Dibello, Vittorio, Zupo, Roberta, Sardone, Rodolfo 
ORCID: 0000-0003-1383-1850, Lozupone, Madia, Castellana, Fabio, Dibello, Antonio, Daniele, Antonio, De Pergola, Giovanni, Bortone, Ilaria, Lampignano, Luisa et al (show 2 more authors)
(2021)
Oral frailty and its determinants in older age: a systematic review.
LANCET HEALTHY LONGEVITY, 2 (8).
E507-E520.
Abstract
Poor oral health is common among older adults and can impair essential activities of daily living and contribute to frailty. We did a systematic review of studies on the relationship between oral health factors and frailty among older adults (>60 years), consulting six different electronic databases for studies published from database inception to March 20, 2021. In total, 39 articles met the eligibility requirements, including 12 different indicators of poor oral health related to frailty, which we grouped in four different categories: oral health status deterioration; deterioration of oral motor skills; chewing, swallowing, and saliva disorders; and oral pain. Factors of oral health status deterioration (52%), in particular few remaining teeth (29%), were most frequently associated with frailty. Reduced oral motor skills (27%), especially masticatory function (9%), oral diadochokinesis (5%), occlusal force (7%), and chewing, swallowing, and saliva disorders (20%), especially chewing difficulties [11%]), were less frequent but were similarly considered to be associated with frailty. Our findings could help to assess the contribution of each oral health item to a possible operational definition of this novel frailty phenotype, defined as an age-related gradual loss of oral function together with a decline in cognitive and physical functions.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Humans, Activities of Daily Living, Bite Force, Aged, Frail Elderly, Oral Health, Frailty |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 20 May 2022 15:08 |
| Last Modified: | 18 Jan 2023 21:01 |
| DOI: | 10.1016/s2666-7568(21)00143-4 |
| Open Access URL: | https://www.thelancet.com/journals/lanhl/article/P... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3155239 |
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