Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study
IntroductionThe loss of occlusal support due to tooth loss is associated with systemic diseases. However, there was little about the association between occlusal support and cognitive impairment. The cross-sectional study aimed to investigate their association.MethodsCognitive function was assessed...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Aging Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1146335/full |
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| author | Dongxin Da Dongxin Da Suyu Ge Suyu Ge Hao Zhang Hao Zhang Xiaoli Zeng Xiaoli Zeng Yiwei Jiang Yiwei Jiang Jin Yu Jin Yu Huning Wang Huning Wang Wanqing Wu Wanqing Wu Wanqing Wu Zhenxu Xiao Zhenxu Xiao Zhenxu Xiao Xiaoniu Liang Xiaoniu Liang Xiaoniu Liang Qianhua Zhao Qianhua Zhao Qianhua Zhao Ding Ding Ding Ding Ding Ding Ying Zhang Ying Zhang |
| author_facet | Dongxin Da Dongxin Da Suyu Ge Suyu Ge Hao Zhang Hao Zhang Xiaoli Zeng Xiaoli Zeng Yiwei Jiang Yiwei Jiang Jin Yu Jin Yu Huning Wang Huning Wang Wanqing Wu Wanqing Wu Wanqing Wu Zhenxu Xiao Zhenxu Xiao Zhenxu Xiao Xiaoniu Liang Xiaoniu Liang Xiaoniu Liang Qianhua Zhao Qianhua Zhao Qianhua Zhao Ding Ding Ding Ding Ding Ding Ying Zhang Ying Zhang |
| author_sort | Dongxin Da |
| collection | DOAJ |
| description | IntroductionThe loss of occlusal support due to tooth loss is associated with systemic diseases. However, there was little about the association between occlusal support and cognitive impairment. The cross-sectional study aimed to investigate their association.MethodsCognitive function was assessed and diagnosed in 1,225 community-dwelling adults aged 60 years or older in Jing’an District, Shanghai. Participants were diagnosed with mild cognitive impairment (MCI) by Peterson’s criteria, or dementia, according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. We determined the number of functional occlusal supporting areas according to Eichner classifications. We used multivariate logistic regression models to analyze the relationship between occlusal support and cognitive impairment and mediation effect models to analyze the mediation effect of age.ResultsSix hundred sixty participants were diagnosed with cognitive impairment, averaging 79.92 years old. After adjusting age, sex, education level, cigarette smoking, alcohol drinking, cardiovascular disease, and diabetes, individuals with poor occlusal support had an OR of 3.674 (95%CI 1.141–11.829) for cognitive impairment compared to those with good occlusal support. Age mediated 66.53% of the association between the number of functional occlusal supporting areas and cognitive impairment.DiscussionIn this study, cognitive impairment was significantly associated with the number of missing teeth, functional occlusal areas, and Eichner classifications with older community residents. Occlusal support should be a significant concern for people with cognitive impairment. |
| first_indexed | 2024-04-09T17:41:49Z |
| format | Article |
| id | doaj.art-8d7d6a12f9164e44bb8d2da6de775072 |
| institution | Directory Open Access Journal |
| issn | 1663-4365 |
| language | English |
| last_indexed | 2024-04-09T17:41:49Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj.art-8d7d6a12f9164e44bb8d2da6de7750722023-04-17T04:45:42ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652023-04-011510.3389/fnagi.2023.11463351146335Association between occlusal support and cognitive impairment in older Chinese adults: a community-based studyDongxin Da0Dongxin Da1Suyu Ge2Suyu Ge3Hao Zhang4Hao Zhang5Xiaoli Zeng6Xiaoli Zeng7Yiwei Jiang8Yiwei Jiang9Jin Yu10Jin Yu11Huning Wang12Huning Wang13Wanqing Wu14Wanqing Wu15Wanqing Wu16Zhenxu Xiao17Zhenxu Xiao18Zhenxu Xiao19Xiaoniu Liang20Xiaoniu Liang21Xiaoniu Liang22Qianhua Zhao23Qianhua Zhao24Qianhua Zhao25Ding Ding26Ding Ding27Ding Ding28Ying Zhang29Ying Zhang30Department of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, ChinaNational Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, ChinaNational Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, ChinaNational Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, ChinaNational Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaInstitute of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, ChinaNational Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Preventive Dentistry, Shanghai Stomatological Hospital and School of Stomatology, Fudan University, Shanghai, ChinaShanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, ChinaIntroductionThe loss of occlusal support due to tooth loss is associated with systemic diseases. However, there was little about the association between occlusal support and cognitive impairment. The cross-sectional study aimed to investigate their association.MethodsCognitive function was assessed and diagnosed in 1,225 community-dwelling adults aged 60 years or older in Jing’an District, Shanghai. Participants were diagnosed with mild cognitive impairment (MCI) by Peterson’s criteria, or dementia, according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. We determined the number of functional occlusal supporting areas according to Eichner classifications. We used multivariate logistic regression models to analyze the relationship between occlusal support and cognitive impairment and mediation effect models to analyze the mediation effect of age.ResultsSix hundred sixty participants were diagnosed with cognitive impairment, averaging 79.92 years old. After adjusting age, sex, education level, cigarette smoking, alcohol drinking, cardiovascular disease, and diabetes, individuals with poor occlusal support had an OR of 3.674 (95%CI 1.141–11.829) for cognitive impairment compared to those with good occlusal support. Age mediated 66.53% of the association between the number of functional occlusal supporting areas and cognitive impairment.DiscussionIn this study, cognitive impairment was significantly associated with the number of missing teeth, functional occlusal areas, and Eichner classifications with older community residents. Occlusal support should be a significant concern for people with cognitive impairment.https://www.frontiersin.org/articles/10.3389/fnagi.2023.1146335/fullcognitive dysfunctiondental occlusionmasticationmediation analysisdental health survey |
| spellingShingle | Dongxin Da Dongxin Da Suyu Ge Suyu Ge Hao Zhang Hao Zhang Xiaoli Zeng Xiaoli Zeng Yiwei Jiang Yiwei Jiang Jin Yu Jin Yu Huning Wang Huning Wang Wanqing Wu Wanqing Wu Wanqing Wu Zhenxu Xiao Zhenxu Xiao Zhenxu Xiao Xiaoniu Liang Xiaoniu Liang Xiaoniu Liang Qianhua Zhao Qianhua Zhao Qianhua Zhao Ding Ding Ding Ding Ding Ding Ying Zhang Ying Zhang Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study Frontiers in Aging Neuroscience cognitive dysfunction dental occlusion mastication mediation analysis dental health survey |
| title | Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study |
| title_full | Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study |
| title_fullStr | Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study |
| title_full_unstemmed | Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study |
| title_short | Association between occlusal support and cognitive impairment in older Chinese adults: a community-based study |
| title_sort | association between occlusal support and cognitive impairment in older chinese adults a community based study |
| topic | cognitive dysfunction dental occlusion mastication mediation analysis dental health survey |
| url | https://www.frontiersin.org/articles/10.3389/fnagi.2023.1146335/full |
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