Association between oral health and cognitive decline in older Chileans

• Published in: Gaceta sanitaria Vol. 37; p. 102303
• Main Authors: Nazar, Gabriela, Díaz-Toro, Felipe, Roa, Pablo, Petermann-Rocha, Fanny, Troncoso-Pantoja, Claudia, Leiva-Ordóñez, Ana María, Cigarroa, Igor, Celis-Morales, Carlos
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 2023
• Subjects: Aged; Chile - epidemiology; Cognitive Dysfunction - epidemiology; Cross-Sectional Studies; Female; Humans; Male; Oral Health; Pain; Chile; Salud oral; Disfunción cognitiva; Tooth loss; Pérdida de dientes; Estudios transversales; Cross-sectional studies; Older adults; Oral health; Personas mayores; Cognitive impairment
• ISSN: 1578-1283
• DOI: 10.1016/j.gaceta.2023.102303

To identify the association between oral health and suspected cognitive impairment in older adults in Chile. Cross-sectional study including 1826 people ≥60 years who participated in the National Health Survey of Chile, 2016-2017. Oral health was evaluated by the number of teeth, presence of caries, use of dental prostheses, self-reported oral health, and pain and/or discomfort in the oral cavity. Cognitive impairment was assessed using the Mini-Mental State Examination (MMSE). The association was evaluated by logistic and linear regression, adjusted for sociodemographic and lifestyle variables. Compared with people without suspicion of cognitive impairment, people with suspected impairment had five fewer teeth (13.4 vs. 8.5 teeth), a much higher difference in women than in men, and a higher frequency of oral pain. Edentulism and fewer teeth were associated with a higher likelihood of suspected cognitive impairment, associations that were not maintained in adjusted models. Oral pain was associated with a higher likelihood of suspected impairment even in the most adjusted model (odds ratio: 1.99; 95% confidence interval [95%CI]: 1.09-3.63). In linear models, an increase of 2% (95%CI: 0.01-0.05) in the MMSE score was observed for each additional tooth. Poor oral health, particularly tooth loss and the presence of pain, was associated with cognitive impairment in older adults in Chile.