Tooth Loss as a Predictor of Long-Term Care Requirements in the Elderly: A Study in Kobe City, Japan

Introduction: The Kobe project, which utilizes prospective data from the national health insurance system, focuses on early detection and preventive strategies through the Frail Kenshin health check-up program. Previous research has underscored the correlation between tooth loss and the decline in p...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e49851-e49851
Hauptverfasser: Kakei, Yasumasa, Kagimura, Tatsuo, Yamamoto, Yasuji, Osaki, Tohmi, Kajita, Hiroyuki, Kojima, Shinsuke, Kowa, Hisatomo, Kawabata, Miyuki, Hasegawa, Takumi, Akashi, Masaya, Nagai, Yoji
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container_title Curēus (Palo Alto, CA)
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creator Kakei, Yasumasa
Kagimura, Tatsuo
Yamamoto, Yasuji
Osaki, Tohmi
Kajita, Hiroyuki
Kojima, Shinsuke
Kowa, Hisatomo
Kawabata, Miyuki
Hasegawa, Takumi
Akashi, Masaya
Nagai, Yoji
description Introduction: The Kobe project, which utilizes prospective data from the national health insurance system, focuses on early detection and preventive strategies through the Frail Kenshin health check-up program. Previous research has underscored the correlation between tooth loss and the decline in physical and cognitive functions. In this study, using Kobe project data, we examined the link between remaining teeth and long-term care needs in individuals aged 64-65 years, with primary and secondary objectives involving various health parameters and quality of life.Methods: We analyzed baseline data from a prospective study conducted alongside the Frail Check program for generally healthy individuals aged 64-65 years to examine the relationship between the number of remaining teeth and various health indicators. This study focused on citizens aged 64-65 years to identify those at risk of needing long-term care by the age of 65 years.Results: Data from 1,530 participants were obtained, excluding eight individuals for specific reasons. At the end of the follow-up period, 41 (2.7%) individuals required support and 15 (1.0%) needed long-term care alone. The data revealed a significant association between the number of remaining teeth and the need for long-term care or support, as demonstrated by the Cochran-Armitage trend test (p
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Previous research has underscored the correlation between tooth loss and the decline in physical and cognitive functions. In this study, using Kobe project data, we examined the link between remaining teeth and long-term care needs in individuals aged 64-65 years, with primary and secondary objectives involving various health parameters and quality of life.Methods: We analyzed baseline data from a prospective study conducted alongside the Frail Check program for generally healthy individuals aged 64-65 years to examine the relationship between the number of remaining teeth and various health indicators. This study focused on citizens aged 64-65 years to identify those at risk of needing long-term care by the age of 65 years.Results: Data from 1,530 participants were obtained, excluding eight individuals for specific reasons. At the end of the follow-up period, 41 (2.7%) individuals required support and 15 (1.0%) needed long-term care alone. The data revealed a significant association between the number of remaining teeth and the need for long-term care or support, as demonstrated by the Cochran-Armitage trend test (p&lt;0.001).Although trends were noted for nutrition and total Cognitive Functional Instrument Self scores, they did not reach statistical significance. Additionally, a decrease in the number of remaining teeth was significantly associated with worse European Quality of Life Five Dimensions (EQ-5D-5L) visual analog scale scores, mobility, and regular activities (p&lt;0.001).Conclusion: Tooth loss indicates the potential long-term care needs of older adults. Monitoring oral health is crucial for addressing care requirements.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.49851</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Activities of daily living ; Certification ; Cognitive ability ; Frailty ; Geriatrics ; Long term health care ; Older people ; Quality of life ; Questionnaires ; Teeth</subject><ispartof>Curēus (Palo Alto, CA), 2023-12, Vol.15 (12), p.e49851-e49851</ispartof><rights>Copyright © 2023, Kakei et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Kakei et al. 2023 Kakei