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Oral disease and physical disability in community-dwelling older persons.

Identifieur interne : 003991 ( PubMed/Checkpoint ); précédent : 003990; suivant : 003992

Oral disease and physical disability in community-dwelling older persons.

Auteurs : A M Jette [États-Unis] ; H A Feldman ; C. Douglass

Source :

RBID : pubmed:8409157

Descripteurs français

English descriptors

Abstract

The aim of this epidemiologic investigation was to determine whether poor oral health in older persons was associated with physical disability.

PubMed: 8409157


Affiliations:


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pubmed:8409157

Le document en format XML

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<name sortKey="Jette, A M" sort="Jette, A M" uniqKey="Jette A" first="A M" last="Jette">A M Jette</name>
<affiliation wicri:level="2">
<nlm:affiliation>New England Research Institute, Watertown, MA 02172.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>New England Research Institute, Watertown</wicri:cityArea>
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<author>
<name sortKey="Feldman, H A" sort="Feldman, H A" uniqKey="Feldman H" first="H A" last="Feldman">H A Feldman</name>
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<name sortKey="Douglass, C" sort="Douglass, C" uniqKey="Douglass C" first="C" last="Douglass">C. Douglass</name>
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<title xml:lang="en">Oral disease and physical disability in community-dwelling older persons.</title>
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<name sortKey="Jette, A M" sort="Jette, A M" uniqKey="Jette A" first="A M" last="Jette">A M Jette</name>
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<title level="j">Journal of the American Geriatrics Society</title>
<idno type="ISSN">0002-8614</idno>
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<term>Activities of Daily Living</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Caries (epidemiology)</term>
<term>Educational Status</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>New England (epidemiology)</term>
<term>Oral Health</term>
<term>Periodontal Diseases (epidemiology)</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Activités de la vie quotidienne</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Caries dentaires (épidémiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladies parodontales (épidémiologie)</term>
<term>Mâle</term>
<term>Niveau d'instruction</term>
<term>Nouvelle-Angleterre (épidémiologie)</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>New England</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Dental Caries</term>
<term>Mouth, Edentulous</term>
<term>Periodontal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Bouche édentée</term>
<term>Caries dentaires</term>
<term>Maladies parodontales</term>
<term>Nouvelle-Angleterre</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Educational Status</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Oral Health</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Activités de la vie quotidienne</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Niveau d'instruction</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">The aim of this epidemiologic investigation was to determine whether poor oral health in older persons was associated with physical disability.</div>
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<Year>1993</Year>
<Month>11</Month>
<Day>02</Day>
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<Year>2008</Year>
<Month>03</Month>
<Day>10</Day>
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<ISSN IssnType="Print">0002-8614</ISSN>
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<Volume>41</Volume>
<Issue>10</Issue>
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<Year>1993</Year>
<Month>Oct</Month>
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<Title>Journal of the American Geriatrics Society</Title>
<ISOAbbreviation>J Am Geriatr Soc</ISOAbbreviation>
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<ArticleTitle>Oral disease and physical disability in community-dwelling older persons.</ArticleTitle>
<Pagination>
<MedlinePgn>1102-8</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this epidemiologic investigation was to determine whether poor oral health in older persons was associated with physical disability.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">The study was a cross-sectional survey involving in-home interviews and dental examinations of older persons.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">A random sample of 68 cities and towns was selected from the six New England states, with stratification according to population size.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">The study sample consisted of 1,156 community-dwelling (non-institutionalized) individuals aged 70 and over, randomly selected from the Medicare beneficiary lists for each city and town.</AbstractText>
<AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Oral health was assessed by three dichotomous indices: edentulism (no teeth); current caries, including either coronal or root decay; and periodontal disease, as measured by gingival pocket depth. Physical disability was indicated by the subject's self-report of difficulty in the areas of personal care (eating, bathing, dressing, and using the toilet) and mobility (walking, bed transfer, getting outside). Additional independent variables included age, sex, number of teeth, education, living alone, oral hygiene practices, and time since last dental visit.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We found a direct association between specific areas of physical disability and current caries and edentulism. The risk of poor oral health did not increase with advancing age once the related risk factors were controlled for. Those subjects with mobility disabilities were at increased risk of tooth loss; those with personal care limitations were at increased risk of current caries.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Physical disability should be added to the list of known risk factors for oral disease among the older population. Our findings call attention to the need for health care providers to screen for oral health problems among disabled older persons. Further gerontologic research is needed to identify the mechanisms linking physical disability with oral disease in older persons.</AbstractText>
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<DescriptorName UI="D000203" MajorTopicYN="Y">Activities of Daily Living</DescriptorName>
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