Evidence map›Paper›PMID 41918268›Full record

ArticleCommunity dentistry and oral epidemiology2026

Does Oral Health Status Predict Incident Frailty Over the 13-Year Follow-Up in Older Adults in England?

Egle Petrauskiene, Paola Zaninotto, Anja Heilmann, Anne Peasey, Georgios Tsakos

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Egle PetrauskieneDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-2368-6637
Paola ZaninottoDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0003-3036-0499
Anja HeilmannDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-8188-5087
Anne PeaseyDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0001-7434-2079
Georgios TsakosDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-5086-235X

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
Economic and Social Research CouncilMedical Research Council MR/N013867/1National Institute for Health ResearchNIA NIH HHS R01AG017644
6 · The paper itself

Abstract

objectivesThis study aimed to assess longitudinal associations between oral health and incident frailty, assessed by a multidimensional frailty index, in a national sample of older adults in England with participant mortality and drop out considered as competing risks.

methodsA nationally representative sample of adults aged ≥ 50 from the English Longitudinal Study of Ageing (ELSA) was analysed. Oral health was assessed using edentulousness, self-rated oral health and the Oral Impacts on Daily Performances (OIDP) measures. Frailty was evaluated with the Rockwood frailty index. Competing risks regression models assessed the association between oral health at Wave 3 (2006/7) and incident frailty up to Wave 9 (2018/19), sequentially adjusting for demographic characteristics, socioeconomic factors and smoking, and accounting for participants' mortality and dropout.

resultsOf 5760 non-frail respondents at baseline, 1395 (24.2%) became frail during the 13-years follow-up. Edentate males had 1.40 (1.12-1.76) times higher risk of incident frailty than dentate males, whereas the association was not significant among females. Respondents with fair or poor self-rated oral health had 1.48 (1.29-1.70) times and those that reported oral impacts had 1.85 (1.54-2.21) times higher risk of incident frailty than those reporting better oral health and no oral impacts respectively. Oral impacts on functional aspects (i.e., difficulties eating and speaking) were associated with increased incident frailty risk.

conclusionsPoor oral health can serve as a 'canary in the coal mine' and act as an early marker of frailty development among older adults in England. Future research should investigate whether public health strategies, such as oral health promotion and disease prevention, can help reduce the risk of frailty in later life.

Indexed as

Frail ElderlyFrailtyOral HealthAgedAged, 80 and overEnglandFemaleFollow-Up StudiesGeriatric AssessmentHealth StatusHumansIncidenceLongitudinal StudiesMaleMiddle AgedRisk Factorsagedfrailtylongitudinal studiesoral healthquality of life

Identifiers

PMID41918268
PMCPMC13669801

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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.