Lack of posterior occlusal support predicts the reduction in walking speed in 80-year-old Japanese adults: A 3-year prospective cohort study with propensity score analysis by the SONIC Study Group

Kodai Hatta, Kazunori Ikebe, Yusuke Mihara, Yasuyuki Gondo, Kei Kamide, Yukie Masui, Ken Sugimoto, Ken ichi Matsuda, Motoyoshi Fukutake, Mai Kabayama, Ayumi Shintani, Tatsuro Ishizaki, Yasumichi Arai, Hiromi Rakugi, Yoshinobu Maeda

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To investigate the association between posterior occlusal support by residual teeth and the reduction in walking speed in 80-year-old Japanese adults using propensity score matching. Background data discussing the present status of the field: Previous studies have demonstrated an association between oral status and motor function; however, most of these studies had a cross-sectional design. Material and method: This study included 353 community-dwelling Japanese people aged 79-81 years. Low walking speed was defined as ≤0.8 m/s, and participants with a low walking speed at baseline were excluded. The participants were divided into two groups: with or without posterior occlusal support by residual teeth at baseline. Propensity score matching was used to reduce the effects of bias by matching participants with and without posterior occlusal support according to similar background factors at baseline. Conditional logistic regression was conducted to determine low walking speed at the 3-year follow-up, which included posterior occlusal support as an independent variable with matching data. Results: Before matching for posterior occlusal support, significant differences existed between the groups in terms of sex, years of education, height, weight and grip strength. However, after matching, there was no significant difference between the groups in any characteristic. Logistic regression analysis showed that posterior occlusal support is a significant variable (odds ratio = 1.88; P = 0.04) associated with reduced walking speed. Conclusion: Lack of posterior occlusal support at baseline independently predicted the incidence of reduced walking speed over 3 years.

Original languageEnglish
JournalGerodontology
DOIs
Publication statusPublished - 2019 Jan 1

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Propensity Score
Cohort Studies
Prospective Studies
Tooth
Logistic Models
Independent Living
Sex Education
Hand Strength
Walking Speed
Odds Ratio
Regression Analysis
Weights and Measures
Incidence

Keywords

  • epidemiology
  • gait
  • physical performance
  • posterior occlusal support

ASJC Scopus subject areas

  • Dentistry(all)
  • Geriatrics and Gerontology

Cite this

Lack of posterior occlusal support predicts the reduction in walking speed in 80-year-old Japanese adults : A 3-year prospective cohort study with propensity score analysis by the SONIC Study Group. / Hatta, Kodai; Ikebe, Kazunori; Mihara, Yusuke; Gondo, Yasuyuki; Kamide, Kei; Masui, Yukie; Sugimoto, Ken; Matsuda, Ken ichi; Fukutake, Motoyoshi; Kabayama, Mai; Shintani, Ayumi; Ishizaki, Tatsuro; Arai, Yasumichi; Rakugi, Hiromi; Maeda, Yoshinobu.

In: Gerodontology, 01.01.2019.

Research output: Contribution to journalArticle

Hatta, K, Ikebe, K, Mihara, Y, Gondo, Y, Kamide, K, Masui, Y, Sugimoto, K, Matsuda, KI, Fukutake, M, Kabayama, M, Shintani, A, Ishizaki, T, Arai, Y, Rakugi, H & Maeda, Y 2019, 'Lack of posterior occlusal support predicts the reduction in walking speed in 80-year-old Japanese adults: A 3-year prospective cohort study with propensity score analysis by the SONIC Study Group', Gerodontology. https://doi.org/10.1111/ger.12393
Hatta, Kodai ; Ikebe, Kazunori ; Mihara, Yusuke ; Gondo, Yasuyuki ; Kamide, Kei ; Masui, Yukie ; Sugimoto, Ken ; Matsuda, Ken ichi ; Fukutake, Motoyoshi ; Kabayama, Mai ; Shintani, Ayumi ; Ishizaki, Tatsuro ; Arai, Yasumichi ; Rakugi, Hiromi ; Maeda, Yoshinobu. / Lack of posterior occlusal support predicts the reduction in walking speed in 80-year-old Japanese adults : A 3-year prospective cohort study with propensity score analysis by the SONIC Study Group. In: Gerodontology. 2019.
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abstract = "Objective: To investigate the association between posterior occlusal support by residual teeth and the reduction in walking speed in 80-year-old Japanese adults using propensity score matching. Background data discussing the present status of the field: Previous studies have demonstrated an association between oral status and motor function; however, most of these studies had a cross-sectional design. Material and method: This study included 353 community-dwelling Japanese people aged 79-81 years. Low walking speed was defined as ≤0.8 m/s, and participants with a low walking speed at baseline were excluded. The participants were divided into two groups: with or without posterior occlusal support by residual teeth at baseline. Propensity score matching was used to reduce the effects of bias by matching participants with and without posterior occlusal support according to similar background factors at baseline. Conditional logistic regression was conducted to determine low walking speed at the 3-year follow-up, which included posterior occlusal support as an independent variable with matching data. Results: Before matching for posterior occlusal support, significant differences existed between the groups in terms of sex, years of education, height, weight and grip strength. However, after matching, there was no significant difference between the groups in any characteristic. Logistic regression analysis showed that posterior occlusal support is a significant variable (odds ratio = 1.88; P = 0.04) associated with reduced walking speed. Conclusion: Lack of posterior occlusal support at baseline independently predicted the incidence of reduced walking speed over 3 years.",
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T2 - A 3-year prospective cohort study with propensity score analysis by the SONIC Study Group

