{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:27:54Z","timestamp":1785392874604,"version":"3.55.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,6]],"date-time":"2019-10-06T00:00:00Z","timestamp":1570320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1065647, 2014"],"award-info":[{"award-number":["1065647, 2014"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether frailty in older men is associated with poorer oral health and lower levels of dental service utilisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Poor oral health has been associated with some frailty components. Less is known about the link between frailty and oral health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional analysis. Data were collected from 601 older men with both frailty status and oral health information. Frailty was defined as meeting three or more of the Cardiovascular Health Study criteria: weight loss, weakness, exhaustion, slowness and low activity. Dental service utilisation (DSU) behaviour was collected from self\u2010response questionnaires and face\u2010to\u2010face interviews. Oral status (number of remaining and functional teeth, periodontal disease, active coronal decayed surface [ACDS] and self\u2010rated oral health [SROH]) was recorded by two oral health therapists. The association between frailty and oral health behaviour and risk markers was modelled using logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nineteen per cent of the participants were identified as frail. There were significant associations between frailty and dentition status (odds ratio [OR]: 2.49, 95% confidence interval [CI]: (1.17\u20105.30), and frailty and ACDS (OR: 3.01, CI: 1.50\u20106.08) but only ACDS remained significant after adjusting for confounders (adjusted OR: 2.46, CI: 1.17\u20105.18). There was no association between frailty and DSU and frailty and SROH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Frailty was independently associated with the presence of dental caries. However, DSU, SROH and other oral health markers were not significantly associated with frailty after adjusting for confounders. The prevalence of periodontal disease was high regardless of their frailty status.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12438","type":"journal-article","created":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T03:09:12Z","timestamp":1570417752000},"page":"28-37","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Frailty and oral health: Findings from the Concord Health and Ageing in Men Project"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5695-8574","authenticated-orcid":false,"given":"Eduardo","family":"Valdez","sequence":"first","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5467-9982","authenticated-orcid":false,"given":"Fredrick A. Clive","family":"Wright","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasi","family":"Naganathan","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"},{"name":"Department of Geriatric Medicine and Rehabilitation Medicine Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Milledge","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"},{"name":"School of Public Health Sydney Medical School The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona M.","family":"Blyth","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"},{"name":"Concord Clinical School Concord Repatriation and General Hospital The University of Sydney Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasant","family":"Hirani","sequence":"additional","affiliation":[{"name":"Charles Perkins Centre School of Life and Environmental Sciences The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Le Couteur","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"},{"name":"Department of Geriatric Medicine and Rehabilitation Medicine Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Handelsman","sequence":"additional","affiliation":[{"name":"ANZAC Research Institute Concord Repatriation General Hospital The University of Sydney Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise M.","family":"Waite","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"},{"name":"Department of Geriatric Medicine and Rehabilitation Medicine Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert G.","family":"Cumming","sequence":"additional","affiliation":[{"name":"Centre for Education and Research on Ageing Concord Clinical School The University of Sydney Concord NSW Australia"},{"name":"Ageing and Alzheimer's Institute Concord Repatriation General Hospital Sydney Local Health District Concord NSW Australia"},{"name":"School of Public Health Sydney Medical School The University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,6]]},"reference":[{"issue":"4","key":"e_1_2_9_2_1","first-page":"257","article-title":"Global oral health of older people \u2010 call for public health action","volume":"27","author":"Petersen PE","year":"2010","journal-title":"Community Dent Health"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12098"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12279"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12286"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01156.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-773"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12134"},{"issue":"3","key":"e_1_2_9_10_1","first-page":"40","article-title":"Dental considerations for the frail elderly","volume":"22","author":"Helgeson MJ","year":"2002","journal-title":"Spec Care Dentist"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118786789.ch1"},{"issue":"2","key":"e_1_2_9_12_1","first-page":"161","article-title":"Denture use, malnutrition, frailty, and mortality among older women living in the community","volume":"10","author":"Semba RD","year":"2006","journal-title":"J Nutr Health Aging"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12221"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14355"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12644"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0568-3"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp257"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.01.062"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0626-x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1212282"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-017-3541-9"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2015-206978"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-015-0634-5"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyn071"},{"key":"e_1_2_9_25_1","first-page":"104","volume-title":"Australia\u2019s Dental Generations: The National Survey of Adult Oral Health 2004\u20132006","author":"Slade G","year":"2007"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12564"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(93)90053-4"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910708601206"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.1981.tb00519.x"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2008.01847.x"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.140520"},{"key":"e_1_2_9_33_1","first-page":"165","volume-title":"Clinical Gerontology: A Guide to Assessment and Intervention","author":"Sheikh JI","year":"1986"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13826"},{"issue":"3","key":"e_1_2_9_36_1","first-page":"180","article-title":"Frailty from an oral health point of view","volume":"3","author":"Castrejon\u2010Perez RC","year":"2014","journal-title":"J Frailty Aging"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.02.004"},{"issue":"2","key":"e_1_2_9_38_1","first-page":"100","article-title":"Nutrition and frailty: a review of clinical intervention studies","volume":"4","author":"Manal B","year":"2015","journal-title":"J Frailty Aging"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbs067"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15175"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2003.tb00290.x"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-13-61"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12310"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53511.x"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034514552491"}],"container-title":["Gerodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.12438","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ger.12438","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.12438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T23:40:27Z","timestamp":1694130027000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ger.12438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,6]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1111\/ger.12438"],"URL":"https:\/\/doi.org\/10.1111\/ger.12438","archive":["Portico"],"relation":{},"ISSN":["0734-0664","1741-2358"],"issn-type":[{"value":"0734-0664","type":"print"},{"value":"1741-2358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,6]]},"assertion":[{"value":"2018-07-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}