Evidence map›Paper›PMID 42581197›Full record

ArticleEuropean geriatric medicine2026

Longitudinal associations between oral and general health indicators among nursing home residents: an open cohort study based on interRAI assessments.

Emilie Schoebrechts, Dries De Witte, Patricia Ann Ivonne Vandenbulcke, Hein Petrus Johannes van Hout, Jan De Lepeleire, Anja Declercq, Dominique Declerck, Joke Duyck, Johanna de Almeida Mello

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Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Emilie SchoebrechtsDepartment of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium. emilie.schoebrechts@kuleuven.be.ORCID http://orcid.org/0000-0002-7797-567X
Dries De WitteBiostatistics and Statistical Bioinformatics Center (L-BioStat), KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3264-6984
Patricia Ann Ivonne VandenbulckeDepartment of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium.ORCID http://orcid.org/0000-0002-8436-6784
Hein Petrus Johannes van HoutDepartments of General Practice and Medicine for Older People, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-2495-4808
Jan De LepeleireDepartment of Public Health and Primary Care, Academic Center for General Practice, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-6152-2134
Anja DeclercqLUCAS, Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3136-124X
Dominique DeclerckDepartment of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium.ORCID http://orcid.org/0000-0003-4637-0675
Joke DuyckDepartment of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium.ORCID http://orcid.org/0000-0002-8698-1692
Johanna de Almeida MelloDepartment of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Kapucijnenvoer 7, 3000, Leuven, Belgium.ORCID http://orcid.org/0000-0002-1262-318X

Funding

Fonds Wetenschappelijk Onderzoek TBM T003220NOnderzoeksraad, KU Leuven C24M-20-063
6 · The paper itself

Abstract

purposeRegular health assessments using interRAI instruments, including the Oral Health Screener (OHS), may help identify care needs and improve nursing home residents' oral health. This study explored longitudinal associations between oral health (OH) and general health (GH) indicators.

methodsInterRAI assessments from Flemish and Dutch nursing home residents aged ≥ 65 years (October 2020-February 2024) were included. OH was derived from the OHS and GH from Activities of Daily Living Hierarchy (ADLH), Depression Rating Scale (DRS), Cognitive Performance Scale (CPS) and Changes in Health, End-stage Disease, and Signs and Symptoms (CHESS). A joint model explored overall associations between indicators. Bivariate autoregressive models examined cross-lagged associations conditional on prior status.

resultsIn total, 12,586 assessments from 5450 residents were analyzed. Mean baseline age was 85.8 years (SD 7.7); 76.0% were women. All OH items were significantly interrelated, although correlations were mostly weak (< 0.4). Several cross-lagged associations between OH and GH indicators were observed, but effect sizes were small. Bidirectional associations were found between chewing function-ADLH, and discomfort/pain-both ADLH and CHESS. ADLH-problems were associated with poorer subsequent OH (teeth, tongue, palate-cheeks-lips). Depressive symptoms and higher CPS-scores were associated with later chewing difficulties and poorer denture hygiene, with depressive symptoms also linked to discomfort/pain. Chewing difficulties and poor gum and palate-cheeks-lips conditions were associated with subsequent health instability. Dry mouth was negatively associated with cognitive impairment.

conclusionThe findings suggest that OH and GH are interrelated and support considering OH as an integral part of general care rather than a separate domain.

Indexed as

Geriatric assessmentGeriatric conditionsLong-term careOral careOral health

Identifiers

PMID42581197

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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.