Relationship between Fried's frailty phenotype and oral frailty in long-term care residents.
Age Ageing. 2021 Nov 10; 50(6):2133-2139.AA

Abstract

BACKGROUND

oral frailty (OFr) may be called a syndrome lacking a consensus on its definition.

OBJECTIVE

the aim was to prove the relationship between OFr to the phenotype of frailty, general health and nutrition in long-term care.

DESIGN

the FINnish ORAL Health Study in Long-Term Care study is a cross-sectional clinical research comprising findings on oral and general health and nutrition.

SETTING

participants were divided into groups according to the number of OFr signs: Group 1 (0-1 sign), Group 2 (2-4 signs) and Group 3 (5-6 signs).

SUBJECTS

the study includes data on 349 older residents of long-term care facilities in Helsinki, Finland.

METHODS

frailty status was defined according to Fried's frailty phenotype. OFr was evaluated with six signs: dry mouth, diet of pureed or soft food, residue of food on oral surfaces, unclear speech, inability to keep mouth open during the clinical oral examination and pain expression during the examination.

RESULTS

a significant linear relationship across the OFr groups with Fried's frailty phenotype was found (P for linearity = 0.008, adjusted by gender and age). A linear trend existed between OFr groups and general health; prevalence of dementia and malnutrition increased from Group 1 to Group 3. The need for help with eating and oral hygiene procedures increased from Group 1 to Group 3. Moreover, OFr had a linear relationship with chewing and swallowing difficulties.

CONCLUSIONS

OFr is related to Fried's frailty phenotype, general health, nutrition and need for help with daily activities.

Links

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Authors+Show Affiliations

Hiltunen K

Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.

Saarela RKT

City of Helsinki, Department of Social Services and Health Care, Oral Health Care, Helsinki, Finland.

Kautiainen H

Primary Health Care Unit, Kuopio University Hospital, Kuopio, Finland. Folkhälsan Research Center, Folkhälsan, Helsinki, Finland.

Roitto HM

City of Helsinki, Department of Social Services and Health Care, Oral Health Care, Helsinki, Finland. Health Care, Geriatric Clinic, Helsinki Hospital, Helsinki, Finland.

Pitkälä KH

Department of General Practice, University of Helsinki, Helsinki, Finland.

Mäntylä P

Institute of Dentistry, University of Eastern Finland, Kuopio, Finland. Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland.

MeSH

AgedCross-Sectional StudiesFrail ElderlyFrailtyGeriatric AssessmentHumansLong-Term CarePhenotype

Pub Type(s)

Journal Article

Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

34473831

Citation

Hiltunen, Kaija, et al. "Relationship Between Fried's Frailty Phenotype and Oral Frailty in Long-term Care Residents." Age and Ageing, vol. 50, no. 6, 2021, pp. 2133-2139.

Hiltunen K, Saarela RKT, Kautiainen H, et al. Relationship between Fried's frailty phenotype and oral frailty in long-term care residents. Age Ageing. 2021;50(6):2133-2139.

Hiltunen, K., Saarela, R. K. T., Kautiainen, H., Roitto, H. M., Pitkälä, K. H., & Mäntylä, P. (2021). Relationship between Fried's frailty phenotype and oral frailty in long-term care residents. Age and Ageing, 50(6), 2133-2139. https://doi.org/10.1093/ageing/afab177

Hiltunen K, et al. Relationship Between Fried's Frailty Phenotype and Oral Frailty in Long-term Care Residents. Age Ageing. 2021 11 10;50(6):2133-2139. PubMed PMID: 34473831.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Relationship between Fried's frailty phenotype and oral frailty in long-term care residents. AU - Hiltunen,Kaija, AU - Saarela,Riitta K T, AU - Kautiainen,Hannu, AU - Roitto,Hanna-Maria, AU - Pitkälä,Kaisu H, AU - Mäntylä,Päivi, PY - 2021/04/22/received PY - 2021/9/3/pubmed PY - 2021/11/17/medline PY - 2021/9/2/entrez KW - frailty KW - long-term facilities KW - older adults KW - older people KW - oral frailty SP - 2133 EP - 2139 JF - Age and ageing JO - Age Ageing VL - 50 IS - 6 N2 - BACKGROUND: oral frailty (OFr) may be called a syndrome lacking a consensus on its definition. OBJECTIVE: the aim was to prove the relationship between OFr to the phenotype of frailty, general health and nutrition in long-term care. DESIGN: the FINnish ORAL Health Study in Long-Term Care study is a cross-sectional clinical research comprising findings on oral and general health and nutrition. SETTING: participants were divided into groups according to the number of OFr signs: Group 1 (0-1 sign), Group 2 (2-4 signs) and Group 3 (5-6 signs). SUBJECTS: the study includes data on 349 older residents of long-term care facilities in Helsinki, Finland. METHODS: frailty status was defined according to Fried's frailty phenotype. OFr was evaluated with six signs: dry mouth, diet of pureed or soft food, residue of food on oral surfaces, unclear speech, inability to keep mouth open during the clinical oral examination and pain expression during the examination. RESULTS: a significant linear relationship across the OFr groups with Fried's frailty phenotype was found (P for linearity = 0.008, adjusted by gender and age). A linear trend existed between OFr groups and general health; prevalence of dementia and malnutrition increased from Group 1 to Group 3. The need for help with eating and oral hygiene procedures increased from Group 1 to Group 3. Moreover, OFr had a linear relationship with chewing and swallowing difficulties. CONCLUSIONS: OFr is related to Fried's frailty phenotype, general health, nutrition and need for help with daily activities. SN - 1468-2834 UR - https://www.unboundmedicine.com/medline/citation/34473831/Relationship_between_Fried DB - PRIME DP - Unbound Medicine ER -

Tags

Relationship between Fried's frailty phenotype and oral frailty in long-term care residents.Age Ageing. 2021 Nov 10; 50(6):2133-2139.AA