ArticleJournal of the American Geriatrics Society2013
Modifiable risk factors for pneumonia requiring hospitalization of community-dwelling older adults: the Health, Aging, and Body Composition Study.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Risk of community-acquired pneumonia with outpatient proton-pump inhibitor therapy: a systematic review and meta-analysis.PloS one · 2015Pooled it
- Article
- Role of lifestyle factors on the development and long-term prognosis of pneumonia and cardiovascular disease in the Chinese population.Chinese medical journal · 2025Article
- Emergency planned re-infusion therapy and hospitalisation for community-acquired pneumonia: a retrospective case-control study.Journal of global health · 2025Article
- Article
- Assessing the contributions of modifiable risk factors to serious falls and fragility fractures among older persons living with HIV.Journal of the American Geriatrics Society · 2023Article
- Associated Factors of Pneumonia in Individuals with Chronic Obstructive Pulmonary Disease (COPD) Apart from the Use of Inhaled Corticosteroids.Biomedicines · 2023Review
- Health promotion through structured oral hygiene and good tooth alignment.GMS hygiene and infection control · 2022Review
- Association between the mid-upper arm circumference (MUAC) and calf circumference (CC) screening indicators of sarcopenia with the risk of pneumonia in stable patients diagnosed with schizophrenia.Frontiers in psychiatry · 2022Article
- Sex-Related Disparities in the Incidence and Outcomes of Community-Acquired Pneumonia among Type 2 Diabetes Patients: A Propensity Score-Matching Analysis Using the Spanish National Hospital Discharge Database for the Period 2016-2019.Journal of clinical medicine · 2021Article
- Pneumonia prevention in the elderly patients: the other sides.Aging clinical and experimental research · 2021Article
- Activity of daily living upon admission is an independent predictor of in-hospital mortality in older patients with community-acquired pneumonia.BMC infectious diseases · 2021Article
- How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?Clinical interventions in aging · 2021Article
- Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery.Clinical and experimental dental research · 2020Article
- Gaps between current clinical practice and evidence-based guidelines for treatment and care of older patients with Community Acquired Pneumonia: a descriptive cross-sectional study.BMC infectious diseases · 2020Article
- The Effects of Dental Status and Chewing Efficiency on the Oral-Health-Related Quality of Life of Nursing-Home Residents.Clinical interventions in aging · 2020Article
- Factors associated with hospitalization for community-acquired pneumonia in home health care patients in Taiwan.Aging clinical and experimental research · 2020Article
- Short-Term Effects of a Deterioration of General Health on the Oral Health of Nursing-Home Residents.Clinical interventions in aging · 2020Article
- Antiepileptic Drug Use Is Associated with an Increased Risk of Pneumonia Among Community-Dwelling Persons with Alzheimer's Disease-Matched Cohort Study.Journal of Alzheimer's disease : JAD · 2019Article
- Biological Age, Not Chronological Age, Is Associated with Late-Life Depression.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Observational
Corrections and comments
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Authors and funding
13 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo identify novel modifiable risk factors, focusing on oral hygiene, for pneumonia requiring hospitalization of community-dwelling older adults.
designProspective observational cohort study.
settingMemphis, Tennessee, and Pittsburgh, Pennsylvania.
participantsOf 3,075 well-functioning community-dwelling adults aged 70 to 79 enrolled in the Health, Aging, and Body Composition Study from 1997 to 1998, 1,441 had complete data in the data set of all variables used, a dental examination within 6 months of baseline, and were eligible for this study. MEASUREMENTS: The primary outcome was pneumonia requiring hospitalization through 2008.
resultsOf 1,441 participants, 193 were hospitalized for pneumonia. In a multivariable model, male sex (hazard ratio (HR) = 2.07, 95% confidence interval (CI) = 1.51-2.83), white race (HR = 1.44, 95% CI = 1.03-2.01), history of pneumonia (HR = 3.09, 95% CI = 1.86-5.14), pack-years of smoking (HR = 1.006, 95% CI = 1.001-1.011), and percentage of predicted forced expiratory volume in 1 minute (moderate vs mild lung disease or normal lung function, HR = 1.78, 95% CI = 1.28-2.48; severe lung disease vs mild lung disease or normal lung function, HR = 2.90, 95% CI = 1.51-5.57) were nonmodifiable risk factors for pneumonia. Incident mobility limitation (HR = 1.77, 95% CI = 1.32-2.38) and higher mean oral plaque score (HR = 1.29, 95% CI = 1.02-1.64) were modifiable risk factors for pneumonia. Average attributable fractions revealed that 11.5% of cases of pneumonia were attributed to incident mobility limitation and 10.3% to a mean oral plaque score of 1 or greater.
conclusionIncident mobility limitation and higher mean oral plaque score were two modifiable risk factors that 22% of pneumonia requiring hospitalization could be attributed to. These data suggest innovative opportunities for pneumonia prevention among community-dwelling older adults.
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