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Data of 296 participants were used for longitudinal analyses. OHRQoL was evaluated using the Oral Impacts on Daily Performances scale. Impaired OHRQoL was defined as the presence of at least one impact on the scale. Depressive symptoms were assessed using the Japanese version of the Zung self\u2010rating depression scale with a cut\u2010off score of 40.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cross\u2010sectional logistic regression model demonstrated that impaired OHRQoL was significantly associated with depressive symptoms (odds ratio [OR], 5.17; 95% confidence interval [CI], 2.99\u20108.95) independent of age, sex, body mass index, hypertension, cerebrovascular\/cardiovascular disease, smoking, drinking alcohol, education, cognitive function, objective oral health (dentition status) and oral health behaviour (dental visit within 1\u00a0year). Similarly, impaired OHRQoL predicted the development of depressive symptoms within 4\u00a0years in a fully adjusted longitudinal model (OR, 6.00; 95% CI, 1.38\u201026.09).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Impaired OHRQoL was identified as a potential comorbidity of depressive symptoms and a predictor for depressive disorder later in life. OHRQoL may be a useful clinical outcome for elder patients with regard to their mental and oral health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.12557","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T11:27:47Z","timestamp":1621423667000},"page":"204-212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Oral health\u2010related quality of life is associated with the prevalence and development of depressive symptoms in older Japanese individuals: The Ohasama Study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6769-9774","authenticated-orcid":false,"given":"Takashi","family":"Ohi","sequence":"first","affiliation":[{"name":"Division of Aging and Geriatric Dentistry, Department of Rehabilitation Dentistry Tohoku University Graduate School of Dentistry  Sendai Japan"},{"name":"Japanese Red Cross Ishinomaki Hospital  Ishinomaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahisa","family":"Murakami","sequence":"additional","affiliation":[{"name":"Division of Aging and Geriatric Dentistry, Department of Rehabilitation Dentistry Tohoku University Graduate School of Dentistry  Sendai Japan"},{"name":"Division of Public Health, Hygiene and Epidemiology Faculty of Medicine Tohoku Medical and Pharmaceutical University  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takamasa","family":"Komiyama","sequence":"additional","affiliation":[{"name":"Division of Aging and Geriatric Dentistry, Department of Rehabilitation Dentistry Tohoku University Graduate School of Dentistry  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitada","family":"Miyoshi","sequence":"additional","affiliation":[{"name":"Division of Aging and Geriatric Dentistry, Department of Rehabilitation Dentistry Tohoku University Graduate School of 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