Evidence map›Paper›PMID 33518591›Full record

ArticleJournal of epidemiology2022

Longitudinal Association Between Oral Status and Cognitive Decline Using Fixed-effects Analysis.

Sakura Kiuchi, Taro Kusama, Kemmyo Sugiyama, Takafumi Yamamoto, Upul Cooray, Tatsuo Yamamoto, Katsunori Kondo, Ken Osaka, Jun Aida

Open access · goldAbstract read
In one paragraph

Article in Journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Health-related quality of life in various health conditions: two consecutive surveys of older Japanese adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Sakura KiuchiDepartment of International and Community Oral Health, Tohoku University, Graduate School of Dentistry.ORCID 0000-0002-8298-8643
Taro KusamaDepartment of International and Community Oral Health, Tohoku University, Graduate School of Dentistry.ORCID 0000-0001-8683-4484
Kemmyo SugiyamaDepartment of International and Community Oral Health, Tohoku University, Graduate School of Dentistry.ORCID 0000-0001-5110-2216
Takafumi YamamotoDepartment of International and Community Oral Health, Tohoku University, Graduate School of Dentistry.ORCID 0000-0002-3329-2332
Upul CoorayDepartment of International and Community Oral Health, Tohoku University, Graduate School of Dentistry.ORCID 0000-0002-3272-4180
Tatsuo YamamotoDepartment of Dental Sociology, Kanagawa Dental University.ORCID 0000-0001-5147-3711
Katsunori KondoDepartment of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University.ORCID 0000-0003-0076-816X
Ken OsakaDepartment of International and Community Oral Health, Tohoku University, Graduate School of Dentistry.ORCID 0000-0001-6885-9514
Jun AidaDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.ORCID 0000-0002-8405-9872
Tohoku University · JPChiba University · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the feasibility of randomized trials for investigating the long-term association between oral health and cognitive decline is low, deriving causal inferences from observational data is challenging. We aimed to investigate the association between poor oral status and subjective cognitive complaints (SCC) using fixed-effects model to eliminate the confounding effect of unobserved time-invariant factors.

methodsWe used data from Japan Gerontological Evaluation Study (JAGES) which was conducted in 2010, 2013, and 2016. β regression coefficients and 95% confidence intervals [CIs] were calculated using fixed-effects models to determine the effect of deteriorating oral status on developing SCC. Onset of SCC was evaluated using the Kihon Checklist-Cognitive function score. Four oral status variables were used: awareness of swallowing difficulty, decline in masticatory function, dry mouth, and number of teeth.

resultsWe included 13,594 participants (55.8% women) without SCC at baseline. The mean age was 72.4 (standard deviation [SD], 5.1) years for men and 72.4 (SD, 4.9) years for women. Within the 6-year follow-up, 26.6% of men and 24.9% of women developed SCC. The probability of developing SCC was significantly higher when participants acquired swallowing difficulty (β = 0.088; 95% CI, 0.065-0.111 for men and β = 0.077; 95% CI, 0.057-0.097 for women), decline in masticatory function (β = 0.039; 95% CI, 0.021-0.057 for men and β = 0.030; 95% CI, 0.013-0.046 for women), dry mouth (β = 0.026; 95% CI, 0.005-0.048 for men and β = 0.064; 95% CI, 0.045-0.083 for women), and tooth loss (β = 0.043; 95% CI, 0.001-0.085 for men and β = 0.058; 95% CI, 0.015-0.102 for women).

conclusionThe findings suggest that good oral health needs to be maintained to prevent the development of SCC, which increases the risk for future dementia.

Indexed as

Cognitive DysfunctionTooth LossXerostomiaAgedCognitionFemaleHumansLongitudinal StudiesMaleOral Healthcognitive declinedementianumber of teethoral functionoral health

Identifiers

PMID33518591
PMCPMC9189315
OpenAlexW3128743006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.