Association of Tooth Loss With Development of Swallowing Problems in Community-Dwelling Independent Elderly Population: The Fujiwara-kyo Study.

Bibliographic Details
Title: Association of Tooth Loss With Development of Swallowing Problems in Community-Dwelling Independent Elderly Population: The Fujiwara-kyo Study.
Authors: Nozomi Okamoto, Masayuki Morikawa, Motokazu Yanagi, Nobuko Amano, Kimiko Tomioka, Kan Hazaki, Akihiro Harano, Norio Kurumatani, Okamoto, Nozomi, Morikawa, Masayuki, Yanagi, Motokazu, Amano, Nobuko, Tomioka, Kimiko, Hazaki, Kan, Harano, Akihiro, Kurumatani, Norio
Source: Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Dec2015, Vol. 70 Issue 12, p1548-1554, 7p, 1 Diagram, 3 Charts, 1 Graph
Subject Terms: TOOTH loss, DEGLUTITION disorders, MOUTH anatomy, OLDER people, COHORT analysis, FOLLOW-up studies (Medicine), CONFOUNDING variables, LOGISTIC regression analysis, LONGITUDINAL method, INDEPENDENT living, DISEASE complications
Geographic Terms: JAPAN
Abstract: Background: Tooth loss induces changes to the anatomy of the oral cavity. We hypothesized that tooth loss may disturb smooth swallowing in healthy elderly people. The purpose of this study was to investigate the effect of tooth loss on the development of swallowing problems in an independent elderly population.Methods: This was a 5-year prospective cohort study conducted in Nara, Japan. Included in this analysis were 1,988 community residents aged 65 years or older without swallowing problems at baseline. The participants were classified into quartile groups according to the number of remaining teeth at the baseline survey: 0-12, 13-22, 23-26, and 27-32 teeth. A decrease in the number of teeth during the survey was calculated by subtracting follow-up number from baseline number. Main outcome was the development of swallowing problems at follow-up.Results: During follow-up, 312 individuals developed swallowing problems. After adjustment for confounding factors by multiple logistic regression analysis, the odds ratios for developing swallowing problems in participants with 13-22 or 0-12 teeth were 2.42 (95% confidence interval [CI], 1.61-3.63) and 2.49 (95% CI, 1.68-3.69), respectively, compared to participants with 27-32 teeth, demonstrating a significant relationship. The odds ratio of per 1 tooth decrease over 5 years was 1.08 (95% CI, 1.02-1.13), showing a significant association.Conclusions: Swallowing problems due to aging are more likely to develop in individuals with fewer teeth. [ABSTRACT FROM AUTHOR]
Copyright of Journals of Gerontology Series A: Biological Sciences & Medical Sciences is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Association of Tooth Loss With Development of Swallowing Problems in Community-Dwelling Independent Elderly Population: The Fujiwara-kyo Study.
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Nozomi+Okamoto%22">Nozomi Okamoto</searchLink><br /><searchLink fieldCode="AR" term="%22Masayuki+Morikawa%22">Masayuki Morikawa</searchLink><br /><searchLink fieldCode="AR" term="%22Motokazu+Yanagi%22">Motokazu Yanagi</searchLink><br /><searchLink fieldCode="AR" term="%22Nobuko+Amano%22">Nobuko Amano</searchLink><br /><searchLink fieldCode="AR" term="%22Kimiko+Tomioka%22">Kimiko Tomioka</searchLink><br /><searchLink fieldCode="AR" term="%22Kan+Hazaki%22">Kan Hazaki</searchLink><br /><searchLink fieldCode="AR" term="%22Akihiro+Harano%22">Akihiro Harano</searchLink><br /><searchLink fieldCode="AR" term="%22Norio+Kurumatani%22">Norio Kurumatani</searchLink><br /><searchLink fieldCode="AR" term="%22Okamoto%2C+Nozomi%22">Okamoto, Nozomi</searchLink><br /><searchLink fieldCode="AR" term="%22Morikawa%2C+Masayuki%22">Morikawa, Masayuki</searchLink><br /><searchLink fieldCode="AR" term="%22Yanagi%2C+Motokazu%22">Yanagi, Motokazu</searchLink><br /><searchLink fieldCode="AR" term="%22Amano%2C+Nobuko%22">Amano, Nobuko</searchLink><br /><searchLink fieldCode="AR" term="%22Tomioka%2C+Kimiko%22">Tomioka, Kimiko</searchLink><br /><searchLink fieldCode="AR" term="%22Hazaki%2C+Kan%22">Hazaki, Kan</searchLink><br /><searchLink fieldCode="AR" term="%22Harano%2C+Akihiro%22">Harano, Akihiro</searchLink><br /><searchLink fieldCode="AR" term="%22Kurumatani%2C+Norio%22">Kurumatani, Norio</searchLink>
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  Data: Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Dec2015, Vol. 70 Issue 12, p1548-1554, 7p, 1 Diagram, 3 Charts, 1 Graph
