Author:
Choi Sung Eun,Mo Emily,Palmer Nathan,Fox Kathe,Da Silva John D.,Nagai Shigemi,Barrow Jane R.
Abstract
Abstract
Background
The scientific link between mastication strength and cognitive function has not yet been strongly corroborated in population studies. Utilizing large-scale claims, we aim to investigate the association between edentulism and cognitive impairment in older American adults.
Methods
Using de-identified claims from a commercial insurer from 2015–2019, we conducted a retrospective cohort study using multilevel regression models to evaluate the association between denture status and clinically diagnosed cognitive impairment. Secondary analysis included symptomatic cognitive impairment in the outcome.
Results
Adjusting for individual-level risk factors, denture status was significantly associated with clinical cognitive impairment with odds ratios of 1.13 (95%CI: 1.02–1.25) and 1.26, (95%CI: 1.09–1.45) for complete dentures on one or both jaws, respectively. Including symptomatic cognitive impairment in the analysis did not substantially change our fundamental findings.
Conclusion
Prevention and treatment of oral diseases should be considered a key component in preserving the overall wellness of older adults.
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology
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