Edentulism and all–cause mortality among Brazilian older adults: 11–years follow–up

Abstract We assessed the association between edentulism and all–cause mortality among community–dwelling older adults from São Paulo, Brazil, from 2006 to 2017. This prospective cohort study used data from the Health, Well–being and Aging Study (SABE, Portuguese acronym). Edentulism was evaluated by...

Full description

Saved in:
Bibliographic Details
Published in:Brazilian oral research 2020-01, Vol.34, p.e046-e046
Main Authors: OLIVEIRA, Eduardo José Pereira, ALVES, Luciana Correia, SANTOS, Jair Licio Ferreira, DUARTE, Yeda Aparecida de Oliveira, BOF DE ANDRADE, Fabíola
Format: Article
Language:English
Subjects:
Aged
Dentistry
DENTISTRY, ORAL SURGERY & MEDICINE
Mortality
Tooth Loss
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract We assessed the association between edentulism and all–cause mortality among community–dwelling older adults from São Paulo, Brazil, from 2006 to 2017. This prospective cohort study used data from the Health, Well–being and Aging Study (SABE, Portuguese acronym). Edentulism was evaluated by means of clinical oral examination and all–cause mortality data were obtained from state official records. Covariates included socioeconomic factors (age, sex, and schooling); health behavior (smoking, alcohol intake, and physical activity); dental care (prostheses use); general health (multimorbidity); and nutritional status (underweight). Kaplan–Meier survival curves were stratified by edentulism and compared using the log–rank test. Cox proportional hazards model was applied to calculate hazard ratios (HRs) for the association between edentulism and mortality after adjusting for covariates. The study sample included 1,687 participants (age, 60–102 years; edentulous: 47.2%). In the 11 years of follow–up, we analyzed 10,494 person–years and 566 deaths. In bivariate analysis, edentulous older adults were found to be at a higher risk of dying from all causes than the dentate participants (HR: 1.81; 95%CI: 1.53–2.15). After sequential adjustment for socioeconomic factors, health behavior, dental care, general health, and nutritional status, this association was attenuated, but remained significant (HR: 1.34; 95%CI: 1.10–1.63). In conclusion, edentulism is a significant predictor of all–cause mortality among older adults.
ISSN:1806-8324
1807-3107
1807-3107
DOI:10.1590/1807-3107bor-2020.vol34.0046