Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities
Community Dentistry And Oral Epidemiology2012Vol. 41(2), pp. 173–181
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Michiko Furuta, Manae Komiya‐Nonaka, Sumio Akifusa, Yoshihiro Shimazaki, M. Adachi, Toshinori Kinoshita, Takeshi Kikutani, Yoshihisa Yamashita
Abstract
A lower number of teeth are positively related to swallowing dysfunction, whereas denture wearing contributes to recovery of swallowing function. Dysphagia, cognitive impairment, and malnutrition directly and indirectly decreased ADL in elderly people living at home and receiving home nursing care. The findings suggest that preventing tooth loss and encouraging denture wearing when teeth are lost may indirectly contribute to maintaining or improving ADL, mediated by recovery of swallowing function and nutritional status.
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