Medical and cognitive correlates of Denture wearing in older community-dwelling adults
Identifieur interne : 007D40 ( Main/Merge ); précédent : 007D39; suivant : 007D41Medical and cognitive correlates of Denture wearing in older community-dwelling adults
Auteurs : Robert J. Weyant [États-Unis] ; Rajesh S. Pandav [États-Unis] ; Judith L. Plowman [États-Unis] ; Mary Ganguli [États-Unis]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2004.
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Abstract
OBJECTIVES: To examine the association between denture wearing and use of dental services, oral function limitations, and medical and cognitive status in a community-based cohort of rural older adults enrolled in an epidemiological study. DESIGN: This cross-sectional study was part of a larger cohort study, the Monongahela Valley Independent Elders Survey. Dental data were collected during the fifth wave of assessments (10 years after the start of the study in 1987). SETTING: Monongahela Valley, a rural western Pennsylvania community. PARTICIPANTS: The 805 participants were English-speaking community-dwelling (noninstitutionalized) persons, aged 73 and older, with at least a sixth grade education. MEASUREMENTS: A questionnaire was used to collect data on denture-wearing status, oral function limitations, and recency of the last dental visit. Other data collected included demographics, self-rated health, medication usage, depression, cognitive status using the Mini-Mental State Examination, and self-reports of weight loss and appetite. RESULTS: There were 44.7% of participants who had full dentures. Those with complete dentures were more likely to complain of oral function limitation, report poor health status, and take prescription medications. Additionally, 93.6% of those with complete dentures had not seen a dentist in more than 1 year. CONCLUSION: Denture wearing and edentulism are common in older patients and can he related to poor quality of life and risk for undiagnosed oral disease and may be a marker for other medical comorbidities. Geriatricians need to include oral health status evaluations and understand that attention to the oral cavity should be part of an older adult's care.
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Weyant</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Dental Public Health, School of Dental Medicine, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Pandav, Rajesh S" sort="Pandav, Rajesh S" uniqKey="Pandav R" first="Rajesh S." last="Pandav">Rajesh S. Pandav</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Psychiatry, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Plowman, Judith L" sort="Plowman, Judith L" uniqKey="Plowman J" first="Judith L." last="Plowman">Judith L. Plowman</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Veterans Affairs Pittsburgh Geriatric Research Education and Clinical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Ganguli, Mary" sort="Ganguli, Mary" uniqKey="Ganguli M" first="Mary" last="Ganguli">Mary Ganguli</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="06"><s1>Division of Geriatrics and Neuropsychiatry, Department of Psychiatry, School of Medicine, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></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="2004">2004</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>Cognition</term><term>Community</term><term>Denture</term><term>Elderly</term><term>Geriatrics</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cognition</term><term>Dentier</term><term>Personne âgée</term><term>Communauté</term><term>Gériatrie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVES: To examine the association between denture wearing and use of dental services, oral function limitations, and medical and cognitive status in a community-based cohort of rural older adults enrolled in an epidemiological study. DESIGN: This cross-sectional study was part of a larger cohort study, the Monongahela Valley Independent Elders Survey. Dental data were collected during the fifth wave of assessments (10 years after the start of the study in 1987). SETTING: Monongahela Valley, a rural western Pennsylvania community. PARTICIPANTS: The 805 participants were English-speaking community-dwelling (noninstitutionalized) persons, aged 73 and older, with at least a sixth grade education. MEASUREMENTS: A questionnaire was used to collect data on denture-wearing status, oral function limitations, and recency of the last dental visit. Other data collected included demographics, self-rated health, medication usage, depression, cognitive status using the Mini-Mental State Examination, and self-reports of weight loss and appetite. RESULTS: There were 44.7% of participants who had full dentures. Those with complete dentures were more likely to complain of oral function limitation, report poor health status, and take prescription medications. Additionally, 93.6% of those with complete dentures had not seen a dentist in more than 1 year. CONCLUSION: Denture wearing and edentulism are common in older patients and can he related to poor quality of life and risk for undiagnosed oral disease and may be a marker for other medical comorbidities. Geriatricians need to include oral health status evaluations and understand that attention to the oral cavity should be part of an older adult's care.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region><settlement><li>Pittsburgh</li></settlement><orgName><li>Université de Pittsburgh</li></orgName></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Weyant, Robert J" sort="Weyant, Robert J" uniqKey="Weyant R" first="Robert J." last="Weyant">Robert J. Weyant</name></region><name sortKey="Ganguli, Mary" sort="Ganguli, Mary" uniqKey="Ganguli M" first="Mary" last="Ganguli">Mary Ganguli</name><name sortKey="Ganguli, Mary" sort="Ganguli, Mary" uniqKey="Ganguli M" first="Mary" last="Ganguli">Mary Ganguli</name><name sortKey="Pandav, Rajesh S" sort="Pandav, Rajesh S" uniqKey="Pandav R" first="Rajesh S." last="Pandav">Rajesh S. Pandav</name><name sortKey="Plowman, Judith L" sort="Plowman, Judith L" uniqKey="Plowman J" first="Judith L." last="Plowman">Judith L. Plowman</name><name sortKey="Plowman, Judith L" sort="Plowman, Judith L" uniqKey="Plowman J" first="Judith L." last="Plowman">Judith L. Plowman</name><name sortKey="Weyant, Robert J" sort="Weyant, Robert J" uniqKey="Weyant R" first="Robert J." last="Weyant">Robert J. Weyant</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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