Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study

Authors

DOI:

https://doi.org/10.11606/s1518-8787.2022056004195

Keywords:

Aged, Frail Elderly, Mastication, Patient Health Questionnaire, Diagnostic Self Evaluation

Abstract

OBJETIVE: To investigate the relationship between the masticatory function and the frailty of older people. METHODS: Exploratory cross-sectional study using secondary data from the FIBRA Project on the frailty conditions of older people living in urban areas of six Brazilian municipalities, from 2008 to 2009. The population consisted of older adults aged 65 and over with no cognitive impairment. A single session identification questionnaire and the Mini-Mental State Examination (MMSE) were applied, followed by collecting sociodemographic data and data on the participants’ self-assessment of masticatory function, general health, and oral health. RESULTS: 2,341 older people (164 frail older adults), of whom 63.2% reported not having seen a dentist in the last year, and approximately 26% of them had three or more functional feeding problems. Older participants (OR = 2.88; 95%CI: 2.01–4.13), who are retired (OR = 2.31; 95%CI: 1.18–5.53), those who were depressed (OR = 2.31; 95%CI: 1.58–3.38), and those who self-assessed their general health as worse compared to others of the same age (OR = 3.91; 95%CI: 2.39-–6.40) were at higher risk of frailty. Three or more problems related to the functional aspects of mastication were associated with a greater chance of frailty (OR = 2.06; 95%CI: 1.25–3.41). CONCLUSION: This study found an association between masticatory function and a greater chance of frailty among the studied population.

References

Llano PMP, Lange C, Sequeira CAC, Jardim VMR, Castro DS, Santos F. Factors associated with frailty syndrome in the rural elderly. Rev Bras Enferm. 2019;72 Supl 2:14-21. https://doi.org/10.1590/0034-7167-2017-0079

Fried LP, Tangen C, Walston J, Newman AB, Hirsch C, Gottdiener J, et al; Cardiovascular Health Study Colaborative Research Group. Frailty in older adults: evidence for phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56. https://doi.org/10.1093/gerona/56.3.m146

Duarte YAO, Nunes DP, Andrade FB, Corona LP, Brito TRP, Santos JLF, et al. Frailty in older adults in the city of São Paulo: prevalence and associated factors. Rev Bras Epidemiol. 2018;21 Supl 2:e180021. https://doi.org/10.1590/1980-549720180021.supl.2

Andrade FB, Lebrão ML, Santos JLF, Duarte YAO. Relationship between oral health and frailty in community-dwelling elderly individuals in Brazil. J Am Geriatr Soc. 2013;61(5):809-14. https://doi.org/10.1111/jgs.12221

Rihs LB, Held RB, Sousa MLR, Guariento ME, Cintra FA, Neri AL, et al. [Self-perception of oral health in frail elderly]. Rev Assoc Paul Cir Dent. 2012;66(2):105-9. Portuguese.

Paraguassu EC, Lacerda JP. Oral health of the elderly in Brazil: systematic review. Braz J Implantol Health Sci. 2019;1(2):25-33. https://doi.org/10.36557/2674-8169.2019v1n2p25

Nogueira CMR, Falcão LMN, Nuto SAS, Saintrain MVL, Veira-Meyer APGF. Self-perceived oral health among the elderly: a household-based study. Rev Bras Geriatr Gerontol. 2017;20(1):7-19. https://doi.org/10.1590/1981-22562017020.160070

Milagres CS, Tôrres LHN, Neri AL, Sousa MLR. [Self-perceived oral health status, chewing ability and longevity in the elderly]. Cien Saude Colet. 2018;23(5):1495-1506. Portuguese. https://doi.org/10.1590/1413-81232018235.14572016

Souza LFF, Silva LE, Scelza Neto P. Protocol for the evaluation of chewing among older adults. Rev Bras Geriatr Gerontol. 2019;22(5):e190045. https://doi.org/10.1590/1981-22562019022.190045

Lebrão ML, Duarte YAO, Teixeira DSC, Andrade FB. [Oral health in the cohorts from the São Paulo Health, Well-Being, and Aging Study (SABE)]. Rev Bras Epidemiol. 2015;18(1):278-82. Portuguese. https://doi.org/10.1590/1980-5497201500010021

Teixeira DSC, Frazão P, Alencar GP, Baquero OS, Narval PC, Lebrão ML, et al. [Prospective study on tooth loss in a cohort of dentate elderly]. Cad Saude Publica. 2016;32(8):e00017215. Portuguese. https://doi.org/10.1590/0102-311X00017215