et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c321t-e16a8cb1676d911f5266b10860f1eb1040ea50806f164c04f336cf69feeb4f903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693673/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693673/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids></links><search><creatorcontrib>Kakei, Yasumasa</creatorcontrib><creatorcontrib>Kagimura, Tatsuo</creatorcontrib><creatorcontrib>Yamamoto, Yasuji</creatorcontrib><creatorcontrib>Osaki, Tohmi</creatorcontrib><creatorcontrib>Kajita, Hiroyuki</creatorcontrib><creatorcontrib>Kojima, Shinsuke</creatorcontrib><creatorcontrib>Kowa, Hisatomo</creatorcontrib><creatorcontrib>Kawabata, Miyuki</creatorcontrib><creatorcontrib>Hasegawa, Takumi</creatorcontrib><creatorcontrib>Akashi, Masaya</creatorcontrib><creatorcontrib>Nagai, Yoji</creatorcontrib><title>Tooth Loss as a Predictor of Long-Term Care Requirements in the Elderly: A Study in Kobe City, Japan</title><title>Curēus (Palo Alto, CA)</title><description>Introduction: The Kobe project, which utilizes prospective data from the national health insurance system, focuses on early detection and preventive strategies through the Frail Kenshin health check-up program. 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The data revealed a significant association between the number of remaining teeth and the need for long-term care or support, as demonstrated by the Cochran-Armitage trend test (p&lt;0.001).Although trends were noted for nutrition and total Cognitive Functional Instrument Self scores, they did not reach statistical significance. Additionally, a decrease in the number of remaining teeth was significantly associated with worse European Quality of Life Five Dimensions (EQ-5D-5L) visual analog scale scores, mobility, and regular activities (p&lt;0.001).Conclusion: Tooth loss indicates the potential long-term care needs of older adults. 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Kagimura, Tatsuo ; Yamamoto, Yasuji ; Osaki, Tohmi ; Kajita, Hiroyuki ; Kojima, Shinsuke ; Kowa, Hisatomo ; Kawabata, Miyuki ; Hasegawa, Takumi ; Akashi, Masaya ; Nagai, Yoji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c321t-e16a8cb1676d911f5266b10860f1eb1040ea50806f164c04f336cf69feeb4f903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of daily living</topic><topic>Certification</topic><topic>Cognitive ability</topic><topic>Frailty</topic><topic>Geriatrics</topic><topic>Long term health care</topic><topic>Older people</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kakei, Yasumasa</creatorcontrib><creatorcontrib>Kagimura, Tatsuo</creatorcontrib><creatorcontrib>Yamamoto, Yasuji</creatorcontrib><creatorcontrib>Osaki, Tohmi</creatorcontrib><creatorcontrib>Kajita, Hiroyuki</creatorcontrib><creatorcontrib>Kojima, Shinsuke</creatorcontrib><creatorcontrib>Kowa, Hisatomo</creatorcontrib><creatorcontrib>Kawabata, Miyuki</creatorcontrib><creatorcontrib>Hasegawa, Takumi</creatorcontrib><creatorcontrib>Akashi, Masaya</creatorcontrib><creatorcontrib>Nagai, Yoji</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Previous research has underscored the correlation between tooth loss and the decline in physical and cognitive functions. In this study, using Kobe project data, we examined the link between remaining teeth and long-term care needs in individuals aged 64-65 years, with primary and secondary objectives involving various health parameters and quality of life.Methods: We analyzed baseline data from a prospective study conducted alongside the Frail Check program for generally healthy individuals aged 64-65 years to examine the relationship between the number of remaining teeth and various health indicators. This study focused on citizens aged 64-65 years to identify those at risk of needing long-term care by the age of 65 years.Results: Data from 1,530 participants were obtained, excluding eight individuals for specific reasons. At the end of the follow-up period, 41 (2.7%) individuals required support and 15 (1.0%) needed long-term care alone. The data revealed a significant association between the number of remaining teeth and the need for long-term care or support, as demonstrated by the Cochran-Armitage trend test (p&lt;0.001).Although trends were noted for nutrition and total Cognitive Functional Instrument Self scores, they did not reach statistical significance. Additionally, a decrease in the number of remaining teeth was significantly associated with worse European Quality of Life Five Dimensions (EQ-5D-5L) visual analog scale scores, mobility, and regular activities (p&lt;0.001).Conclusion: Tooth loss indicates the potential long-term care needs of older adults. Monitoring oral health is crucial for addressing care requirements.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.49851</doi><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Certification
Cognitive ability
Frailty
Geriatrics
Long term health care
Older people
Quality of life
Questionnaires
Teeth
title Tooth Loss as a Predictor of Long-Term Care Requirements in the Elderly: A Study in Kobe City, Japan
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