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Oral Health Symptoms and Cognitive Function Among US Community-Dwelling Chinese Older Adults.
J Am Geriatr Soc 2019; 67(S3):S532-S537JA

Abstract

BACKGROUND/OBJECTIVES

Limited research is available on the relationship between oral health symptoms and cognitive function among community-dwelling US Chinese older adults. The purpose of this study was to examine the associations between tooth/gum symptoms and changes in cognitive function.

DESIGN

Two-wave epidemiological study.

SETTING

Population Study of Chinese Elderly in Chicago (PINE).

PARTICIPANTS

US Chinese older adults (N = 2713; mean age = 72.6 y; 58.4% women).

MEASUREMENTS

We selected self-reported oral (tooth and gum) symptoms as independent variables. To examine changes in cognitive function (wave 2: Baseline), we chose the following three domains: episodic memory (East Boston Memory Test); executive function (Symbol Digit Modalities Test); and working memory (Digit Span Backwards). In addition, we assessed global cognitive function by constructing a composite measure.

RESULTS

At baseline, 1297 participants (47.8%) reported having teeth symptoms, and 513 participants (18.9%) reported having gum symptoms. Adjusting for sociodemographic and health-related characteristics, participants who reported having teeth symptoms at baseline experienced their global cognition decrease by 0.07 units (estimate = -0.07; p = .003) and their episodic memory decrease by 0.07 units (estimate = -0.07; p = .026). Participants who reported having teeth symptoms at baseline experienced a faster rate of decline in global cognition for every additional year (estimate = 0.02; p = .047). However, this effect disappeared once we adjusted for all covariates (estimate = 0.02; p = .069). We found no significant relationship between baseline gum symptoms and change of cognitive function.

CONCLUSION

Having teeth symptoms was associated with a decline in cognitive function among US Chinese older adults. Developing policy measures aimed at ameliorating health and improving cognition in this high-risk fast-growing population in the United States would need to include oral health preventive and dental care services. J Am Geriatr Soc 67:S532-S537, 2019.

Authors+Show Affiliations

New York University Rory Meyers College of Nursing, New York, New York.New York University Rory Meyers College of Nursing, New York, New York. New York University Aging Incubator, New York, New York; Hartford Institute for Geriatric Nursing, New York University, New York, New York.School of Social Work, University of Nevada, Reno, Reno, Nevada.Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31403196

Citation

Petrovsky, Darina V., et al. "Oral Health Symptoms and Cognitive Function Among US Community-Dwelling Chinese Older Adults." Journal of the American Geriatrics Society, vol. 67, no. S3, 2019, pp. S532-S537.
Petrovsky DV, Wu B, Mao W, et al. Oral Health Symptoms and Cognitive Function Among US Community-Dwelling Chinese Older Adults. J Am Geriatr Soc. 2019;67(S3):S532-S537.
Petrovsky, D. V., Wu, B., Mao, W., & Dong, X. (2019). Oral Health Symptoms and Cognitive Function Among US Community-Dwelling Chinese Older Adults. Journal of the American Geriatrics Society, 67(S3), pp. S532-S537. doi:10.1111/jgs.15748.
Petrovsky DV, et al. Oral Health Symptoms and Cognitive Function Among US Community-Dwelling Chinese Older Adults. J Am Geriatr Soc. 2019;67(S3):S532-S537. PubMed PMID: 31403196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Oral Health Symptoms and Cognitive Function Among US Community-Dwelling Chinese Older Adults. AU - Petrovsky,Darina V, AU - Wu,Bei, AU - Mao,Weiyu, AU - Dong,XinQi, PY - 2018/09/13/received PY - 2018/12/18/revised PY - 2018/12/19/accepted PY - 2019/8/13/entrez PY - 2019/8/14/pubmed PY - 2019/8/14/medline KW - Chinese KW - cognition KW - cognitive change KW - older adults KW - oral health SP - S532 EP - S537 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 67 IS - S3 N2 - BACKGROUND/OBJECTIVES: Limited research is available on the relationship between oral health symptoms and cognitive function among community-dwelling US Chinese older adults. The purpose of this study was to examine the associations between tooth/gum symptoms and changes in cognitive function. DESIGN: Two-wave epidemiological study. SETTING: Population Study of Chinese Elderly in Chicago (PINE). PARTICIPANTS: US Chinese older adults (N = 2713; mean age = 72.6 y; 58.4% women). MEASUREMENTS: We selected self-reported oral (tooth and gum) symptoms as independent variables. To examine changes in cognitive function (wave 2: Baseline), we chose the following three domains: episodic memory (East Boston Memory Test); executive function (Symbol Digit Modalities Test); and working memory (Digit Span Backwards). In addition, we assessed global cognitive function by constructing a composite measure. RESULTS: At baseline, 1297 participants (47.8%) reported having teeth symptoms, and 513 participants (18.9%) reported having gum symptoms. Adjusting for sociodemographic and health-related characteristics, participants who reported having teeth symptoms at baseline experienced their global cognition decrease by 0.07 units (estimate = -0.07; p = .003) and their episodic memory decrease by 0.07 units (estimate = -0.07; p = .026). Participants who reported having teeth symptoms at baseline experienced a faster rate of decline in global cognition for every additional year (estimate = 0.02; p = .047). However, this effect disappeared once we adjusted for all covariates (estimate = 0.02; p = .069). We found no significant relationship between baseline gum symptoms and change of cognitive function. CONCLUSION: Having teeth symptoms was associated with a decline in cognitive function among US Chinese older adults. Developing policy measures aimed at ameliorating health and improving cognition in this high-risk fast-growing population in the United States would need to include oral health preventive and dental care services. J Am Geriatr Soc 67:S532-S537, 2019. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/31403196/Oral_Health_Symptoms_and_Cognitive_Function_Among_US_Community_Dwelling_Chinese_Older_Adults_ L2 - https://doi.org/10.1111/jgs.15748 DB - PRIME DP - Unbound Medicine ER -