhagen. DESIGN: A baseline study of a random sample of 70-year-old people born in 1914 and follow-up 5, 10, 15, and 20 years later. PARTICIPANTS: A total of 573 nondisabled individuals participated in the study of 70-year-olds in 1984, 460 participated in the 5-year follow-up, 292 in the 10-year follow-up, 150 in the 15-year follow-up, and 78 in the 20-year follow-up. MEASUREMENTS: Data from interviews and a medical and oral examination. Oral health was measured according to number of teeth (0, 1-9, 10-19, >20). Disability was measured using the Avlund Mob-H scale at age 75, 80, 85, and 90. Mortality data were obtained from the National Death Register. RESULTS: Being edentulous or having one to nine teeth was associated with onset of disability at age 75 and 80. Health-related variables and education attenuated the associations between edentulism and onset of disability, although they remained marginally significant, whereas the association between having one to nine teeth and onset of disability remained unchanged and statistically significant at 10-year follow-up (odds ratio = 3.02, 95% confidence interval (CI) = 1.26-7.24). Persons who were edentulous at age 70 were at significantly higher risk of mortality 21 years later, also in the adjusted analysis (hazard ratio =1.26, 95% CI= 1.03-1.55). CONCLUSION: Tooth loss is independently associated with onset of disability and mortality in old age. The findings indicate that tooth loss may be an early indicator of accelerated aging.</div></front></TEI><affiliations><list><country><li>Danemark</li></country><region><li>Hovedstaden</li></region><settlement><li>Copenhague</li></settlement></list><tree><country name="Danemark"><noRegion><name sortKey="Holm Pedersen, Poul" sort="Holm Pedersen, Poul" uniqKey="Holm Pedersen P" first="Poul" last="Holm-Pedersen">Poul Holm-Pedersen</name></noRegion><name sortKey="Avlund, Kirsten" sort="Avlund, Kirsten" uniqKey="Avlund K" first="Kirsten" last="Avlund">Kirsten Avlund</name><name sortKey="Avlund, Kirsten" sort="Avlund, Kirsten" uniqKey="Avlund K" first="Kirsten" last="Avlund">Kirsten Avlund</name><name sortKey="Christiansen, Niels" sort="Christiansen, Niels" uniqKey="Christiansen N" first="Niels" last="Christiansen">Niels Christiansen</name><name sortKey="Schultz Larsen, Kirsten" sort="Schultz Larsen, Kirsten" uniqKey="Schultz Larsen K" first="Kirsten" last="Schultz-Larsen">Kirsten Schultz-Larsen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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