AU - Hatta, Kodai

AU - Ikebe, Kazunori

AU - Mihara, Yusuke

AU - Gondo, Yasuyuki

AU - Kamide, Kei

AU - Masui, Yukie

AU - Sugimoto, Ken

AU - Matsuda, Ken ichi

AU - Fukutake, Motoyoshi

AU - Kabayama, Mai

AU - Shintani, Ayumi

AU - Ishizaki, Tatsuro

AU - Arai, Yasumichi

AU - Rakugi, Hiromi

AU - Maeda, Yoshinobu

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N2 - Objective: To investigate the association between posterior occlusal support by residual teeth and the reduction in walking speed in 80-year-old Japanese adults using propensity score matching. Background data discussing the present status of the field: Previous studies have demonstrated an association between oral status and motor function; however, most of these studies had a cross-sectional design. Material and method: This study included 353 community-dwelling Japanese people aged 79-81 years. Low walking speed was defined as ≤0.8 m/s, and participants with a low walking speed at baseline were excluded. The participants were divided into two groups: with or without posterior occlusal support by residual teeth at baseline. Propensity score matching was used to reduce the effects of bias by matching participants with and without posterior occlusal support according to similar background factors at baseline. Conditional logistic regression was conducted to determine low walking speed at the 3-year follow-up, which included posterior occlusal support as an independent variable with matching data. Results: Before matching for posterior occlusal support, significant differences existed between the groups in terms of sex, years of education, height, weight and grip strength. However, after matching, there was no significant difference between the groups in any characteristic. Logistic regression analysis showed that posterior occlusal support is a significant variable (odds ratio = 1.88; P = 0.04) associated with reduced walking speed. Conclusion: Lack of posterior occlusal support at baseline independently predicted the incidence of reduced walking speed over 3 years.

AB - Objective: To investigate the association between posterior occlusal support by residual teeth and the reduction in walking speed in 80-year-old Japanese adults using propensity score matching. Background data discussing the present status of the field: Previous studies have demonstrated an association between oral status and motor function; however, most of these studies had a cross-sectional design. Material and method: This study included 353 community-dwelling Japanese people aged 79-81 years. Low walking speed was defined as ≤0.8 m/s, and participants with a low walking speed at baseline were excluded. The participants were divided into two groups: with or without posterior occlusal support by residual teeth at baseline. Propensity score matching was used to reduce the effects of bias by matching participants with and without posterior occlusal support according to similar background factors at baseline. Conditional logistic regression was conducted to determine low walking speed at the 3-year follow-up, which included posterior occlusal support as an independent variable with matching data. Results: Before matching for posterior occlusal support, significant differences existed between the groups in terms of sex, years of education, height, weight and grip strength. However, after matching, there was no significant difference between the groups in any characteristic. Logistic regression analysis showed that posterior occlusal support is a significant variable (odds ratio = 1.88; P = 0.04) associated with reduced walking speed. Conclusion: Lack of posterior occlusal support at baseline independently predicted the incidence of reduced walking speed over 3 years.

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KW - gait

KW - physical performance

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