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
Reference52 articles.
1. Dye BA. The global burden of oral disease: Research and Public Health significance. J Dent Res. 2017;96(4):361–3.
2. Gao YB, Hu T, Zhou XD, Shao R, Cheng R, Wang GS, et al. Dental Caries in Chinese Elderly People: findings from the 4th national oral Health Survey. Chin J Dent Res. 2018;21(3):213–20.
3. Sun H, Du M, Tai B, Chang S, Wang Y, Jiang H. Prevalence and associated factors of periodontal conditions among 55- to 74-year-old adults in China: results from the 4th national oral Health Survey. Clin Oral Investig. 2020;24(12):4403–12.
4. Grisi DC, Vieira IV, de Almeida Lima AK, de Oliveira Mattos MC, Dame-Teixeira N, Salles LP, et al. The Complex Interrelationship between Diabetes Mellitus, oral Diseases and General Health. Curr Diabetes Rev. 2022;18(3):e220321192408.
5. Carrizales-Sepulveda EF, Ordaz-Farias A, Vera-Pineda R, Flores-Ramirez R. Periodontal Disease, systemic inflammation and the risk of Cardiovascular Disease. Heart Lung Circ. 2018;27(11):1327–34.
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