Evidence map›Paper›PMID 42026557›Full record

ArticleBMC oral health2026

A nationwide study on oral frailty among community-dwelling older adults in Thailand: insights from the OF-5 screening tool.

Patcharaphol Samnieng, Ariya Chantaramanee, Jarassri Srinarupat, Kornkamol Niyomsilp, Damrong Thamrongloahaphan

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Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Patcharaphol SamniengPreventive Dentistry Department, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand. patcharaphols@yahoo.com.
Ariya ChantaramaneePreventive Dentistry Department, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand.
Jarassri SrinarupatBureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Kornkamol NiyomsilpBureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand.
Damrong ThamrongloahaphanBureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral frailty, a decline in oral function, is increasingly recognized as a marker of general frailty and adverse outcomes in older adults. However, nationwide data in Thailand are limited. This study aimed to determine the prevalence of oral frailty among community-dwelling older adults in Thailand and to explore demographic factors associated with the condition using the validated Thai version of the Oral Frailty Five-Item (OF-5) screening tool.

methodsA cross-sectional survey was conducted among 507 adults aged ≥ 60 years, using proportional sampling from five major regions: North, Northeast, Central, South, and the Bangkok Metropolitan Region. Oral frailty was assessed using the OF-5 questionnaire, which includes five indicators: tooth loss, chewing difficulty, swallowing difficulty, dry mouth, and reduced articulatory oral motor skills. Participants scoring ≥ 2 were classified as having oral frailty. Logistic regression was performed to identify demographic factors associated with the condition.

resultsOverall, 63.5% of participants were classified as having oral frailty. Prevalence increased significantly with age, from 40.0% in those aged 60–65 to 79.4% in the 76–80 age group (p < 0.001). Sex and residential setting (urban/rural) were not significantly associated with oral frailty. However, regional differences were observed: participants from the Northern region had significantly higher odds of oral frailty compared to those from the Central region (OR = 2.45; 95% CI: 1.21–4.95; p = 0.013). Age was the strongest predictor of oral frailty, particularly in individuals aged 76–80 (OR = 5.81; 95% CI: 3.24–10.43; p < 0.001) and over 80 (OR = 4.85; 95% CI: 2.62–8.97; p < 0.001).

conclusionsThis study reveals a high prevalence of oral frailty among older adults in Thailand, especially in advanced age groups. The findings highlight the need for region-specific and age-targeted oral health interventions. Incorporating validated tools like the OF-5 into community health programs may support early detection and prevention strategies for oral frailty.

Indexed as

Frail ElderlyFrailtyOral HealthAgedAged, 80 and overCross-Sectional StudiesFemaleHumansIndependent LivingMaleMiddle AgedPrevalenceSurveys and QuestionnairesThailandAgingCommunity-based studyOF-5Older adultsOral frailtyOral healthPrevalenceThailand

Identifiers

PMID42026557
PMCPMC13270819

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LicenceCC BY-NC-ND
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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.