Association between oral health and cognitive function among Chinese older adults: the Taizhou imaging study

Author:

Gu Wenjia,Li Jialin,Li Fei,Ho Teck-Ek,Feng Xiping,Wang Yingzhe,Fan Min,Cui Mei,Xu Kelin,Chen Xingdong,Lu Haixia,Jiang Yanfeng

Abstract

Abstract Background We aimed to investigate the association between oral health and cognitive function in a sample of older adults from a Chinese rural community. Methods The cross-sectional cognitive function of 677 individuals were assessed by Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). A comprehensive profile of the oral health status was evaluated by questionnaire and clinical examination. Results Multiple covariates-adjusted regression models demonstrated decayed teeth (DT) and decayed/missing/filled teeth (DMFT) were negatively associated with MoCA score (all p < 0.05). Calculus index (CI) and clinical attachment loss (CAL) were significantly associated with the lower MoCA, short-term memory and executive function score, respectively (all p < 0.05). Additionally, participants with missing teeth unrestored tend to get lower MMSE and MoCA scores (p < 0.05). The results also showed that increased DT and CI were modestly associated with higher odds of cognitive impairment (p < 0.05). Conclusions There is an association between oral health and global cognition. Poor periodontal status was strongly associated with worse global cognition performance, especially in the short-term memory and executive domain for the aging population.

Funder

the Interdisciplinary Program of Shanghai Jiao Tong University

Innovative Research Team of High-level Local University in Shanghai

Shanghai Key Laboratory of Stomatology & State Key Laboratory of Translational Research on Oral Ecosystem and Major Chronic Diseases

Health Industry Clinical Research Special Project of Shanghai Municipal Health Committee

the National Key Research and Development program of China

the Natural Science Foundation of Shanghai, China

the Shanghai Rising-Star Program

Publisher

Springer Science and Business Media LLC

Subject

General Dentistry

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