Validation of the Korean Academy of Geriatric Dentistry screening questionnaire and oral frailty diagnostic criteria in community-dwelling older adults
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OBJECTIVES: This study aimed to establish the validity—specifically, the sensitivity and specificity—of the screening questionnaire and diagnostic criteria for oral frailty proposed by the Korean Academy of Geriatric Dentistry (KAGD) among community-dwelling older adults. METHODS: This study enrolled 100 participants. Among various definitions of oral frailty, this study used the criteria proposed by Tanaka as the reference test. The screening questionnaire consisted of 11 items for screening physical frailty, chewing ability, swallowing difficulties, oral dryness, and tongue and lip motor function. Each question had a different scoring weight, and if the total score was 1 or higher, an oral frailty diagnostic examination proposed by the KAGD would be recommended. The diagnostic test was the oral frailty diagnostic criteria proposed by the KAGD including 6 measures: chewing ability, occlusal force, tongue pressure, oral dryness, swallowing difficulty, and oral hygiene. If a participant exhibited 2 or more positive measures, this participant was classified as “oral frail.” The screening questionnaire was analyzed using a cut-off value of 1 or higher, while the diagnostic criteria utilized a cut-off of 2 or more positive measures. Sensitivity and specificity were calculated. RESULTS: The screening questionnaire showed significant power for screening oral frailty (area under the receiver operating characteristic curve, 0.783; sensitivity, 87.8%; specificity, 52.5%). The diagnostic accuracy of the newly proposed diagnostic criteria was acceptable (sensitivity, 95.1%; specificity, 42.4%). CONCLUSIONS: The newly proposed screening questionnaire and diagnostic criteria in Korea appear to be a useful tool to identify oral frailty in community-dwelling older adults.
Abstract
OBJECTIVES: This study aimed to establish the validity—specifically, the sensitivity and specificity—of the screening questionnaire and diagnostic criteria for oral frailty proposed by the Korean Academy of Geriatric Dentistry (KAGD) among community-dwelling older adults. METHODS: This study enrolled 100 participants. Among various definitions of oral frailty, this study used the criteria proposed by Tanaka as the reference test. The screening questionnaire consisted of 11 items for screening physical frailty, chewing ability, swallowing difficulties, oral dryness, and tongue and lip motor function. Each question had a different scoring weight, and if the total score was 1 or higher, an oral frailty diagnostic examination proposed by the KAGD would be recommended. The diagnostic test was the oral frailty diagnostic criteria proposed by the KAGD including 6 measures: chewing ability, occlusal force, tongue pressure, oral dryness, swallowing difficulty, and oral hygiene. If a participant exhibited 2 or more positive measures, this participant was classified as “oral frail.” The screening questionnaire was analyzed using a cut-off value of 1 or higher, while the diagnostic criteria utilized a cut-off of 2 or more positive measures. Sensitivity and specificity were calculated. RESULTS: The screening questionnaire showed significant power for screening oral frailty (area under the receiver operating characteristic curve, 0.783; sensitivity, 87.8%; specificity, 52.5%). The diagnostic accuracy of the newly proposed diagnostic criteria was acceptable (sensitivity, 95.1%; specificity, 42.4%). CONCLUSIONS: The newly proposed screening questionnaire and diagnostic criteria in Korea appear to be a useful tool to identify oral frailty in community-dwelling older adults.
