ArticleBMC oral health2016
Association between maximum occlusal force and 3-year all-cause mortality in community-dwelling elderly people.
Article in BMC oral health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The predictive value of masticatory function for adverse health outcomes in older adults: a systematic review.The journal of nutrition, health & aging · 2024Pooled it
- Oral frailty indicators to target major adverse health-related outcomes in older age: a systematic review.GeroScience · 2023Pooled it
- Use of handgrip strength measurement as an alternative for assessing chewing function in people with dementia.BMC geriatrics · 2022Trial
- Poor oral function is associated with loss of independence or death in functionally independent older adults.PloS one · 2021Trial
- The survey tools between older persons' nutrition and frailty risk and chewing and swallowing disorders - a community survey of Tainan City at Taiwan.BMC oral health · 2025Article
- Article
- Dental care and oral conditions are associated with the prevalence of sarcopenia in people with type 2 diabetes: a cross-sectional study.BMC endocrine disorders · 2023Article
- Relation between number of teeth, malnutrition, and 3-year mortality in elderly individuals ≥85 years.Oral diseases · 2023Article
- Relationship between occlusal force and endothelial function in community-dwelling elderly women: A pilot study.Clinical and experimental dental research · 2022Article
- Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review.Health services insights · 2021Article
- Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems.The journal of nutrition, health & aging · 2020Article
- Are Self-Reported Masticatory Ability and Regular Dental Care Related to Mortality?The journal of nutrition, health & aging · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmong the very elderly, poor oral health reduces life expectancy. In this study, differences in the magnitude of the maximum occlusal force (MOF) in the very elderly were examined in terms of effects on all-cause mortality in a 3-year follow-up.
methodsWe evaluated 489 community-living elderly individuals aged 85 years or older. MOF was measured using an occlusal force measuring device, and participants were classified into three groups according to gender- and dental status-sensitive tertiles. Demographic variables, cognitive, physical function, psychological status, oral health, comorbidity, and blood chemistry factors were assessed. One-way analyses of variance, χ (2) tests, and the Kruskal-Wallis test were used for statistical analyses. The relationship between MOF tertiles and 3-year all-cause mortality was examined using a multivariate Cox model analysis after adjusting for confounding factors.
resultsMOF tertiles were significantly associated with cognitive impairment, number of teeth, limitations on chewable foods, handgrip strength, timed up-and-go test, and diabetes mellitus. During the follow-up period, 74 subjects died. Subjects with the highest MOF had a significantly lower mortality rate than other groups (log rank P = 0.031). In the univariate Cox model, MOF tertiles were independently associated with a lower risk of death (HR = 0.69, 95 % CI = 0.51-0.91). Even after adjusting for various confounders in the multivariate Cox model (Model 1), MOF was independently associated with a lower risk of death (HR = 0.67, 95 % CI = 0.50-0.91). In model 2, we added handgrip strength as a confounder and found that the HR for MOF was attenuated (HR = 0.73, 95 % CI = 0.54-0.99), but still statistically significant.
conclusionsIn a cohort of the very elderly, MOF was independently associated with all-cause mortality after adjusting for various health issues. Moreover, this independent association remained after a further adjustment for handgrip strength; however, the HR was attenuated. This suggests that MOF and handgrip strength may share a common mechanism of a general decrease in muscle strength, possibly sarcopenia, which is a significant cause of mortality in the very old.
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