Evidence map›Paper›PMID 35437751›Full record

ArticleJournal of the American Geriatrics Society2022

Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States.

Eftychia Kotronia, Heather Brown, Olia Papacosta, Lucy T Lennon, Robert J Weyant, Peter H Whincup, Sasiwarang Goya Wannamethee, Sheena E Ramsay

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  12. Practice and challenge of age-friendly functional restoration of stomatognathic system based on the strategy of functional tooth loss.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
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  15. Estimation of Oral Disease Burden among Older Adults in LTC: A Scoping Review.International journal of environmental research and public health · 2024
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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

8 authors at 4 institutions in 2 countries.

Eftychia KotroniaPopulation Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK.ORCID 0000-0001-5173-2357
Heather BrownPopulation Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
Olia PapacostaDepartment of Primary Care & Population Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Lucy T LennonDepartment of Primary Care & Population Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Robert J WeyantDepartment of Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Peter H WhincupPopulation Health Research Institute, St George's University of London, London, UK.
Sasiwarang Goya WannametheeDepartment of Primary Care & Population Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Sheena E RamsayPopulation Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
Department of Health and Social Care · GBNewcastle University · GBSt George's, University of London · GBUniversity of Pittsburgh · US

Funding

Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
DYNAMICS OF HEALTH .AGING . AND BODY COMPOSITION /Pittsburgh/-260962101N01AG062101 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 1996 to 2004
$996k
DYNAMICS OF HEALTH . AGING . AND BODY COMPOSITION /Memphis/-26062103N01AG062103 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · 1996 to 2004
$793k
Understanding the contribution of poor oral health to sarcopenia in older age and underlying mechanisms using UK and US cohort studiesR03DE028505 · NIDCR · UNIVERSITY OF NEWCASTLE · PI RAMSAY, SHEENA ESTHER · 2019 to 2020
$213k
HEALTH ABC--COORDINATING UNIT /California/-260062106N01AG062106 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · 1996 to 2004
$109k
British Heart Foundation RG/08/013/25942British Heart Foundation RG/13/16/30528British Heart Foundation RG/19/4/34452Medical Research Council G1002391Medical Research Council MR/K02325X/1NIA NIH HHS N01-AG-6-2101NIA NIH HHS N01-AG-6-2103NIA NIH HHS N01-AG-6-2106NIA NIH HHS R01 AG028050NIDCR NIH HHS R03 DE028505NINR NIH HHS R01 NR012459The Dunhill Medical Trust R396/1114The Dunhill Medical Trust R592/0717
6 · The paper itself

Abstract

backgroundPreventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults.

methodsWe used prospective data from the British Regional Health Study (BRHS) (N = 2147, 71-92 years), and the Health, Aging and Body Composition (HABC) study (USA) (N = 3075, 71-80 years). Oral health measures included tooth loss, periodontal disease, self-rated oral health, and self-reported dry mouth. Participants were followed for onset of disability over a follow-up period of 3 years. Onset of disability was assessed through new cases of mobility limitations, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression was performed to calculate the odds of incident disability.

resultsIn the BRHS, tooth loss was associated with greater odds of mobility limitations and ADL difficulties. Periodontal disease was associated with greater incidence of mobility limitations. Self-report of ≥3 dry mouth symptoms was associated with increased odds of incident mobility limitations and ADL difficulties (OR = 2.08, 95% CI 1.27-3.42; OR = 1.73, 95% CI 1.03-2.90). Fair/poor self-rated oral health was associated with greater incidence of IADL difficulties. In the HABC study, complete tooth loss was associated with greater incidence of mobility limitations (OR = 1.86, 95% CI 1.13-3.06), and fair/poor self-rated oral health was associated with increased odds of incident ADL difficulties (OR = 1.42, 95% CI 1.04-1.94).

conclusionsOral health problems in older adults, particularly tooth loss, self-reported dry mouth and self-rated oral health were associated with greater incidence of disability. Poor oral health plays a potentially important role in the development of disability in older populations, which in turn is an essential part of quality of life and healthy aging.

Indexed as

Periodontal DiseasesPersons with DisabilitiesTooth LossXerostomiaActivities of Daily LivingAgedDisability EvaluationHumansMobility LimitationOral HealthProspective StudiesQuality of LifeUnited Statesdental problemsdisabilityolder adultsphysical independenceself-reported

Identifiers

PMID35437751
PMCPMC9283258
OpenAlexW4224253994

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Registered trials

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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.