Cognitive Decline and Oral Health in Middle-aged Adults in the ARIC Study
Identifieur interne : 000233 ( Pmc/Curation ); précédent : 000232; suivant : 000234Cognitive Decline and Oral Health in Middle-aged Adults in the ARIC Study
Auteurs : S. Naorungroj [États-Unis, Thaïlande] ; G. D. Slade [États-Unis] ; J. D. Beck [États-Unis] ; T. H. Mosley [États-Unis] ; R. F. Gottesman [États-Unis] ; A. Alonso [États-Unis] ; G. Heiss [États-Unis]Source :
- Journal of Dental Research [ 0022-0345 ] ; 2013.
Abstract
Even before dementia becomes apparent, cognitive decline may contribute to deterioration in oral health. This cohort study of middle-aged adults evaluated associations of six-year change in cognitive function with oral health behaviors and conditions in the Atherosclerosis Risk in Communities (ARIC) study. Cognitive function was measured at study visits in 1990-1992 and 1996-1998 with three tests: (a) Delayed Word Recall (DWR), (b) Digit Symbol Substitution (DSS), and (c) Word Fluency (WF). Cognitive decline scores were computed as ‘studentized’ residuals of 1996-1998 scores regressed against 1990-1992 scores. In 1996-1998, 10,050 participants answered dental screening questions, and 5,878 of 8,782 dentate participants received a comprehensive oral examination. Multiple regression models used cognitive change to predict oral health behaviors and conditions with adjustment for covariates. In the fully adjusted models, greater decline in all three measures of cognitive function was associated with increased odds of complete tooth loss. Greater decline in DSS and WF scores was associated with infrequent toothbrushing. Decline in WF scores was also associated with higher plaque levels. In these middle-aged adults, six-year cognitive decline was modestly associated with less frequent toothbrushing, plaque deposit, and greater odds of edentulism, but not with other oral behaviors or diseases.
Url:
DOI: 10.1177/0022034513497960
PubMed: 23872988
PubMed Central: 3744272
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Naorungroj</name><affiliation wicri:level="1"><nlm:aff id="aff1-0022034513497960">Department of Epidemiology, Gillings School of Global Public Health, University of North, Carolina at Chapel Hill, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, University of North, Carolina at Chapel Hill</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2-0022034513497960">Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3-0022034513497960">Department of Conservative Dentistry, School of Dentistry, Prince of Songkla University, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Department of Conservative Dentistry, School of Dentistry, Prince of Songkla University</wicri:regionArea></affiliation></author><author><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G. D." last="Slade">G. D. Slade</name><affiliation wicri:level="1"><nlm:aff id="aff2-0022034513497960">Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill</wicri:regionArea></affiliation></author><author><name sortKey="Beck, J D" sort="Beck, J D" uniqKey="Beck J" first="J. D." last="Beck">J. D. Beck</name><affiliation wicri:level="1"><nlm:aff id="aff2-0022034513497960">Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill</wicri:regionArea></affiliation></author><author><name sortKey="Mosley, T H" sort="Mosley, T H" uniqKey="Mosley T" first="T. H." last="Mosley">T. H. Mosley</name><affiliation wicri:level="1"><nlm:aff id="aff4-0022034513497960">Division of Geriatrics, University of Mississippi Medical Center, Jackson, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Geriatrics, University of Mississippi Medical Center, Jackson</wicri:regionArea></affiliation></author><author><name sortKey="Gottesman, R F" sort="Gottesman, R F" uniqKey="Gottesman R" first="R. F." last="Gottesman">R. F. Gottesman</name><affiliation wicri:level="1"><nlm:aff id="aff5-0022034513497960">Department of Neurology, Johns Hopkins Hospital, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Johns Hopkins Hospital, Baltimore, MD</wicri:regionArea></affiliation></author><author><name sortKey="Alonso, A" sort="Alonso, A" uniqKey="Alonso A" first="A." last="Alonso">A. Alonso</name><affiliation wicri:level="1"><nlm:aff id="aff6-0022034513497960">Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis</wicri:regionArea></affiliation></author><author><name sortKey="Heiss, G" sort="Heiss, G" uniqKey="Heiss G" first="G." last="Heiss">G. Heiss</name><affiliation wicri:level="1"><nlm:aff id="aff1-0022034513497960">Department of Epidemiology, Gillings School of Global Public Health, University of North, Carolina at Chapel Hill, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, Gillings School of Global Public Health, University of North, Carolina at Chapel Hill</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Dental Research</title><idno type="ISSN">0022-0345</idno><idno type="eISSN">1544-0591</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Even before dementia becomes apparent, cognitive decline may contribute to deterioration in oral health. This cohort study of middle-aged adults evaluated associations of six-year change in cognitive function with oral health behaviors and conditions in the Atherosclerosis Risk in Communities (ARIC) study. Cognitive function was measured at study visits in 1990-1992 and 1996-1998 with three tests: (a) Delayed Word Recall (DWR), (b) Digit Symbol Substitution (DSS), and (c) Word Fluency (WF). Cognitive decline scores were computed as ‘studentized’ residuals of 1996-1998 scores regressed against 1990-1992 scores. In 1996-1998, 10,050 participants answered dental screening questions, and 5,878 of 8,782 dentate participants received a comprehensive oral examination. Multiple regression models used cognitive change to predict oral health behaviors and conditions with adjustment for covariates. In the fully adjusted models, greater decline in all three measures of cognitive function was associated with increased odds of complete tooth loss. Greater decline in DSS and WF scores was associated with infrequent toothbrushing. Decline in WF scores was also associated with higher plaque levels. In these middle-aged adults, six-year cognitive decline was modestly associated with less frequent toothbrushing, plaque deposit, and greater odds of edentulism, but not with other oral behaviors or diseases.