Document Type
Article
Publication Date
8-23-2022
Abstract
Objective To identify complex multimorbid conditions, including chronic conditions, functional limitations and geriatric syndromes, associated with the presence and severity of periodontal disease (PD), after accounting for a series of demographic and behavioural characteristics. Design This cross-sectional study used secondary data from a nationally representative sample, classification and regression tree analysis and random forest identified combinations of specific conditions constituting complex multimorbidity associated with the presence and severity of PD. Setting US National Health and Nutritional Examination Survey (2013-2014). Participants Individuals 60 years of age or older who completed a periodontal examination. Results Among 937 participants aged 60 and over, the prevalence of PD was 72.6%. PD was associated with sociodemographic factors and limitations in instrumental activities of daily living. Male sex and non-white race were the two most critical predictors of stage III/IV PD. Other important factors included age, education level and the federal poverty level. Conclusions Rather than chronic conditions or geriatric syndromes, PD was associated with sociodemographic factors and functional limitations. Accounting for the co-occurrence of sociodemographic and functional limitations will help recognise older adults who are at an increased vulnerability to the severity of PD.
Keywords
aging, chronic disease, geriatrics, oral health, public health
Language
English
Publication Title
Family Medicine and Community Health
Rights
© 2022 Author(s) (or their employer(s). This is an open access work distributed under the terms of the Creative Commons Attribution-Non-Commercial (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Alqahtani HM, Koroukian SM, Stange K, Bissada NF, Schiltz NK. Combinations of chronic conditions, functional limitations and geriatric syndromes associated with periodontal disease. Family Medicine and Community Health. 2022;10:e001733. https://doi.org/10.1136/fmch-2022-001733
Manuscript Version
Final Publisher Version