Edentulism associates with worse cognitive performance in community-dwelling elders in rural Ecuador: results of the Atahualpa project.
Identifieur interne : 000731 ( PubMed/Checkpoint ); précédent : 000730; suivant : 000732Edentulism associates with worse cognitive performance in community-dwelling elders in rural Ecuador: results of the Atahualpa project.
Auteurs : Oscar H. Del Brutto [Oman] ; Hannah Gardener ; Victor J. Del Brutto ; Gladys E. Maestre ; Mauricio Zambrano ; Jipson E. Montenegro ; Clinton B. WrightSource :
- Journal of community health [ 1573-3610 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- physiopathologie : Troubles de la cognition.
- psychologie : Bouche édentée.
- Caractéristiques de l'habitat, Femelle, Humains, Mâle, Santé en zone rurale, Sujet âgé, Sujet âgé de 80 ans ou plus, Équateur, Études transversales.
- Wicri :
- geographic : Équateur.
English descriptors
- KwdEn :
- MESH :
- geographic : Ecuador.
- physiopathology : Cognition Disorders.
- psychology : Mouth, Edentulous.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Residence Characteristics, Rural Health.
Abstract
Studies in industrialized nations suggest that severe edentulism correlates with cognitive impairment, but there is little information on this association in underserved populations. We conducted a community-based study to assess whether edentulism associates with cognitive impairment in elders living in rural Ecuador. Atahualpa residents aged ≥60 years were identified during a door-to-door census and evaluated using the Montreal Cognitive Assessment (MoCA). Persons were classified into two groups according to whether they have severe edentulism (<10 remaining teeth) or not. In addition, a questionnaire allowed self-rating of oral health. A total of 274 persons (mean age 69.6 ± 7.7 years; 59% women) were included. Persons with <10 remaining teeth (n = 116) have significantly lower MoCA scores than those with ≥10 teeth (n =158), after adjusting for demographics, cardiovascular risk factors, depression and dementia (β = -1.06, p = 0.03). Self-rated poor oral health was more prevalent among persons with <10 teeth (p < 0.0001), but did not correlate with MoCA scores (good vs. poor, β = -0.89, p = 0.89). Severe edentulism is associated with poor cognitive performance in elders living in rural Ecuador. Public health campaigns directed to improve oral health may facilitate early recognition of persons with cognitive impairment in underserved populations.
DOI: 10.1007/s10900-014-9857-3
PubMed: 24627152
Affiliations:
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Del Brutto</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador, oscardelbrutto@hotmail.com.</nlm:affiliation><country wicri:rule="url">Oman</country><wicri:regionArea>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador</wicri:regionArea><wicri:noRegion>Ecuador</wicri:noRegion></affiliation></author><author><name sortKey="Gardener, Hannah" sort="Gardener, Hannah" uniqKey="Gardener H" first="Hannah" last="Gardener">Hannah Gardener</name></author><author><name sortKey="Del Brutto, Victor J" sort="Del Brutto, Victor J" uniqKey="Del Brutto V" first="Victor J" last="Del Brutto">Victor J. Del Brutto</name></author><author><name sortKey="Maestre, Gladys E" sort="Maestre, Gladys E" uniqKey="Maestre G" first="Gladys E" last="Maestre">Gladys E. Maestre</name></author><author><name sortKey="Zambrano, Mauricio" sort="Zambrano, Mauricio" uniqKey="Zambrano M" first="Mauricio" last="Zambrano">Mauricio Zambrano</name></author><author><name sortKey="Montenegro, Jipson E" sort="Montenegro, Jipson E" uniqKey="Montenegro J" first="Jipson E" last="Montenegro">Jipson E. Montenegro</name></author><author><name sortKey="Wright, Clinton B" sort="Wright, Clinton B" uniqKey="Wright C" first="Clinton B" last="Wright">Clinton B. 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Del Brutto</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador, oscardelbrutto@hotmail.com.</nlm:affiliation><country wicri:rule="url">Oman</country><wicri:regionArea>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador</wicri:regionArea><wicri:noRegion>Ecuador</wicri:noRegion></affiliation></author><author><name sortKey="Gardener, Hannah" sort="Gardener, Hannah" uniqKey="Gardener H" first="Hannah" last="Gardener">Hannah Gardener</name></author><author><name sortKey="Del Brutto, Victor J" sort="Del Brutto, Victor J" uniqKey="Del Brutto V" first="Victor J" last="Del Brutto">Victor J. Del Brutto</name></author><author><name sortKey="Maestre, Gladys E" sort="Maestre, Gladys E" uniqKey="Maestre G" first="Gladys E" last="Maestre">Gladys E. Maestre</name></author><author><name sortKey="Zambrano, Mauricio" sort="Zambrano, Mauricio" uniqKey="Zambrano M" first="Mauricio" last="Zambrano">Mauricio Zambrano</name></author><author><name sortKey="Montenegro, Jipson E" sort="Montenegro, Jipson E" uniqKey="Montenegro J" first="Jipson E" last="Montenegro">Jipson E. Montenegro</name></author><author><name sortKey="Wright, Clinton B" sort="Wright, Clinton B" uniqKey="Wright C" first="Clinton B" last="Wright">Clinton B. Wright</name></author></analytic><series><title level="j">Journal of community health</title><idno type="eISSN">1573-3610</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cognition Disorders (physiopathology)</term><term>Cross-Sectional Studies</term><term>Ecuador</term><term>Female</term><term>Humans</term><term>Male</term><term>Mouth, Edentulous (psychology)</term><term>Residence Characteristics</term><term>Rural Health</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée (psychologie)</term><term>Caractéristiques de l'habitat</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Santé en zone rurale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Troubles de la cognition (physiopathologie)</term><term>Équateur</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ecuador</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Troubles de la cognition</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Residence Characteristics</term><term>Rural Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Caractéristiques de l'habitat</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Santé