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BMC Geriatrics
Published in: BMC Geriatrics 1/2022

Open Access 01-12-2022 | Type 2 Diabetes | Research

Influence of oral health on frailty in patients with type 2 diabetes aged 75 years or older

Authors: Masaki Ishii, Yasuhiro Yamaguchi, Hironobu Hamaya, Yuko Iwata, Kazufumi Takada, Sumito Ogawa, Mitsuo Imura, Masahiro Akishita

Published in: BMC Geriatrics | Issue 1/2022

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Abstract

Background

Poor oral health conditions are known to affect frailty in the older adults. Diabetes is a risk factor for both poor oral health and frailty, therefore, oral health status may affect frailty in diabetic patients more than in the general population. The purpose of this study was to evaluate the influence of oral health and other factors on frailty and the relationship among oral health, diabetes and frailty in older adult patients with type 2 diabetes.

Methods

Patients with type 2 diabetes aged 75 years or older were included in this cross-sectional study. Eligible patients were surveyed by questionnaire for frailty, oral health status, and cognitive and living functions. Factors influencing pre-frailty, frailty, and individual frailty screening index (FSI) classes were evaluated.

Results

Of the 111 patients analyzed, 66 cases (59.5%) were categorized as robust, 33 cases (29.7%) as pre-frailty, and 12 cases (10.8%) as frailty. The oral frailty index, the cognitive and living functions score, and BMI were found to be factors influencing pre-frailty or frailty. In the evaluation of individual FSI classes, BMI had an influence on those with a FSI ≤2. The cognitive and living functions score was a factor influencing those with FSI ≤3. The oral frailty index was found to have a significant influence on all FSI classes.

Conclusions

Poor oral health has an influence on frailty in patients with type 2 diabetes aged ≥75. In this patient population, as frailty progresses, the impact of oral health on frailty may increase.

Trial registration:

This study was retrospectively registered in UMIN-CTR (UMIN000044227).
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Metadata
Title
Influence of oral health on frailty in patients with type 2 diabetes aged 75 years or older
Authors
Masaki Ishii
Yasuhiro Yamaguchi
Hironobu Hamaya
Yuko Iwata
Kazufumi Takada
Sumito Ogawa
Mitsuo Imura
Masahiro Akishita
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Type 2 Diabetes
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-02841-x

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