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Masticatory coefficient and physical functioning in older frail patients admitted for a Comprehensive Gerontological Assessment

Abstract : Background: : Physical functioning may be limited in older, frail patients with missing teeth without prosthetic correction. This cross-sectional study examined the relationship between physical performance and the geriatric masticatory coefficient (GMC) in patients who underwent both a comprehensive gerontological assessment (CGA) to improve poly-pathology management and an intra-oral exam. Methods: : All patients were evaluated based on the following: (corrected) GMC, number of posterior occluding pairs (POPs), short physical performance battery (SPPB) or timed up and go (TUG) test, and mini-nutritional assessment (MNA). Results: : Of the 256 patients (mean age 83.76[SD 6.16], 148F), 75 (29.30%) were malnourished. The corrected GMC was lower in malnourished patients. When adjusted for age, gender, and MNA, the corrected GMC correlated with the TUG time (r=-0.198, p=0.005) and SPPB score (r=0.282, p=0.009). Correlations between GMC and POPs were determined for the SPPB (r=0.269, p=0.013; r=0.319, p=0.004, respectively) but not for the TUG (r=-0.108, p=0.128; r=-0.136, p=0.072). Conclusion: : The correlation between physical performance and decreased masticatory capacity was not fully explained by malnutrition in mildly to severely frail and multi-morbid patients; posture may also be impaired by missing teeth. The study of dental care effects on physical performance will provide further insights.
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https://hal-cnrs.archives-ouvertes.fr/hal-03366143
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Submitted on : Wednesday, October 6, 2021 - 3:45:59 PM
Last modification on : Wednesday, October 6, 2021 - 4:48:28 PM

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Johann Harel, Romain Fossaert, Alain Bérard, Aurélie Lafargue, Marie Danet-Lamasou, et al.. Masticatory coefficient and physical functioning in older frail patients admitted for a Comprehensive Gerontological Assessment. Archives of Gerontology and Geriatrics, Elsevier, 2021, 95, pp.104421. ⟨10.1016/j.archger.2021.104421⟩. ⟨hal-03366143⟩

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