ArticleBMC oral health2023
Association of oral status with frailty among older adults in nursing homes: a cross-sectional study.
Article in BMC oral health, 2023. 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, 15 citations in OpenAlex.
- Systematic review and meta-analysis on the prevalence and risk factors of oral frailty among older adults.Frontiers in medicine · 2025Pooled it
- Association between oral health status and frailty in older adults: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Oral health status and its relation to frailty in older adults: a cross-sectional study.BMC geriatrics · 2026Article
- Knowledge, attitude, and practice toward oral frailty management among nursing staff and its determinant factors: a multicentre cross-sectional study.Frontiers in oral health · 2026Article
- Development and internal validation of a risk prediction model for oral frailty in hospitalized older adults with chronic diseases.Frontiers in public health · 2026Article
- Associations Among Oral Health, Nutritional Status, and Care Dependency in Korean Long-Term Care Facilities.Clinical interventions in aging · 2026Article
- Oral health care for frail older adults in nursing homes from a management perspective: a survey-based study.BMC oral health · 2025Article
- Prevalence and risk factors of oral frailty in elderly cancer inpatients: A cross-sectional study.Medicine · 2025Article
- Research trends in oral health and frailty studies: a bibliometric and visual analysis.Frontiers in medicine · 2025Article
- Oral Health Assessment for Older Residents in Long-Term Care Facilities Using Video Recording by a Mobile Electronic Device.Geriatrics (Basel, Switzerland) · 2024Article
- The relationship between oral frailty and oral dysbiosis among hospitalized patients aged older than 50 years.Clinical and experimental dental research · 2024Observational
- Mapping Oral Frailty Research in the Elderly (1997-2024): A Comparative Bibliometric Analysis of China and the International Landscape.Public health nursing (Boston, Mass.)Review
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
backgroundThe oral status of an individual is a vital aspect of their overall health. However, older adults in nursing homes have a higher prevalence of frailty and poor oral health, particularly in the context of global aging. The objective of this study is to explore the association between oral status and frailty among older adults residing in nursing homes.
methodsThe study involved 1280 individuals aged 60 and above from nursing homes in Hunan province, China. A simple frailty questionnaire (FRAIL scale) was used to evaluate physical frailty, while the Oral Health Assessment Tool was used to assess oral status. The frequency of tooth brushing was classified as never, once a day, and twice or more a day. The traditional multinomial logistic regression model was used to analyze the association between oral status and frailty. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated while controlling for other confounding factors.
resultsThe study found that the prevalence of frailty among older adults living in nursing homes was 53.6%, while the prevalence of pre-frailty was 36.3%. After controlling for all potential confounding factors, mouth changes requiring monitoring (OR = 2.10, 95% CI = 1.34-3.31, P = 0.001) and unhealthy mouth (OR = 2.55, 95% CI = 1.61-4.06, P < 0.001) were significantly associated with increased odds of frailty among older adults in nursing homes. Similarly, both mouth changes requiring monitoring (OR = 1.91, 95% CI = 1.20-3.06, P = 0.007) and unhealthy mouth (OR = 2.24, 95% CI = 1.39-3.63, P = 0.001) were significantly associated with a higher prevalence of pre-frailty. Moreover, brushing teeth twice or more times a day was found to be significantly associated with a lower prevalence of both pre-frailty (OR = 0.55, 95% CI = 0.34-0.88, P = 0.013) and frailty (OR = 0.50, 95% CI = 0.32-0.78, P = 0.002). Conversely, never brushing teeth was significantly associated with higher odds of pre-frailty (OR = 1.82, 95% CI = 1.09-3.05, P = 0.022) and frailty (OR = 1.74, 95% CI = 1.06-2.88, P = 0.030).
conclusionsMouth changes that require monitoring and unhealthy mouth increase the likelihood of frailty among older adults in nursing homes. On the other hand, those who brush their teeth frequently have a lower prevalence of frailty. However, further research is needed to determine whether improving the oral status of older adults can change their level of frailty.
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