ArticlePloS one2025
Decline in oral function contributes to decreased activities of daily living at discharge in elderly patients with heart failure.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Association between periodontitis and heart failure: Mechanisms and clinical implications (Review).Molecular medicine reports · 2026Review
- Development and Interpretation of Machine Learning Models for Short-Term Functional Recovery and 90-Day Readmission in Patients with Cardiovascular Disease.Journal of multidisciplinary healthcare · 2026Article
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Authors and funding
9 authors.
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Abstract
Low body weight is associated with decreased capacity for performing activities of daily living (ADLs) after discharge in patients with heart failure (HF). In particular, malnutrition and low body mass index (BMI) are considered poor prognostic factors. In this study, we aimed to examine the relationship between oral function and low body weight as well as the ability to perform ADLs in older patients with HF. To this end, we retrospectively examined patients with HF aged 75 years or older who had undergone oral function assessments. We examined various factors including age, sex, BMI, brain natriuretic peptide (BNP) levels, left ventricular ejection fraction (LVEF), Oral Health Assessment Tool-Japanese version (OHAT-J) scores, Barthel Index (BI) scores, and length of hospital stay. Patients were categorized into two groups based on their OHAT-J scores (OHAT-J ≤ 2 or OHAT-J ≥ 3), and their characteristics, including individual survey items, were compared. Additional correlation analyses were performed for BI at discharge. We found a negative correlation between the total OHAT-J score and BI at discharge. Specifically, lower BIs at discharge were observed in the group with poor scores for the items "lips," "saliva," and "dentures." Oral dysfunction was associated with decreased ability to perform ADLs at discharge in older patients with HF. Thus, interdisciplinary interventions targeting oral health may improve the prognosis of patients with HF.
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