Andrade FB, Teixeira DSC, Frazão P, Duarte YAO, Lebrão ML, Antunes JLF. Oral health profile among community-dwelling elderly and its association with self-rated oral health. Rev Bras Epidemiol. 2019;21 Supl 2:E180012.SUPL.2. https://doi.org/10.1590/1980-549720180012.supl.2

Neri AL, Yassuda MS, Araújo LF, Eulálio MC, Cabral BE, Siqueira MEC, et al. [Methodology and social, demographic, cognitive, and frailty profiles of community-dwelling elderly from seven Brazilian cities: the FIBRA Study]. Cad Saude Publica. 2013;29(4):778-92. Portuguese. https://doi.org/10.1590/S0102-311X2013000400015

Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. [Suggestions for utilization of the mini-mental state examination in Brazil]. Arq Neuropsiquiatr. 2003;61(3B):777-81. Portuguese. https://doi.org/10.1590/s0004-282x2003000500014

Bellini AC. Relações entre condições funcionais da alimentação e estado nutricional, mediados por variáveis físicas e emocionais: um estudo com idosos ambulatoriais [dissertação]. Campinas, SP: Faculdade de Educação, Universidade Estadual de Campinas; 2006.

Almeida OP, Almeida SA. [Reliability of the Brazilian version of the Geriatric Depression Scale (GDS) short form]. Arq Neuropsiquiatr. 1999;57(2B):421-6. Portuguese. https://doi.org/10.1590/s0004-282x1999000300013

Instituto Brasileiro de Geografia e Estatística. Sistema IBGE de Recuperação Automática. Rio de Janeiro: IBGE; 2010 [cited 2021 Jul 28]. Available from: https://censos.ibge.gov.br/1992-novo-portal/edicao/26589-2010-malha-censitaria-malhadesetorescensitarios.html

Kugimiya Y, Watanabe Y, Igarashi K, Hoshino D, Motokawa K, Edahiro A, et al. Factors associated with masticatory performance in community-dwelling older adults: a cross-sectional study. J Am Dent Assoc. 2020;151(2):118-26. https://doi.org/10.1016/j.adaj.2019.10.003

Satake A, Kobayashi W, Tamura Y, Oyama T, Fukuta H, Inui A, et al. Effects of oral environment on frailty: particular relevance of tongue pressure. Clin Interv Aging. 2019;14:1643‐8. https://doi.org/10.2147/CIA.S212980

Lu TY, Chen JH, Du JK, Lin YC, Ho PS, Lee CH, et al. Dysphagia and masticatory performance as a mediator of the xerostomia to quality of life relation in the older population. BMC Geriatr. 2020;20(1):521. https://doi.org/10.1186/s12877-020-01901-4

Tramontino VS, Nuñez JMC, Takahashi JMFK, Santos-Daroz CB, Rizzatti-Barbosa CM. [Nutrition for the elderly]. Rev Odontol Univ Cid Sao Paulo. 2009;21(3):258-67. Portuguese.

Niesten D, Mourik K, Sanden W. The impact of frailty on oral care behavior of older people: a qualitative study. BMC Oral Health. 2013;13:61. https://doi.org/10.1186/1472-6831-13-61

Mourão LF, Xavier DAN, Neri AL, Luchesi KF. Association study between natural chronic diseases of aging and swallowing changes referred by community elderly. Audiol Commun Res. 2016;21:e1657. https://doi.org/10.1590/2317-6431-2015-1657

Tada A, Miura H. Systematic review of the association of mastication with food and nutrient intake in the independent elderly. Arch Gerontol Geriatr. 2014;59(3):497-505. https://doi.org/10.1016/j.archger.2014.08.005

Moura SMS, Leite CMC, Rocha AMC, Costa MAB, Oliveira IM, Cardoso JC, et al. Relação entre nutrição de idosos e dentição: revisão de literatura. J Interdisc Biocien. 2016;1(1):5-8. https://doi.org/10.26694/2448-0002.vl1iss1pp5-8

De Marchi RJ, Leal AF, Padilha DM, Brondani MA. Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study. J Cross Cult Gerontol. 2012;27(3):239-58. https://doi.org/10.1007/s10823-012-9170-5

Donnelly L, Clarke LH, Phinney A, MacEntee MI. Contexts of body image and social interactions among frail elders. In: MacEntee MI, Müller F, Wyatt C, editors. Hoboken, NJ: Wiley-Blackwell; 2010. Chapter 10; p.161-72.

Nishida T, Yamabe K, Honda S. Dysphagia is associated with oral, physical, cognitive and psychological frailty in Japanese community-dwelling elderly persons. Gerodontology. 2020;37(2):185-90. https://doi.org/10.1111/ger.12455

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2022-11-18

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Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study. (2022). Revista De Saúde Pública, 56, 104. https://doi.org/10.11606/s1518-8787.2022056004195