Literature DB >> 25597561

Associations between oral health and risk of dementia in a 37-year follow-up study: the prospective population study of women in Gothenburg.

Robert Stewart1, Ulrika Stenman, Magnus Hakeberg, Catharina Hägglin, Deb Gustafson, Ingmar Skoog.   

Abstract

OBJECTIVES: To investigate the association between incident dementia and previous number of teeth measured over a long interval.
DESIGN: Retrospective analysis of a 37-year cohort study.
SETTING: Prospective Population Study of Women in Gothenburg. PARTICIPANTS: Women with (n = 158) and without (n = 539) dementia in 2000 to 2005. MEASUREMENTS: Tooth counts in 1968-69, 1980-81, and 1992-93. Covariates included age, education, stroke, myocardial infarction, diabetes mellitus, smoking status, blood pressure, body mass index, and cholesterol level.
RESULTS: After adjustment for age, odds ratios (ORs) for dementia in 2000-05, comparing first with fourth tooth count quartiles, were 1.81 (95% confidence interval (CI) = 1.03-3.19) for tooth counts measured in 1968, 2.25 (95% CI = 1.18-4.32) for those in 1980, and 1.99 (0.92-4.30) for those in 1992. After further adjustment for education, ORs were 1.40 (95% CI = 1.03-3.19) for 1968, 1.96 (95% CI = 0.98-3.95) for 1980, and 1.59 (95% CI = 0.71-3.53) for 1992, and after additional adjustment for vascular risk factors, ORs were 1.38 (95% CI = 0.74-2.58) for 1968, 2.09 (95% CI = 1.01-4.32) for 1980, and 1.61 (95% CI = 0.70-3.68) for 1992.
CONCLUSION: In most of the analyses, lower tooth count was not associated with dementia, although a significant association was found for one of the three examinations. Further research may benefit from more-direct measures of dental and periodontal disease.
© 2015 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

Entities:  

Keywords:  cohort study; dementia; oral health; periodontal disease; tooth loss

Mesh:

Year:  2015        PMID: 25597561     DOI: 10.1111/jgs.13194

Source DB:  PubMed          Journal:  J Am Geriatr Soc        ISSN: 0002-8614            Impact factor:   5.562


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