{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:46:25Z","timestamp":1789447585856,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:00:00Z","timestamp":1769212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T00:00:00Z","timestamp":1769212800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004694","name":"Kaohsiung Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004694","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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oral frailty and physical frailty are linked to adverse health outcomes in older adults, but their relationship with sleep quality is not well understood. This study examined the association between oral frailty and sleep quality, and the combined effects of oral and physical frailty on sleep in community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted in Kaohsiung City, Taiwan (2018\u20132019), including 1180 adults aged \u2265\u200965\u2009years selected by multistage stratified cluster sampling. Data were collected through questionnaires and dental exams. Sleep quality was measured by the Pittsburgh Sleep Quality Index. Oral frailty was assessed using indicators such as oral diadochokinesis, swallowing difficulty, masticatory performance, dry mouth, tongue coating, and number of natural teeth. Oral health\u2013related quality of life (OHRQoL) was evaluated with the GOHAI. Logistic regression identified factors associated with poor sleep quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Swallowing difficulty (AOR\u2009=\u20092.69) and dry mouth (AOR\u2009=\u20092.06) were significantly linked to poor sleep quality. A dose\u2013response relationship was observed across stages of swallowing difficulty, with both suspected and confirmed cases reporting significantly poorer sleep quality compared to individuals without swallowing issues (p for trend &lt;\u20090.001). Higher OHRQoL scores were linked to better sleep quality (AOR\u2009=\u20090.97). Additionally, the combined presence of oral frailty and physical frailty was significantly associated with poor sleep quality (AOR\u2009=\u20092.71).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Oral and physical frailty are significantly associated with sleep quality in older adults. Interventions targeting swallowing difficulty, dry mouth, and physical frailty may improve sleep quality in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70152","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T08:16:51Z","timestamp":1769242611000},"page":"999-1008","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Oral Frailty and Physical Frailty Associated With Sleep Quality in Community\u2010Dwelling Adults: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1805-7799","authenticated-orcid":false,"given":"Pei\u2010Chen","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Oral Hygiene, College of Dental Medicine Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Dentistry Kaohsiung Medical University Hospital  Kaohsiung Taiwan"},{"name":"Department of Medical Research Kaohsiung Medical University Hospital, Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1783-0505","authenticated-orcid":false,"given":"Ai\u2010Hua","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Dentistry, College of Dental Medicine Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3841-6971","authenticated-orcid":false,"given":"Shin\u2010Ru","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Oral Care for Systemic Health Support, Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4778-1954","authenticated-orcid":false,"given":"Koichiro","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6485-5847","authenticated-orcid":false,"given":"Yuji","family":"Kabasawa","sequence":"additional","affiliation":[{"name":"Department of Oral Care for Systemic Health Support, Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6755-7466","authenticated-orcid":false,"given":"Ju\u2010Hui","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Oral Hygiene, College of Dental Medicine Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Dentistry Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1495-2550","authenticated-orcid":false,"given":"Pei\u2010Chao","family":"Lin","sequence":"additional","affiliation":[{"name":"College of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Center for Long\u2010Term Care Research Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1180-9011","authenticated-orcid":false,"given":"Hsiao\u2010Ling","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Oral Hygiene, College of Dental Medicine Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Medical Research Kaohsiung Medical University Hospital, Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2024.03.040"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1539849"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-05777-0"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15790"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2024.10.030"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13580"},{"issue":"2","key":"e_1_2_12_8_1","article-title":"Sleep Disturbance, Sleep Disorders and co\u2010Morbidities in the Care of the Older Person","volume":"9","author":"Mc Carthy C. 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