Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults

Johanna de Almeida Mello, Trung Dung Tran, Stefanie Krausch-Hofmann, Brigette Meehan, Hein van Hout, Luke Turcotte, Henriette G. van der Roest, Vjenka Garms-Homolová, P. lmi Jónsson, Graziano Onder, Harriet Finne-Soveri, Jan de Lepeleire, Dominique Declerck, Emmanuel Lesaffre, Joke Duyck, Anja Declercq

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: Oral health is known to be associated with general health, but longitudinal relationships between oral health and general health indicators have not yet been fully explored in international research. Setting and participants: The sample consisted of 3 longitudinal databases: a sample from Belgium from the Protocol 3 project (n = 8359), a combined sample from 6 European countries (n = 2501) from the IBenC study (Belgium, Finland, Iceland, Germany, Italy, and the Netherlands), and a sample from New Zealand (n = 15,012). All clients were 65 years or older and received long-term home care services. Methods: Bayesian models were used to analyze the associations between 3 oral health indicators (chewing difficulty, nonintact teeth, and dry mouth) and 4 aspects of general health (activities of daily living functioning, cognition, depression, and health instability). In addition, the models explored the associations between current oral health and general health status and future oral health and general health status. Results: Clients who had poorer oral health had a higher risk of suffering from poor general health. Especially chewing difficulty was associated with all general health indicators in all data sets (odds ratios > 1). Dry mouth and nonintact teeth showed significant associations with almost all general health indicators. Additionally, having poor oral health (respectively general health) was predictive of poor general health (respectively oral health) at future assessments (significant cross-lagged parameters). Conclusions/Implications: The results point out the need of the inclusion of oral health assessment and advice from dentists or oral health practitioners into the multidisciplinary conversation. In addition, identifying older people with oral health problems is essential in order to provide treatment and monitoring. Raising awareness for oral health is important, and policy makers should foster oral health promotion and care for older adults in order to keep them in good health.
Original languageEnglish
JournalJournal of the American Medical Directors Association
DOIs
Publication statusPublished - 2019

Cite this

de Almeida Mello, Johanna ; Tran, Trung Dung ; Krausch-Hofmann, Stefanie ; Meehan, Brigette ; van Hout, Hein ; Turcotte, Luke ; van der Roest, Henriette G. ; Garms-Homolová, Vjenka ; Jónsson, P. lmi ; Onder, Graziano ; Finne-Soveri, Harriet ; de Lepeleire, Jan ; Declerck, Dominique ; Lesaffre, Emmanuel ; Duyck, Joke ; Declercq, Anja. / Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults. In: Journal of the American Medical Directors Association. 2019.
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title = "Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults",
abstract = "Objective: Oral health is known to be associated with general health, but longitudinal relationships between oral health and general health indicators have not yet been fully explored in international research. Setting and participants: The sample consisted of 3 longitudinal databases: a sample from Belgium from the Protocol 3 project (n = 8359), a combined sample from 6 European countries (n = 2501) from the IBenC study (Belgium, Finland, Iceland, Germany, Italy, and the Netherlands), and a sample from New Zealand (n = 15,012). All clients were 65 years or older and received long-term home care services. Methods: Bayesian models were used to analyze the associations between 3 oral health indicators (chewing difficulty, nonintact teeth, and dry mouth) and 4 aspects of general health (activities of daily living functioning, cognition, depression, and health instability). In addition, the models explored the associations between current oral health and general health status and future oral health and general health status. Results: Clients who had poorer oral health had a higher risk of suffering from poor general health. Especially chewing difficulty was associated with all general health indicators in all data sets (odds ratios > 1). Dry mouth and nonintact teeth showed significant associations with almost all general health indicators. Additionally, having poor oral health (respectively general health) was predictive of poor general health (respectively oral health) at future assessments (significant cross-lagged parameters). Conclusions/Implications: The results point out the need of the inclusion of oral health assessment and advice from dentists or oral health practitioners into the multidisciplinary conversation. In addition, identifying older people with oral health problems is essential in order to provide treatment and monitoring. Raising awareness for oral health is important, and policy makers should foster oral health promotion and care for older adults in order to keep them in good health.",
author = "{de Almeida Mello}, Johanna and Tran, {Trung Dung} and Stefanie Krausch-Hofmann and Brigette Meehan and {van Hout}, Hein and Luke Turcotte and {van der Roest}, {Henriette G.} and Vjenka Garms-Homolov{\'a} and J{\'o}nsson, {P. lmi} and Graziano Onder and Harriet Finne-Soveri and {de Lepeleire}, Jan and Dominique Declerck and Emmanuel Lesaffre and Joke Duyck and Anja Declercq",
year = "2019",
doi = "10.1016/j.jamda.2019.02.020",
language = "English",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
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de Almeida Mello, J, Tran, TD, Krausch-Hofmann, S, Meehan, B, van Hout, H, Turcotte, L, van der Roest, HG, Garms-Homolová, V, Jónsson, PL, Onder, G, Finne-Soveri, H, de Lepeleire, J, Declerck, D, Lesaffre, E, Duyck, J & Declercq, A 2019, 'Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults' Journal of the American Medical Directors Association. https://doi.org/10.1016/j.jamda.2019.02.020

Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults. / de Almeida Mello, Johanna; Tran, Trung Dung; Krausch-Hofmann, Stefanie; Meehan, Brigette; van Hout, Hein; Turcotte, Luke; van der Roest, Henriette G.; Garms-Homolová, Vjenka; Jónsson, P. lmi; Onder, Graziano; Finne-Soveri, Harriet; de Lepeleire, Jan; Declerck, Dominique; Lesaffre, Emmanuel; Duyck, Joke; Declercq, Anja.

In: Journal of the American Medical Directors Association, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Cross-Country Validation of the Association Between Oral Health and General Health in Community-Dwelling Older Adults

AU - de Almeida Mello, Johanna

AU - Tran, Trung Dung

AU - Krausch-Hofmann, Stefanie

AU - Meehan, Brigette

AU - van Hout, Hein

AU - Turcotte, Luke

AU - van der Roest, Henriette G.

AU - Garms-Homolová, Vjenka

AU - Jónsson, P. lmi

AU - Onder, Graziano

AU - Finne-Soveri, Harriet

AU - de Lepeleire, Jan

AU - Declerck, Dominique

AU - Lesaffre, Emmanuel

AU - Duyck, Joke

AU - Declercq, Anja

PY - 2019

Y1 - 2019

N2 - Objective: Oral health is known to be associated with general health, but longitudinal relationships between oral health and general health indicators have not yet been fully explored in international research. Setting and participants: The sample consisted of 3 longitudinal databases: a sample from Belgium from the Protocol 3 project (n = 8359), a combined sample from 6 European countries (n = 2501) from the IBenC study (Belgium, Finland, Iceland, Germany, Italy, and the Netherlands), and a sample from New Zealand (n = 15,012). All clients were 65 years or older and received long-term home care services. Methods: Bayesian models were used to analyze the associations between 3 oral health indicators (chewing difficulty, nonintact teeth, and dry mouth) and 4 aspects of general health (activities of daily living functioning, cognition, depression, and health instability). In addition, the models explored the associations between current oral health and general health status and future oral health and general health status. Results: Clients who had poorer oral health had a higher risk of suffering from poor general health. Especially chewing difficulty was associated with all general health indicators in all data sets (odds ratios > 1). Dry mouth and nonintact teeth showed significant associations with almost all general health indicators. Additionally, having poor oral health (respectively general health) was predictive of poor general health (respectively oral health) at future assessments (significant cross-lagged parameters). Conclusions/Implications: The results point out the need of the inclusion of oral health assessment and advice from dentists or oral health practitioners into the multidisciplinary conversation. In addition, identifying older people with oral health problems is essential in order to provide treatment and monitoring. Raising awareness for oral health is important, and policy makers should foster oral health promotion and care for older adults in order to keep them in good health.

AB - Objective: Oral health is known to be associated with general health, but longitudinal relationships between oral health and general health indicators have not yet been fully explored in international research. Setting and participants: The sample consisted of 3 longitudinal databases: a sample from Belgium from the Protocol 3 project (n = 8359), a combined sample from 6 European countries (n = 2501) from the IBenC study (Belgium, Finland, Iceland, Germany, Italy, and the Netherlands), and a sample from New Zealand (n = 15,012). All clients were 65 years or older and received long-term home care services. Methods: Bayesian models were used to analyze the associations between 3 oral health indicators (chewing difficulty, nonintact teeth, and dry mouth) and 4 aspects of general health (activities of daily living functioning, cognition, depression, and health instability). In addition, the models explored the associations between current oral health and general health status and future oral health and general health status. Results: Clients who had poorer oral health had a higher risk of suffering from poor general health. Especially chewing difficulty was associated with all general health indicators in all data sets (odds ratios > 1). Dry mouth and nonintact teeth showed significant associations with almost all general health indicators. Additionally, having poor oral health (respectively general health) was predictive of poor general health (respectively oral health) at future assessments (significant cross-lagged parameters). Conclusions/Implications: The results point out the need of the inclusion of oral health assessment and advice from dentists or oral health practitioners into the multidisciplinary conversation. In addition, identifying older people with oral health problems is essential in order to provide treatment and monitoring. Raising awareness for oral health is important, and policy makers should foster oral health promotion and care for older adults in order to keep them in good health.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/30979677

U2 - 10.1016/j.jamda.2019.02.020

DO - 10.1016/j.jamda.2019.02.020

M3 - Article

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

ER -