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent Res</journal-id><journal-id journal-id-type="iso-abbrev">J. Dent. Res</journal-id><journal-id journal-id-type="publisher-id">JDR</journal-id><journal-id journal-id-type="hwp">spjdr</journal-id><journal-title-group><journal-title>Journal of Dental Research</journal-title></journal-title-group><issn pub-type="ppub">0022-0345</issn><issn pub-type="epub">1544-0591</issn><publisher><publisher-name>SAGE Publications</publisher-name><publisher-loc>Sage CA: Los Angeles, CA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23872988</article-id><article-id pub-id-type="pmc">3744272</article-id><article-id pub-id-type="doi">10.1177/0022034513497960</article-id><article-id pub-id-type="publisher-id">10.1177_0022034513497960</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Reports</subject><subj-group subj-group-type="heading"><subject>Clinical</subject></subj-group></subj-group></article-categories><title-group><article-title>Cognitive Decline and Oral Health in Middle-aged Adults in the ARIC Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Naorungroj</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="aff1-0022034513497960">1</xref><xref ref-type="aff" rid="aff2-0022034513497960">2</xref><xref ref-type="aff" rid="aff3-0022034513497960">3</xref><xref ref-type="corresp" rid="corresp1-0022034513497960">*</xref></contrib><contrib contrib-type="author"><name><surname>Slade</surname><given-names>G.D.</given-names></name><xref ref-type="aff" rid="aff2-0022034513497960">2</xref></contrib><contrib contrib-type="author"><name><surname>Beck</surname><given-names>J.D.</given-names></name><xref ref-type="aff" rid="aff2-0022034513497960">2</xref></contrib><contrib contrib-type="author"><name><surname>Mosley</surname><given-names>T.H.</given-names></name><xref ref-type="aff" rid="aff4-0022034513497960">4</xref></contrib><contrib contrib-type="author"><name><surname>Gottesman</surname><given-names>R.F.</given-names></name><xref ref-type="aff" rid="aff5-0022034513497960">5</xref></contrib><contrib contrib-type="author"><name><surname>Alonso</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="aff6-0022034513497960">6</xref></contrib><contrib contrib-type="author"><name><surname>Heiss</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="aff1-0022034513497960">1</xref></contrib></contrib-group><aff id="aff1-0022034513497960"><label>1</label>Department of Epidemiology, Gillings School of Global Public Health, University of North, Carolina at Chapel Hill, USA</aff><aff id="aff2-0022034513497960"><label>2</label>Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, USA</aff><aff id="aff3-0022034513497960"><label>3</label>Department of Conservative Dentistry, School of Dentistry, Prince of Songkla University, Thailand</aff><aff id="aff4-0022034513497960"><label>4</label>Division of Geriatrics, University of Mississippi Medical Center, Jackson, USA</aff><aff id="aff5-0022034513497960"><label>5</label>Department of Neurology, Johns Hopkins Hospital, Baltimore, MD, USA</aff><aff id="aff6-0022034513497960"><label>6</label>Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, USA</aff><author-notes><corresp id="corresp1-0022034513497960"><label>*</label><email>naorungr@ad.unc.edu</email> or <email>snaorungroj@gmail.com</email></corresp></author-notes><pub-date pub-type="epub-ppub"><month>9</month><year>2013</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>9</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>9</month><year>2014</year></pub-date><pmc-comment> PMC Release delay is 12 months and
0 days and was based on the
<volume>92</volume><issue>9</issue><fpage>795</fpage><lpage>801</lpage><history><date date-type="received"><day>9</day><month>4</month><year>2013</year></date><date date-type="rev-recd"><day>3</day><month>6</month><year>2013</year></date><date date-type="accepted"><day>18</day><month>6</month><year>2013</year></date></history><permissions><copyright-statement>© International & American Associations for Dental Research</copyright-statement><copyright-year>2013</copyright-year><copyright-holder content-type="society">International & American Associations for Dental Research</copyright-holder></permissions><abstract><p>Even before dementia becomes apparent, cognitive decline may contribute to deterioration in oral health. This cohort study of middle-aged adults evaluated associations of six-year change in cognitive function with oral health behaviors and conditions in the Atherosclerosis Risk in Communities (ARIC) study. Cognitive function was measured at study visits in 1990-1992 and 1996-1998 with three tests: (a) Delayed Word Recall (DWR), (b) Digit Symbol Substitution (DSS), and (c) Word Fluency (WF). Cognitive decline scores were computed as ‘studentized’ residuals of 1996-1998 scores regressed against 1990-1992 scores. In 1996-1998, 10,050 participants answered dental screening questions, and 5,878 of 8,782 dentate participants received a comprehensive oral examination. Multiple regression models used cognitive change to predict oral health behaviors and conditions with adjustment for covariates. In the fully adjusted models, greater decline in all three measures of cognitive function was associated with increased odds of complete tooth loss. Greater decline in DSS and WF scores was associated with infrequent toothbrushing. Decline in WF scores was also associated with higher plaque levels. In these middle-aged adults, six-year cognitive decline was modestly associated with less frequent toothbrushing, plaque deposit, and greater odds of edentulism, but not with other oral behaviors or diseases.</p></abstract><kwd-group><kwd>oral hygiene</kwd><kwd>tooth loss</kwd><kwd>periodontitis</kwd><kwd>cognition</kwd><kwd>executive function</kwd><kwd>memory</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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