{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:16:52Z","timestamp":1787991412903,"version":"build-2784847793"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>In super\u2010aged societies such as Japan, achieving \u201chealthy longevity with well\u2010being\u201d requires not only medical and long\u2010term care services but also a seamless continuum that integrates health promotion, frailty prevention, and community\u2010based support, along with age\u2010friendly physical and social environments that support functional ability, social participation, and independent living. Within this framework, oral frailty (OF)\u2014defined as the accumulation of slight declines in oral function, including tooth loss, chewing and swallowing difficulties, oral dryness, and low articulatory oral motor skills\u2014has emerged as a key indicator linking oral health to systemic frailty, disability, and mortality. Originating in Japan, the concept of OF emphasizes early detection and reversibility through multidisciplinary collaboration. The 2024 Consensus Statement issued by three academic societies (the Japan Geriatrics Society, the Japanese Society of Gerodontology, and the Japanese Association on Sarcopenia and Frailty) proposed a definition, conceptual model, and assessment using the Oral Frailty 5\u2010item Checklist (OF\u20105). This review summarizes the development of OF initiatives within Japan's Community\u2010Based Integrated Care System and discusses recent international trends, including the WHO Global Oral Health Action Plan (2023\u20132030), the FDI policy statement \u201cOral Health for Healthy Ageing,\u201d and emerging global research evidence. Practical examples, such as a community\u2010wide campaign in Hiratsuka City, illustrate multisectoral collaboration to prevent and raise awareness of OF. Finally, we highlight future directions, including integration of oral health into community development, strengthening interprofessional collaboration, and leveraging digital technologies for monitoring and education. By integrating clinical, community, and policy perspectives, the Japanese concept of OF offers a promising, implementable model for global healthy aging.<\/jats:p>","DOI":"10.1111\/ggi.70686","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T04:50:40Z","timestamp":1785732640000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Community\u2010Based Approaches to Oral Frailty for Healthy Longevity in Japan: Bridging Screening, Community Action, and Integrated Care"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-5681","authenticated-orcid":false,"given":"Katsuya","family":"Iijima","sequence":"first","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"},{"name":"Institute for Future Initiatives The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0977-0998","authenticated-orcid":false,"given":"Tomoki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Institute of Gerontology The University of Tokyo  Tokyo Japan"},{"name":"Institute for Future Initiatives The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5696-6785","authenticated-orcid":false,"given":"Kazunori","family":"Ikebe","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics and Gerodontology, Graduate School of Dentistry The University of Osaka  Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6432-1749","authenticated-orcid":false,"given":"Takayuki","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics and Gerodontology Tokyo Dental College  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5739-2936","authenticated-orcid":false,"given":"Masanori","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Division of Dental Public Health, Department of Oral Health Science, Graduate School of Dental Medicine Hokkaido University  Sapporo Hokkaido Japan"},{"name":"Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1796-8371","authenticated-orcid":false,"given":"Tomoaki","family":"Mameno","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics and Gerodontology, Graduate School of Dentistry The University of Osaka  Suita Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5498-7224","authenticated-orcid":false,"given":"Masahiro","family":"Akishita","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6747-8680","authenticated-orcid":false,"given":"Hidenori","family":"Arai","sequence":"additional","affiliation":[{"name":"National Center for Geriatrics and Gerontology  Obu Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohiko","family":"Hirano","sequence":"additional","affiliation":[{"name":"Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14980"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12347"},{"key":"e_1_2_10_4_1","unstructured":"Japan Dental Association \u201cManual on Implementing Oral Frailty Countermeasures in Dental Clinics \u201d2019 https:\/\/www.jda.or.jp\/en\/pdf\/Oral_Frailty_Manual\u2010Whole_Version.pdf?20230620."},{"key":"e_1_2_10_5_1","unstructured":"\u201cManual on Implementing Oral Frailty Countermeasures in Community Settings: Towards Integrated Implementation of Healthcare Services and Long\u2010Term Care Need Prevention for Older Adults 2020 Edition. Summary Leaflet \u201d2020 https:\/\/www.jda.or.jp\/oral_frail\/2020\/pdf\/2020\u2010manual\u2010all.pdf."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glx225"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2014.02.015"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14355"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-020-1538-6"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2186\/jpr.JPR_D_20_00129"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2022.112075"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics8010025"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14846"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14634"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000549877"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glag006"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.70230"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1922\/CDH_Jun23Editorial02"},{"key":"e_1_2_10_19_1","unstructured":"Federation FWD \u201cFDI POLICY STATEMENT Oral Health for Healthy Ageing \u201dhttps:\/\/www.fdiworlddental.org\/sites\/default\/files\/2023\u201010\/8.%20EN_FDPS3_Oral%20Health%20for%20Healthy%20Ageing.pdf."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12231"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2023.105181"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.70032"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1457187"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2025.105998"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.70337"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14004"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14533"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14711"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2025.102663"},{"key":"e_1_2_10_30_1","unstructured":"Gerontology NCGG \u201cGuidelines for Digital Health in the Prevention and Improvement of Sarcopenia and Frailty \u201dMinds Guideline Registry Japan Council for Quality Health Care 2025 https:\/\/healthcare\u2010service.amed.go.jp\/assets24\/pdf\/guidelines_healthcare_services_SF.pdf."}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70686","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.70686","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70686","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:42:27Z","timestamp":1787989347000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ggi.70686"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70686","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70686"}}