Evidence map›Paper›PMID 41117508›Full record

ArticleGeriatrics & gerontology international2025

Oral Frailty, Dental Visits, and Healthy Life Expectancy: A 6-Year Prospective Cohort Among Japanese Older Adults.

Safira Khairinisa, Sakura Kiuchi, Yusuke Matsuyama, Masanori Iwasaki, Jun Aida

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Safira KhairinisaDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9984-8607
Sakura KiuchiDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8298-8643
Yusuke MatsuyamaDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6114-5604
Masanori IwasakiDepartment of Preventive Dentistry, Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0002-5739-2936
Jun AidaDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8405-9872

Funding

Health Labor Sciences Research Grants 19FA1012Health Labor Sciences Research Grants 19FA2001Health Labor Sciences Research Grants 21FA1012Health Labor Sciences Research Grants 22FA1010Health Labor Sciences Research Grants 22FA2001Health Labor Sciences Research Grants 22FG2001Japan Health Promotion & Fitness FoundationJapan Science and Technology JPMJOP1831Japan Society for the Promotion of Science 20H00557Japan Society for the Promotion of Science 20K10540Japan Society for the Promotion of Science 21H03196Japan Society for the Promotion of Science 21K17302Japan Society for the Promotion of Science 22H00934Japan Society for the Promotion of Science 22H03299Japan Society for the Promotion of Science 22K04450Japan Society for the Promotion of Science 22K13558Japan Society for the Promotion of Science 22K17409Japan Society for the Promotion of Science 23H00449Japan Society for the Promotion of Science 23H03117Japan Society for the Promotion of Science 23K21500Japan Society for the Promotion of Science 23K27807Japan Society for the Promotion of Science 24K02658National Research Institute for Earth Science and Disaster PreventionResearch Institute of Science and Technology for SocietyTokyo Medical and Dental University
6 · The paper itself

Abstract

aimOral frailty (OF), a comprehensive oral function decline, is linked to health deterioration in older adults. The impact of OF and dental visits on healthy life expectancy (HLE) remains underexplored. This study examined the association between OF, dental visits, and HLE.

methodsThis prospective cohort study used data from the 2016 Japan Gerontological Evaluation Study (JAGES), including independent older adults aged ≥ 65 at baseline, with follow-up through March 2023 using disability and mortality records from the national long-term care insurance database (median follow-up = 6.2 years). OF was defined as having ≥ 3 of the following: fewer teeth, chewing difficulty, swallowing difficulty, dry mouth, and speaking difficulty. Recent dental visits at baseline were assessed. HLE by OF status and dental visits was estimated using Royston-Parmar multistate modeling in random forest-imputed datasets, adjusting for sociodemographic and health confounders.

resultsAmong 11 080 participants (mean age 74.1; 52.9% female), 12.0% were OF, and 49.5% had a dental visit in the past 6 months. OF was associated with transition from healthy to disability (hazard ratio [HR]: 1.23, 95% confidence interval [95% CI]: 1.01-1.50) and from healthy to death (HR: 1.34, 95% CI: 1.05-1.71). At age 65, males without OF had an HLE of 23.39 years, while males with OF had 21.96 years; females without OF had an HLE of 24.77 years, while females with OF had 23.64 years. Dental visits were associated with approximately 1 year longer HLE in all groups.

conclusionOF significantly reduces HLE, and dental visits may mitigate this outcome in older adults.

Indexed as

Dental CareFrailtyLife ExpectancyOral HealthAgedAged, 80 and overEast Asian PeopleFemaleFrail ElderlyGeriatric AssessmentHumansJapanMaleProspective Studiescohort studydental visitgeriatric dentistryhealthy life expectancyoral frailty

Identifiers

PMID41117508
PMCPMC12719132

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.