{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:00:36Z","timestamp":1790301636027,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"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":["J of Oral Rehabilitation"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Intrinsic capacity (IC) serves as a fundamental concept for assessing an individual's comprehensive functional status. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) to investigate the association between IC and edentulism among middle\u2010aged and older adults.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Data were sourced from four waves (wave 2011, wave 2013, wave 2015, and wave 2018) of national surveys within CHARLS conducted between 2011 and 2018, culminating in the inclusion of 9110 participants aged 45 and older. IC was evaluated across five domains: cognition, locomotion, vitality, sensory function, and psychological capacity. Each domain was scored as preserved (1 point) or impaired (0 points), resulting in a total score ranging from 0 to 6, with higher scores reflecting better overall functional capacity. Edentulism was ascertained via self\u2010report, with participants responding \u2018yes\u2019 to the question, \u2018Have you lost all your teeth?\u2019 Cox proportional hazards regression was employed to analyse the relationship between IC and edentulism. Additionally, restricted cubic splines (RCS) were used to explore potential non\u2010linear associations. Subgroup analyses were conducted to evaluate interaction effects within different populations. An XGBoost model was utilized to identify key predictive variables and develop a nomogram for predicting the risk of edentulism.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After adjusting for multiple confounding factors, higher IC (6 points) was found to be significantly associated with a lower risk of edentulism compared to participants in the lowest IC category (scores 0\u20131) (HR\u2009=\u20090.609, 95% CI: 0.403\u20130.919,\n p<\/jats:italic>\n \u2009=\u20090.018). When IC was dichotomized using a cut\u2010off of >\u20095 points (intact vs. impaired), this association remained significant (HR\u2009=\u20090.876, 95% CI: 0.771\u20130.995,\n p<\/jats:italic>\n \u2009=\u20090.041). RCS analysis further indicated a negative linear correlation between IC scores and the prevalence of edentulism. Subgroup analyses revealed no significant interactions for any examined covariates (all interaction\n p<\/jats:italic>\n \u2009>\u20090.05). The nomogram developed from age, education level, sleep duration, IC, and residential area exhibited strong predictive capability.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Higher IC is associated with a reduced risk of edentulism in middle\u2010aged and older adults. The nomogram created based on key predictors offers a valuable tool for predicting the risk of edentulism.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/joor.70319","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T01:55:51Z","timestamp":1790301351000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Intrinsic Capacity and Edentulism in Middle\u2010Aged and Older Adults: A Longitudinal Cohort Study From\n CHARLS<\/scp>"],"prefix":"10.1111","author":[{"given":"Shihan","family":"Wang","sequence":"first","affiliation":[{"name":"School of Stomatology, Hunan University of Chinese Medicine, Changsha Stomatological Hospital Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9137-1784","authenticated-orcid":false,"given":"Zhangui","family":"Tang","sequence":"additional","affiliation":[{"name":"Xiangya Stomatological Hospital & Xiangya School of Stomatology Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5657-8210","authenticated-orcid":false,"given":"Ming","family":"Li","sequence":"additional","affiliation":[{"name":"Xiangya Stomatological Hospital & Xiangya School of Stomatology Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Xiangya Stomatological Hospital & Xiangya School of Stomatology Central South University Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Stomatology, Hunan University of Chinese Medicine, Changsha Stomatological Hospital Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6826-3484","authenticated-orcid":false,"given":"Mingyan","family":"Bao","sequence":"additional","affiliation":[{"name":"School of Stomatology, Hunan University of Chinese Medicine, Changsha Stomatological Hospital Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"issue":"10482","key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/S0140-6736(24)02811-3","article-title":"Trends in the Global, Regional, and National Burden of Oral Conditions From 1990 to 2021: A Systematic Analysis for the Global Burden of Disease Study 2021","volume":"405","author":"Collaborators GBDOD","year":"2025","journal-title":"Lancet"},{"issue":"2","key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1111\/idj.12529","article-title":"Mastication and Oral Sensory Function in Frail Edentulous Elderly: A Case\u2010Control Study","volume":"70","author":"Figueredo O. 