{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T01:31:57Z","timestamp":1765848717472,"version":"3.48.0"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018996","name":"Hellenic Academic Libraries Link","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018996","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although oral diseases and frailty can be met earlier in life, there is limited information on their association across the lifespan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To scope for the association of oral factors with physical frailty in Greek community\u2010dwelling adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants were over 18\u2009years of age with \u2265\u200920 natural teeth, \u2265\u200910 occlusal contacts, and no removable dentures. Oral interviews recorded sociodemographic, medical and oral factors and unhealthy habits. Physical frailty was assessed using the Physical Frailty Phenotype (PFP) adapted to age and sex. Oral examination recorded dental status, periodontal disease, oral diadochokinesis (ODK), maximum bite force, maximum tongue pressure, masticatory performance, swallowing function (Repetitive Saliva Swallowing test, RRST) and dry mouth. Univariate and multivariable logistic regression analyses were conducted using PFP as the dependent variable, categorised as robust and prefrail\/frail status (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty persons participated in the study with a mean age of 52.8\u2009\u00b1\u200917.7\u2009years (range: 20\u201384\u2009years). Thirty\u2010three (55%) were classified as prefrail\/frail based on PFP. In the univariate analyses, lower Total MNA Score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007), higher Clinical Oral Dryness Score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), and higher Xerostomia Inventory score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044) were statistically significantly associated with prefrailty\/frailty. Severe periodontitis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.063), ODK\/pa (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.059), and lower RSST Score (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.072) were marginally significantly associated with prefrailty\/frailty. The multivariable logistic regression analysis did not reveal any statistically significant associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Multivariable statistical analysis did not reveal statistically significant associations between oral health and PFP in Greek community\u2010dwelling adults. Significant associations based on univariate analyses should be further explored in larger samples.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70050","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T12:28:06Z","timestamp":1757420886000},"page":"21-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Oral Health and Physical Frailty in an Adult Community\u2010Dwelling Caucasian Population"],"prefix":"10.1111","volume":"53","author":[{"given":"Natalia","family":"Falidea","sequence":"first","affiliation":[{"name":"Medical School National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalliopi","family":"Konstantopoulou","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Dental School National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Kotsani","sequence":"additional","affiliation":[{"name":"Hellenic Society for the Study and Research of Ageing  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Soulis","sequence":"additional","affiliation":[{"name":"Center for Geriatric Assessment Henry Dunant Hospital Center  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9700-5534","authenticated-orcid":false,"given":"Martin","family":"Schimmel","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Argy","family":"Polychronopoulou","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, Dental School National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastassia","family":"Kossioni","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Dental School National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"volume-title":"Report of Consortium Meeting 1\u20132 December 2016 in Geneva, Switzerland","year":"2017","author":"WHO Clinical Consortium on Healthy Ageing","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2018.04.023"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2021.14"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.33.823"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.14015"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12603"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S212980"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14355"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glx225"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12221"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.07.023"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-022-1858-9"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-773"},{"issue":"7","key":"e_1_2_9_15_1","first-page":"951","article-title":"Oral Disease and 3\u2010Year Incidence of Frailty in Mexican Older Adults","volume":"72","author":"Castrej\u00f3n\u2010P\u00e9rez R. C.","year":"2017","journal-title":"Journals of Gerontology. Series A, Biological Sciences and Medical Sciences"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2020.55"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab177"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15175"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0568-3"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12602"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.01.062"},{"issue":"6","key":"e_1_2_9_23_1","first-page":"456","article-title":"Overview of the MNA\u2010Its History and Challenges","volume":"10","author":"Vellas B.","year":"2006","journal-title":"Journal of Nutrition, Health & Aging"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.6.M366"},{"key":"e_1_2_9_25_1","first-page":"466","article-title":"The Mini\u2010Nutritional Assessment (MNA) Review of the Literature\u2014What Does It Tell Us?","volume":"10","author":"Guigoz Y.","year":"2006","journal-title":"Journal of Nutrition, Health & Aging"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-1-3"},{"issue":"4","key":"e_1_2_9_28_1","first-page":"283","article-title":"Reliability Measures of the Short International Physical Activity Questionnaire (IPAQ) in Greek Young Adults","volume":"50","author":"Papathanasiou G.","year":"2009","journal-title":"Hellenic Journal of Cardiology"},{"volume-title":"Oral Health Surveys: Basic Methods","year":"2013","author":"World Health Organization","key":"e_1_2_9_29_1"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2020.06.005"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13352"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12043"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5001-9"},{"issue":"6","key":"e_1_2_9_34_1","first-page":"383","article-title":"The Repetitive Saliva Swallowing Test (RSST) as a Screening Test of Functional Dysphagia (2) Validity of RSST","volume":"37","author":"Oguchi K.","year":"2000","journal-title":"Japanese Journal of Rehabilitation Medicine"},{"volume-title":"Survey of the Oral Health Status and Oral Care Habits of Independent Community\u2010Dwelling Older Adults and Association With Medical and Socio\u2010Economic Factors","year":"2019","author":"Gkavela G.","key":"e_1_2_9_35_1"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2012.05.009"},{"issue":"1","key":"e_1_2_9_37_1","first-page":"12","article-title":"The Xerostomia Inventory: A Multi\u2010Item Approach to Measuring Dry Mouth","volume":"16","author":"Thomson W. M.","year":"1999","journal-title":"Community Dental Health"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0496-2"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2020.07.032"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCO.0000000000000129"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12605"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2021.104608"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12144592"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(21)01876-9"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14091812"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-021-01861-8"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031145"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-03409-5"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12593"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.3390\/cells11142199"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2019.00255"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13250"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T01:29:14Z","timestamp":1765848554000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.70050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/joor.70050"],"URL":"https:\/\/doi.org\/10.1111\/joor.70050","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"type":"print","value":"0305-182X"},{"type":"electronic","value":"1365-2842"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"assertion":[{"value":"2025-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}