en zone rurale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Équateur</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Équateur</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Studies in industrialized nations suggest that severe edentulism correlates with cognitive impairment, but there is little information on this association in underserved populations. We conducted a community-based study to assess whether edentulism associates with cognitive impairment in elders living in rural Ecuador. Atahualpa residents aged ≥60 years were identified during a door-to-door census and evaluated using the Montreal Cognitive Assessment (MoCA). Persons were classified into two groups according to whether they have severe edentulism (<10 remaining teeth) or not. In addition, a questionnaire allowed self-rating of oral health. A total of 274 persons (mean age 69.6 ± 7.7 years; 59% women) were included. Persons with <10 remaining teeth (n = 116) have significantly lower MoCA scores than those with ≥10 teeth (n =158), after adjusting for demographics, cardiovascular risk factors, depression and dementia (β = -1.06, p = 0.03). Self-rated poor oral health was more prevalent among persons with <10 teeth (p < 0.0001), but did not correlate with MoCA scores (good vs. poor, β = -0.89, p = 0.89). Severe edentulism is associated with poor cognitive performance in elders living in rural Ecuador. Public health campaigns directed to improve oral health may facilitate early recognition of persons with cognitive impairment in underserved populations.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24627152</PMID><DateCompleted><Year>2016</Year><Month>05</Month><Day>15</Day></DateCompleted><DateRevised><Year>2017</Year><Month>10</Month><Day>27</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-3610</ISSN><JournalIssue CitedMedium="Internet"><Volume>39</Volume><Issue>6</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of community health</Title><ISOAbbreviation>J Community Health</ISOAbbreviation></Journal><ArticleTitle>Edentulism associates with worse cognitive performance in community-dwelling elders in rural Ecuador: results of the Atahualpa project.</ArticleTitle><Pagination><MedlinePgn>1097-100</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10900-014-9857-3</ELocationID><Abstract><AbstractText>Studies in industrialized nations suggest that severe edentulism correlates with cognitive impairment, but there is little information on this association in underserved populations. We conducted a community-based study to assess whether edentulism associates with cognitive impairment in elders living in rural Ecuador. Atahualpa residents aged ≥60 years were identified during a door-to-door census and evaluated using the Montreal Cognitive Assessment (MoCA). Persons were classified into two groups according to whether they have severe edentulism (<10 remaining teeth) or not. In addition, a questionnaire allowed self-rating of oral health. A total of 274 persons (mean age 69.6 ± 7.7 years; 59% women) were included. Persons with <10 remaining teeth (n = 116) have significantly lower MoCA scores than those with ≥10 teeth (n =158), after adjusting for demographics, cardiovascular risk factors, depression and dementia (β = -1.06, p = 0.03). Self-rated poor oral health was more prevalent among persons with <10 teeth (p < 0.0001), but did not correlate with MoCA scores (good vs. poor, β = -0.89, p = 0.89). Severe edentulism is associated with poor cognitive performance in elders living in rural Ecuador. Public health campaigns directed to improve oral health may facilitate early recognition of persons with cognitive impairment in underserved populations.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Del Brutto</LastName><ForeName>Oscar H</ForeName><Initials>OH</Initials><AffiliationInfo><Affiliation>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador, oscardelbrutto@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gardener</LastName><ForeName>Hannah</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Del Brutto</LastName><ForeName>Victor J</ForeName><Initials>VJ</Initials></Author><Author ValidYN="Y"><LastName>Maestre</LastName><ForeName>Gladys E</ForeName><Initials>GE</Initials></Author><Author ValidYN="Y"><LastName>Zambrano</LastName><ForeName>Mauricio</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Montenegro</LastName><ForeName>Jipson E</ForeName><Initials>JE</Initials></Author><Author ValidYN="Y"><LastName>Wright</LastName><ForeName>Clinton B</ForeName><Initials>CB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Community Health</MedlineTA><NlmUniqueID>7600747</NlmUniqueID><ISSNLinking>0094-5145</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Am Geriatr Soc. 2010 Apr;58(4):713-8</RefSource><PMID Version="1">20398152</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Community Health. 2013 Aug;38(4):634-41</RefSource><PMID Version="1">23456686</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Clin Nutr. 2005 Sep;82(3):627-35</RefSource><PMID Version="1">16155277</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Am Dent Assoc. 2007 Oct;138(10):1314-22; 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Del Brutto</name><name sortKey="Gardener, Hannah" sort="Gardener, Hannah" uniqKey="Gardener H" first="Hannah" last="Gardener">Hannah Gardener</name><name sortKey="Maestre, Gladys E" sort="Maestre, Gladys E" uniqKey="Maestre G" first="Gladys E" last="Maestre">Gladys E. Maestre</name><name sortKey="Montenegro, Jipson E" sort="Montenegro, Jipson E" uniqKey="Montenegro J" first="Jipson E" last="Montenegro">Jipson E. Montenegro</name><name sortKey="Wright, Clinton B" sort="Wright, Clinton B" uniqKey="Wright C" first="Clinton B" last="Wright">Clinton B. Wright</name><name sortKey="Zambrano, Mauricio" sort="Zambrano, Mauricio" uniqKey="Zambrano M" first="Mauricio" last="Zambrano">Mauricio Zambrano</name></noCountry><country name="Oman"><noRegion><name sortKey="Del Brutto, Oscar H" sort="Del Brutto, Oscar H" uniqKey="Del Brutto O" first="Oscar H" last="Del Brutto">Oscar H. Del Brutto</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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