Association between edentulism and cognition among people aged 50 and over
10.3760/cma.j.issn.0254-6450.2019.10.012
- VernacularTitle: 50岁及以上人群无牙症与认知功能的关联研究
- Author:
Ye RUAN
1
;
Yanfei GUO
1
;
Min YU
2
;
Feng LIU
3
;
Yingli ZHU
4
;
Shuangyuan SUN
1
;
Zhezhou HUANG
1
;
Yang ZHENG
1
;
Yan SHI
1
;
Fan WU
5
Author Information
1. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
3. Shaanxi Provincial Center for Disease Control and Prevention, Xi’an 710054, China
4. Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
5. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China; Shanghai Medical College, Fudan University, Shanghai 200032, China
- Publication Type:Journal Article
- Keywords:
Edentulism;
Cognition
- From:
Chinese Journal of Epidemiology
2019;40(10):1234-1239
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the association between edentulism and cognition in people aged 50 and over in China.
Methods:Cross-sectional data was collected from the first wave of World Health Organization Study on global AGEing and adult health in China, among people aged 50 and over in China. A comprehensive cognitive test was used to assess cognitive functions, including verbal recall (VR), verbal fluency (VF), forward digit span (FDS) and backward digit span (BDS) among the subjects. Association between edentulism and cognition was examined by a two-level (individual level and community level) linear model.
Results:A total of 12 843 individuals aged 50 years and over were included for analysis, with an average age of (63.0±9.3) years. The overall prevalence of edentulism was 11.0%. The edentulous adults had lower mean scores of VR (4.55), VF (10.88), FDS (6.25), BDS (2.96) and overall cognition (49.15) (P<0.001). Edentulism was negatively associated with VR (β=-0.216, 95%CI: -0.370 - -0.062), FDS (β=-0.186, 95%CI: -0.293 - -0.078) and overall cognition (β=-1.703, 95%CI: -3.025 - -0.381) after adjusted for age, sex, residence, education level, marital status, household income, co-morbidity of chronic conditions, BMI, smoking and drinking alcohol.
Conclusion:Edentulism was related with lower cognition level in people aged 50 and over in China.