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  Data: <searchLink fieldCode="DE" term="%22TOOTH+loss%22">TOOTH loss</searchLink><br /><searchLink fieldCode="DE" term="%22DEGLUTITION+disorders%22">DEGLUTITION disorders</searchLink><br /><searchLink fieldCode="DE" term="%22MOUTH+anatomy%22">MOUTH anatomy</searchLink><br /><searchLink fieldCode="DE" term="%22OLDER+people%22">OLDER people</searchLink><br /><searchLink fieldCode="DE" term="%22COHORT+analysis%22">COHORT analysis</searchLink><br /><searchLink fieldCode="DE" term="%22FOLLOW-up+studies+%28Medicine%29%22">FOLLOW-up studies (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22CONFOUNDING+variables%22">CONFOUNDING variables</searchLink><br /><searchLink fieldCode="DE" term="%22LOGISTIC+regression+analysis%22">LOGISTIC regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22LONGITUDINAL+method%22">LONGITUDINAL method</searchLink><br /><searchLink fieldCode="DE" term="%22INDEPENDENT+living%22">INDEPENDENT living</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+complications%22">DISEASE complications</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22JAPAN%22">JAPAN</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Background: </bold>Tooth loss induces changes to the anatomy of the oral cavity. We hypothesized that tooth loss may disturb smooth swallowing in healthy elderly people. The purpose of this study was to investigate the effect of tooth loss on the development of swallowing problems in an independent elderly population.<bold>Methods: </bold>This was a 5-year prospective cohort study conducted in Nara, Japan. Included in this analysis were 1,988 community residents aged 65 years or older without swallowing problems at baseline. The participants were classified into quartile groups according to the number of remaining teeth at the baseline survey: 0-12, 13-22, 23-26, and 27-32 teeth. A decrease in the number of teeth during the survey was calculated by subtracting follow-up number from baseline number. Main outcome was the development of swallowing problems at follow-up.<bold>Results: </bold>During follow-up, 312 individuals developed swallowing problems. After adjustment for confounding factors by multiple logistic regression analysis, the odds ratios for developing swallowing problems in participants with 13-22 or 0-12 teeth were 2.42 (95% confidence interval [CI], 1.61-3.63) and 2.49 (95% CI, 1.68-3.69), respectively, compared to participants with 27-32 teeth, demonstrating a significant relationship. The odds ratio of per 1 tooth decrease over 5 years was 1.08 (95% CI, 1.02-1.13), showing a significant association.<bold>Conclusions: </bold>Swallowing problems due to aging are more likely to develop in individuals with fewer teeth. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Journals of Gerontology Series A: Biological Sciences & Medical Sciences is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1093/gerona/glv116
    Languages:
      – Code: eng
        Text: English
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        PageCount: 7
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        Type: general
      – SubjectFull: TOOTH loss
        Type: general
      – SubjectFull: DEGLUTITION disorders
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      – SubjectFull: MOUTH anatomy
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      – SubjectFull: OLDER people
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      – SubjectFull: COHORT analysis
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      – SubjectFull: FOLLOW-up studies (Medicine)
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      – SubjectFull: CONFOUNDING variables
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      – SubjectFull: LOGISTIC regression analysis
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      – SubjectFull: LONGITUDINAL method
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      – SubjectFull: INDEPENDENT living
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      – SubjectFull: DISEASE complications
        Type: general
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      – TitleFull: Association of Tooth Loss With Development of Swallowing Problems in Community-Dwelling Independent Elderly Population: The Fujiwara-kyo Study.
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