ArticleThe lancet. Healthy longevity2022
Association between oral health markers and decline in muscle strength and physical performance in later life: longitudinal analyses of two prospective cohorts from the UK and the USA.
Article in The lancet. Healthy longevity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 42 citations in OpenAlex.
- Analysis of the factors influencing the occurrence of peri-implantitis in patients with implant-supported restoration and study on the maintenance effect of subgingival sandblasting.BMC oral health · 2025Trial
- Oral virome in health and disease.Journal of the American Dental Association (1939) · 2026Review
- The effect of increases in physical activity on oral health and function in older adults in Singapore: A longitudinal causal inference study.The journal of nutrition, health & aging · 2026Article
- Association Between Oral Frailty and Cognitive Impairment in Older Adults: A Cross-sectional Study.International dental journal · 2026Article
- Associations of comprehensive oral health with body composition, physical performance, and sarcopenia among middle-aged and older adults in rural western China: potential mediating pathways.BMC oral health · 2026Article
- Estimating the Causal Effect of Tooth Loss on the Critical Outcome of COVID-19.JDR clinical and translational research · 2026Article
- Path analysis of the factors associated with oral health literacy among community-dwelling elderly individuals: a cross-sectional study.BMC oral health · 2026Article
- IntratumoralAnnals of gastroenterological surgery · 2026Article
- Interrelationship Between Physical Exercise and Apical Periodontitis in Trained Rats.International journal of dentistry · 2026Article
- Edentulism as an independent risk factor for sarcopenia: evidence from cross-sectional and longitudinal analyses based on the CHARLS cohort.BMC oral health · 2025Article
- Reduced Tongue Pressure as a Risk Factor for Sarcopenia in Community-Dwelling Older Adults: A Cross-Sectional Analysis.Journal of oral rehabilitation · 2025Article
- Associations among self-reported oral health and intrinsic capacity domains in U.S. older adults: analysis from NHANES 2009-2014.Clinical oral investigations · 2025Article
- Poor Oral Health in Adults and Older Adults: A Cross-Sectional Analysis of Videofluoroscopic Swallowing Studies.Dysphagia · 2025Article
- Review
- Association between oral health and handgrip strength: a systematic review.Journal of periodontal & implant science · 2025Review
- Associations of social engagement and loneliness with the progression and reversal of frailty: longitudinal investigations of 2 prospective cohorts from the UK and the USA.American journal of epidemiology · 2025Article
- Observational
- Lifestyles associated with complete tooth loss in elderly people in Brazil, 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Tooth loss and mortality risk: the mediating role of hs-CRP in a Chinese cohort.Frontiers in oral health · 2025Article
- Association between number of functional teeth and physical function among community-dwelling older adults: Korean Frailty and Aging Cohort Study.BMC geriatrics · 2024Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundPoor oral health could be associated with changes in musculoskeletal health over time. This aim of this study was to investigate the longitudinal relationship between oral health and decline in physical function in later life.
methodsWe did a prospective analysis of two cohorts of older adults (aged 70 years or older) including men from the British Regional Heart Study (BRHS; n=612), and men and women from the Health, Aging and Body Composition (Health ABC) Study (n=1572), followed up for about 8 years. Data were available for clinical or self-reported oral health measures, muscle (grip) strength, and physical performance (chair stand and gait speed). ANCOVA models were used to assess the association between oral health and follow-up physical function scores. Multivariate logistic regression models were used to examine the associations between oral health and decline in physical function over the follow-up period. In the BRHS, changes in oral health and physical function were also assessed. All models were adjusted for relevant sociodemographic, behavioural, and health-related factors.
findingsIn the BRHS, complete tooth loss and difficulty eating were associated with weaker grip strength at follow-up, and periodontal status was associated with decline in gait speed. In the Health ABC Study, complete tooth loss, poor self-rated oral health, and the presence of one oral health problem were associated with slower gait speed at follow-up. In both studies, dry mouth was associated with declines in physical function. In the BRHS, deterioration of dentition (tooth loss) over the follow-up period was associated with decline in chair stand speed (adjusted odds ratio 2·34 [95% CI 1·20-4·46]), as was deterioration in difficulty eating (2·41 [1·04-5·60]).
interpretationOral health problems are associated with poorer physical function and greater decline in physical function in older adults, and could be an indicator of individuals at risk of reduced physical capacity and subsequent frailty and disability in later life.
fundingThe Dunhill Medical Trust and the US National Institutes of Health-National Institute of Dental and Craniofacial Research.
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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.