ArticleBMC oral health2025
Influencing factors of oral frailty in elderly patients with type 2 diabetes in China: a cross-sectional study based on the integral model of frailty.
Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 5 of them syntheses that pooled it.
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10 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of the prevalence and risk factors of oral frailty among older adults.BMC oral health · 2026Pooled it
- The prevalence and associated factors of oral frailty in older Chinese patients with chronic conditions: a systematic review and meta-analysis.BMC geriatrics · 2026Pooled it
- Systematic review and meta-analysis of oral frailty prevalence among older hospitalized patients.Frontiers in public health · 2025Pooled it
- Factors associated with oral frailty in older adults: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Prevalence and influencing factors of oral frailty in older adults with diabetes: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Oral frailty-based vulnerability and oropharyngeal dysphagia in community-dwelling older adults: evidence from eat-10 and OFI-8.Irish journal of medical science · 2026Article
- Development and validation of a risk-predicting model for oral frailty in older patients with chronic pulpitis.BMC oral health · 2026Article
- Path analysis of the factors associated with oral health literacy among community-dwelling elderly individuals: a cross-sectional study.BMC oral health · 2026Article
- Development and validation of a risk prediction model for oral frailty among Chinese older adults with type 2 diabetes mellitus.BMC geriatrics · 2026Article
- Relationship between oral health literacy and oral frailty among older adults in nursing homes: a latent profile analysis.Frontiers in public health · 2026Article
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Abstract
objectivesThis study aimed to investigate the current status and influencing factors of oral frailty in elderly patients with type 2 diabetes mellitus to inform the development of oral management programs in this population.
methodsA total of 431 elderly patients with type 2 diabetes mellitus who visited two tertiary public hospitals in Nanchong City from March 2024 to October 2024 were enrolled in this study. The General Information Questionnaire, Oral Frailty Index-8 (OFI-8), Oral Health Assessment Tool (OHAT), Eating Assessment Questionnaire Tool-10 (EAT-10), Perceived Social Support Scale (PSSS), Geriatric Depression Scale (GDS-5), and Geriatric Self Efficacy Scale for Oral Health Scale (GSEOH) were used to investigate and assess the factors related to oral frailty.
resultsThe prevalence of oral frailty in elderly patients with type 2 diabetes was 32.95% (142/431). Multivariate logistic regression analysis revealed that advanced age(OR = 1.098, 95% CI: 1.054 ~ 1.146), glycated hemoglobin (HbA1c) ≥ 7%(OR = 3.745, 95% CI: 1.203-12.647), dysphagia(OR = 8.401, 95% CI: 2.276-43.846), and poor oral health status (OR = 2.213, 95% CI: 1.134-4.394) were risk factors of oral frailty, and the number of remaining teeth ≥ 20(OR = 0.105, 95% CI: 0.046-0.217) and high oral health-related self-efficacy(OR = 0.934, 95% CI: 0.898-0.970) were protective factors against oral frailty (P < 0.05).
conclusionsThe Integral Model of Frailty provides a new theoretical framework for the study of oral frailty. The main OF infuencing factors in the elderly patients with type 2 diabetes mellitus are age, HbA1c, dysphagia, poor oral health status, the number of remaining teeth, and oral health-related self-efficacy. Healthcare professionals should develop and implement targeted oral health management strategies for this population to improve oral health outcomes.
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