Self-reported tooth loss and cognitive function: Data from the Hispanic established populations for epidemiologic studies of the elderly (Hispanic EPESE)
Abstract
Objective: To explore the association between tooth loss and cognitive functioning among persons 65 years and older.
Methods: Data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly (Wave 1: 1993-1994, n= 3,032; Wave 2: 1995-1996, n= 2,424; and Wave 3: 1998-1999, n= 1,967). The dependent variables were the scores from the total Mini-Mental State Examination (MMSE: score 0-30) and its global domains (memory: score 0-6; and no-memory: score 0-24). Independent variables included the number of teeth (0-12 vs. 13-32), socio-demographic characteristics, last dental office visit, medical conditions, depressive symptoms, and functional limitations which were tested for associations with the dependent variables.
Results: In bivariate analyses, participants with fewer teeth (0-12) tended to have significantly lower mean scores for memory, no-memory, and total MMSE when compared to those with more teeth (13-32), both at baseline and at follow-up. In fully adjusted longitudinal-mixed models, participants with fewer teeth had a greater decline in total MMSE through five years of follow-up with a decrease of 0.12 fewer points each year (SE ± 0.05, p <0.01), when compared to those with more teeth.
Conclusion: Having fewer teeth was associated with greater cognitive decline over time.
Authors
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Keywords
- Tooth loss
- Cognitive function
- Mexican Americans
- Older
- Longitudinal analyses
References
Grabe HJ, Schwahn C, Völzke H, Spitzer C, Freyberger HJ, John U, et al. Tooth loss and cognitive impairment. J Clin Periodontol. 2009; 36(7): 550-7.
Noble JM, Borrell LN, Papapanou PN, Elkind MSV, Scarmeas N, Wright CB. Periodontitis is associated with cognitive impairment among older adults: analysis of NHANES-III. J Neurol Neurosurg Psychiatry. 2009; 80(11): 1206-11.
Wu B, Plassman BL, Crout RJ, Liang J. Cognitive function and oral health among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2008; 63(5): 495-500.
Kaye EK, Valencia A, Baba N, Spiro A 3rd, Dietrich T, Garcia RI. Tooth loss and periodontal disease predict poor cognitive function in older men. J Am Geriatr Soc. 2010; 58(4): 713-8.
Okamoto N, Morikawa M, Okamoto K, Habu N, Iwamoto J, Tomioka K, et al. Relationship of tooth loss to mild memory impairment and cognitive impairment: findings from the fujiwara-kyo study. Behav Brain Funct. 2010; 6(1): 77.
Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98.
Wechsler D. Wechsler Adult Intelligence Scale. Third Edition. San Antonio: The Psychological Corporation; 1997.
Department of Health and Human Services, Administration on Aging. A statistical profile of Hispanic older Americans aged 65+. Accessed on October 11, 2011.
Nguyen HT, Black SA, Ray LA, Espino DV, Markides KS. Predictors of decline in MMSE scores among older Mexican Americans. J Gerontol A Biol Sci Med Sci. 2002; 2002(57): 181-5.
Markides KS, Rudkin L, Angel RJ, Espino DV. Health status of Hispanic elderly. In: Martin LJ, Soldo B, editors. Racial and ethnic differences in the health of older Americans. Washington, DC: National Academy Press; 1997.
Matallana D, de Santacruz C, Cano C, Reyes P, Samper-Ternent R, Markides KS. et al. The relationship between education level and Mini Mental State Examination domains among older Mexican Americans. J Geriatr Psychiatr Neurol. 2011; 24(1): 9-18.
Bird HR, Canino G, Rubio-Stipec M, Shrout P. Use of the Mini-Mental State Examination in a probability sample of a Hispanic population. J Nerv Ment Dis. 1987; 175(12): 731-7.
Randolph WM, Ostir GV, Markides KS. Prevalence of tooth loss and dental service use in older Mexican Americans. J Am Geriatr Soc. 2001; 49(5): 585-9.
Reyes-Ortiz CA, Kuo Y, DiNuzzo AR, Ray LA, Raji MA, Markides KS. Near vision impairment predicts cognitive decline: data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly. J Am Geriatr Soc. 2005; 53(4): 681-6.
Raji MA, Reyes-Ortiz CA, Kuo YF, Markides KS, Ottenbacher KJ. Depressive symptoms and cognitive change in older Mexican Americans. J Geriatr Psychiatry Neurol. 2007; 20(3): 145-52.
Reyes-Ortiz CA, Berges IM, Raji MA, Koenig HG, Kuo Y, Markides KS. Church attendance mediates the association between depressive symptoms and cognitive functioning among older Mexican Americans. J Gerontol A Biol Sci Med Sci. 2008; 63(5): 480-6.
Reyes-Ortiz CA, Soto-Llanos L. [Associated factors with the use of dentures or reported dental and gum problems with oral prosthesis use among Mexican American older adults]. Rev Estomatol. 2010; 18: 10-6.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3): 385-401
Katz SC, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL, a standardized measure of biological and psychosocial function. JAMA 1963; 185(12): 914-9.
Stewart R, Weyant RJ, Garcia ME, Harris T, Launer LJ, Satterfield S. Adverse oral health and cognitive decline: the health, aging and body composition study. J Am Geriatr Soc. 2013; 61(2): 61-2.
Kamer AR, Craig RG, Dasanayake AP, Brys M, Glodzik-Sobanska L. de Leon MJ. Inflammation and Alzheimer’s disease: possible role of periodontal diseases. Alzheimers Dement. 2008; 4(4): 242-50.
Gatz M, Mortimer JA, Fratiglioni L, Johansson B, Berg S, Reynolds CA, et al. Potentially modifiable risk factors for dementia in identical twins. Alzheimer’s Dementia. 2006; 2(2): 110-7.
Matthews JC, You Z, Wadley VG, Cushman M, Howard G. The association between self-reported tooth loss and cognitive function in the reasons for geographic and racial differences in Stroke study: an assessment of potential pathways. J Am Dent Assoc. 2011; 142(4): 379-90.
Stewart R, Sabbah W, Tsakos G, D’Aiuto F, Watt RG. Oral health and cognitive function in the Third National Health and Nutrition Examination Survey. NHANES III). Psychosom Med. 2008; 70(8): 936-41.
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