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D. M.","year":"2018","journal-title":"Journal of Investigative and Clinical Dentistry"},{"issue":"4","key":"e_1_2_14_33_1","doi-asserted-by":"crossref","first-page":"548","DOI":"10.4103\/ejd.ejd_11_17","article-title":"Psychological Factors in Oral Mucosal and Orofacial Pain Conditions","volume":"11","author":"Alrashdan M. S.","year":"2017","journal-title":"European Journal of Dentistry"},{"issue":"3","key":"e_1_2_14_34_1","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1177\/0022034520957233","article-title":"Tooth Loss and Dementia: A Critical Examination","volume":"100","author":"Thomson W. M.","year":"2021","journal-title":"Journal of Dental Research"},{"issue":"4","key":"e_1_2_14_35_1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s40266-023-01017-5","article-title":"From Drugs to Dry Mouth: A Systematic Review Exploring Oral and Psychological Health Conditions Associated With Dry Mouth in Older Adults With Polypharmacy","volume":"40","author":"Cannon I.","year":"2023","journal-title":"Drugs & Aging"},{"key":"e_1_2_14_36_1","doi-asserted-by":"crossref","first-page":"108082","DOI":"10.1016\/j.maturitas.2024.108082","article-title":"Declined Intrinsic Capacity Predicts Long\u2010Term Mortality in Chinese Older Adults: Beijing Longitudinal Study of Aging","volume":"188","author":"Pan Y.","year":"2024","journal-title":"Maturitas"},{"issue":"1","key":"e_1_2_14_37_1","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s12877-025-05801-3","article-title":"Association Between Oral Health and Physio\u2010Cognitive Decline Syndrome of Older Adults in China and Its Sex Differences: A Cross\u2010Sectional Study","volume":"25","author":"Li Y.","year":"2025","journal-title":"BMC Geriatrics"},{"issue":"6","key":"e_1_2_14_38_1","doi-asserted-by":"crossref","first-page":"4707","DOI":"10.3390\/ijerph20064707","article-title":"Association Between Periodontal Disease and Cognitive Impairment in Adults","volume":"20","author":"Said\u2010Sadier N.","year":"2023","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"2","key":"e_1_2_14_39_1","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1002\/jnr.24745","article-title":"Oral Dysfunctions and Cognitive Impairment\/Dementia","volume":"99","author":"Nakamura T.","year":"2021","journal-title":"Journal of Neuroscience Research"},{"issue":"2","key":"e_1_2_14_40_1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1111\/j.1741-2358.2003.00100.x","article-title":"The Influence of Age and Denture Wear on the Size of Edentulous Structures","volume":"20","author":"Pietrokovski J.","year":"2003","journal-title":"Gerodontology"},{"issue":"7","key":"e_1_2_14_41_1","doi-asserted-by":"crossref","first-page":"e480","DOI":"10.1016\/S2666-7568(24)00092-8","article-title":"Association of Intrinsic Capacity With Functional Decline and Mortality in Older Adults: A Systematic Review and Meta\u2010Analysis of Longitudinal Studies","volume":"5","author":"Sanchez\u2010Sanchez J. L.","year":"2024","journal-title":"Lancet Healthy Longevity"},{"key":"e_1_2_14_42_1","doi-asserted-by":"crossref","first-page":"e944175","DOI":"10.12659\/MSM.944175","article-title":"Impact of Patient Education Formats on Treatment Adherence and Denture Hygiene in Edentulous Patients: A Comparative Study","volume":"30","author":"Algarni Y. A.","year":"2024","journal-title":"Medical Science Monitor"},{"issue":"4","key":"e_1_2_14_43_1","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1590\/1413-81232015204.00702014","article-title":"Relationship Between Gender, Income and Education and Self\u2010Perceived Oral Health Among Elderly Mexicans. An Exploratory Study","volume":"20","author":"Hernandez\u2010Palacios R. 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K.","year":"2006","journal-title":"Journal of the American Geriatrics Society"},{"key":"e_1_2_14_45_1","doi-asserted-by":"crossref","first-page":"1634373","DOI":"10.3389\/fpubh.2025.1634373","article-title":"Intrinsic Capacity and Health\u2010Promoting Lifestyle in Older Adults: A Latent Class Analysis","volume":"13","author":"Xu C.","year":"2025","journal-title":"Frontiers in Public Health"},{"issue":"1","key":"e_1_2_14_46_1","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1186\/s12889-025-22294-2","article-title":"Dose\u2010Response Relationship Between Nighttime Sleep Duration and Intrinsic Capacity Declines Among Chinese Elderly: A Cross\u2010Sectional Study From CHARLS","volume":"25","author":"Zhou B.","year":"2025","journal-title":"BMC Public Health"},{"issue":"10","key":"e_1_2_14_47_1","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.4103\/njcp.njcp_756_22","article-title":"The Relationship Between Oral Health and Sleep Quality in Community\u2010Dwelling Older Adults","volume":"26","author":"Safak E. D.","year":"2023","journal-title":"Nigerian Journal of Clinical Practice"},{"issue":"6","key":"e_1_2_14_48_1","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1080\/08869634.2024.2406737","article-title":"Association Between Sleep and Periodontitis: NHANES 2009\u20102014 and Mendelian Randomization Study","volume":"43","author":"Yuan Y.","year":"2024","journal-title":"Cranio"},{"issue":"7","key":"e_1_2_14_49_1","doi-asserted-by":"crossref","first-page":"2345","DOI":"10.3390\/ijerph17072345","article-title":"Individual\u2010 and City\u2010Level Socioeconomic Factors and Tooth Loss Among Elderly People: A Cross\u2010Level Multilevel Analysis","volume":"17","author":"Vettore M. 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