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Updated: May 8, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Multi-dimensional frailty and Oral Health-Related Quality-of-Life in older adults: a cross-sectional study
Ana Cristina Mafla1, Mauricio Herrera-López2, Bruno Gutiérrez-Quiceno3
1School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Nariño, Colombia. ana.mafla@campusucc.edu.co.
Background:
Frailty is an age-associated decline of physiological functions, with psychological, social and environmental dimensions. Frailty is associated with oral health and well-being. We aimed to determine the association between Oral Health-Related Quality-of-Life (OHRQoL) and multi-dimensional frailty in older Colombians.
Methods:
An observational study was conducted and included 1,079 older adults aged 60 to 105 years from Pasto, Colombia, recruited from different government programs targeting older adults. Socio-demographic characteristics were registered; OHRQoL was determined using the self-administered Colombian Geriatric Oral Health Assessment Index (GOHAI) version, and frailty using the Comprehensive Frailty Assessment Instrument (CFAI) and covariates identified with directed acyclic graph (DAG) analysis. A descriptive analysis and a generalized linear model (GLM) were performed.
Results:
The sample was comprised of 386 males (35.8%) and 693 (64.2%) females. The mean age was 71.85 years (standard deviation, SD=8.55). The mean GOHAI was 49.60 (SD=8.91). GLM found that overall frailty dimensions of the CFAI negatively impacted OHRQoL with psychological dimension having the largest impact (β= -0.44, 95% CI:-0.54- -0.34, P<0.001).
Conclusion:
Comprehensive frailty assessment allows us to map various dimensions of frailty and the impact they have on OHRQoL.
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