참고문헌 (27)
- Dibello V, "Oral frailty indicators to target major adverse health-related outcomes in older age : a systematic review", Geroscience, 45, pp.663~706 (2023)[DOI]
- Hakeem FF, "Association between oral health and frailty : a systematic review of longitudinal studies", Gerodontology, 36, pp.205~215 (2019)[DOI]
- Kimble R, "Association between oral health markers and decline in muscle strength and physical performance in later life : longitudinal analyses of two prospective cohorts from the UK and the USA", Lancet Healthy Longev, 3, pp.e777~e788 (2022)[DOI]
- Castrejón-Pérez RC, "Oral disease and 3-year incidence of frailty in Mexican older adults", J Gerontol A Biol Sci Med Sci, 72, pp.951~957 (2017)[DOI]
- Horibe Y, "A 2-year longitudinal study of the relationship between masticatory function and progression to frailty or pre-frailty among community-dwelling Japanese aged 65 and older", J Oral Rehabil, 45, pp.864~870 (2018)[DOI]
- Iwasaki M, "A 5-year longitudinal study of association of maximum bite force with development of frailty in community-dwelling older adults", J Oral Rehabil, 45, pp.17~24 (2018)[DOI]
- Kotronia E, "Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States", J Am Geriatr Soc, 70, pp.2080~2092 (2022)[DOI]
- Tanaka T, "Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly", J Gerontol A Biol Sci Med Sci, 73, pp.1661~1667 (2018)[DOI]
- Choi JH, "Development of an oral and maxillofacial frailty index : a preliminary study", J Oral Rehabil, 47, pp.187~195 (2020)[DOI]
- Minakuchi S, "Oral hypofunction in the older population : position paper of the Japanese society of gerodontology in 2016", Gerodontology, 35, pp.317~324 (2018)[DOI]
- Tanaka T, "Oral Frailty Index-8 in the risk assessment of new-onset oral frailty and functional disability among community-dwelling older adults", Arch Gerontol Geriatr, 94, pp.104340~ (2021)[DOI]
- So JS, "Clinical practice guidelines for oral frailty", J Korean Dent Assoc, 61, pp.26~58 (2023)[DOI]
- Parisius KG, "Oral frailty dissected and conceptualized : a scoping review", Arch Gerontol Geriatr, 100, pp.104653~ (2022)[DOI]
- Chen X, "Frailty syndrome : an overview", Clin Interv Aging, 9, pp.433~441 (2014)[DOI]
- Kang JH, "Clinical practice guideline for oral frailty", Health Policy Institute, ~ (2023)
- Cohen JF, "STARD 2015 guidelines for reporting diagnostic accuracy studies : explanation and elaboration", BMJ Open, 6, pp.e012799~ (2016)[DOI]
- Sakayori T, "Evaluation of a Japanese"Prevention of long-term care"project for the improvement in oral function in the high-risk elderly", Geriatr Gerontol Int, 13, pp.451~457 (2013)[DOI]
- Utanohara Y, "Standard values of maximum tongue pressure taken using newly developed disposable tongue pressure measurement device", Dysphagia, 23, pp.286~290 (2008)[DOI]
- Satake S, "Validity of the Kihon Checklist for assessing frailty status", Geriatr Gerontol Int, 16, pp.709~715 (2016)[DOI]
- Tohara H, "Three tests for predicting aspiration without videofluorography", Dysphagia, 18, pp.126~134 (2003)[DOI]
- Chalmers JM, "The oral health assessment tool--validity and reliability", Aust Dent J, 50, pp.191~199 (2005)[DOI]
- Sewo Sampaio PY, "Systematic review of the Kihon Checklist : is it a reliable assessment of frailty?", Geriatr Gerontol Int, 16, pp.893~902 (2016)[DOI]
- Ki S, "Development of guidelines on the primary prevention of frailty in community-dwelling older adults", Ann Geriatr Med Res, 25, pp.237~244 (2021)[DOI]
- You HS, "Clinical practice guidelines for managing frailty in community-dwelling Korean elderly adults in primary care settings", Korean J Fam Med, 42, pp.413~424 (2021)[DOI]
- Iwasaki M, "Association between objectively measured chewing ability and frailty : a cross-sectional study in central Thailand", Geriatr Gerontol Int, 18, pp.860~866 (2018)[DOI]
- Iwasaki M, "Association between oral frailty and nutritional status among community-dwelling older adults : the Takashimadaira study", J Nutr Health Aging, 24, pp.1003~1010 (2020)[DOI]
- Takeuchi N, "Oral factors as predictors of frailty in community-dwelling older people : a prospective cohort study", Int J Environ Res Public Health, 19, pp.1145~ (2022)[DOI]