IADR Abstract Archives

Assessment of Oral Frailty among Patients with Stroke

Objectives: Oral frailty among stroke patients refers to the vulnerability and weakness of oral health and function that can occur as a result of a stroke. Research on oral frailty, represented by oral functional decline, among stroke patients, has been rarely published. In Korea, an expert consensus has been reached on the diagnostic criteria for oral frailty. The study aims to assess oral frailty in stroke patients.
Methods: The study participants were obtained from departments of rehabilitation medicine, neurology clinics, nursing homes, and daycare centers. Based on the following diagnostic criteria, oral frailty was diagnosed when functional impairment was observed in two or more out of a total of six items: 1) masticatory function(MF)Results: A total of 50 individuals participated in this survey, of which 57.4% were male and 42.6% were female (Average age: 67). The risk for MF was 34.2%, for MOF was 56.8%, for MTP was 31.4%, for OD was 24.3%, for MWST was 0%, and for OHAT was 65%. The prevalence of overall oral frailty was 28.1%. In particular, there was a strong correlation between the sum of the six oral frailty items and MTP(r=-0.698, p<0.001). Additionally, age(r=0.385, p<0.032), MF(r=-0.562, p=0.001), MOF(r=-0.579, p<0.001), and OD(r=-0.484, p=0.005) exhibited significant correlations.
Conclusions: Stroke patients were experiencing a lower oral frailty level than normal individuals. Collaboration that encompasses both systemic and oral frailty aspects from medical and dental standpoints is necessary. In the future, there is a need for specialized strategies and clinical trial research focusing on oral frailty in stroke patients.

Division:
Meeting: 2023 South East Asian Division Meeting (Singapore)
Location: Singapore
Year: 2023
Final Presentation ID: 178
Abstract Category|Abstract Category(s): Geriatric Oral Research

Authors

Shin, Hye-sun ( Dongnam Health University , Suwon-si , Korea (the Republic of) )

Sim, Seon-ju ( Baekseok University , Cheonan-si , Korea (the Republic of) ; Big Data Statistics Institute , Cheonan-si , Korea (the Republic of) )

Financial Interest Disclosure: None.
Support Funding Agency/Grant Number: This research was supported by Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Education(grant number: 2022R1I1A1A01066197)

SESSION INFORMATION

Poster Session
Poster Session-3: Oral Health Research - 3
Friday, 11/24/2023 , 09:00AM - 10:30AM

TABLES

Table 1. Characteristics of the participants based on oral frailty items.

		Item 1(MF)	Item 2(MOF)	Item 3(MTP)	Item 4(OD)	Item 5(MWST)	Item 6(OHAT)	Sum of 6 items
Total population		3.15	455.14	24.78	29.1	4.26	1.63	2.13
Gender	Male	3.38	523.82	24.85	29.33	4.27	1.59	1.67
	Female	2.88	382.65	24.70	28.84	4.24	1.67	2.53
Stroke	Ischemic	3.00	431.22	23.52	29.11	4.35	1.58	2.29
	Hemorrahage	3.38	490.23	26.46	29.09	4.13	1.69	1.88

Descriptive statistics were presented as the mean values. MF: Masticatory function level, MOF: Maximum Occlusal Force, MTP: Maximum Tongue Pressure, OD: Oral Dryness, MWST: Modified Water Swallowing Test, OHAT: Oral Health Assessment Tool.
Table 2. Correlation of items of oral frailty among stroke patients.

	Age	Item 1(MF)	Item 2(MOF)	Item 3(MTP)	Item 4(OD)	Item 5(MWST)	Item 6(OHAT)	Sum of 6 items
Age	1	-0.300	-0.240	-0.431*	-0.095	0.164	-0.145	0.385*
Item 1(MF)		1	0.545**	0.352*	0.175	0.118	0.008	-0.562**
Item 2(MOF)			1	0.472**	0.042	0.267	0.195	-0.579**
Item 3(MTP)				1	0.191	-0.073	-0.098	-0.698***
Item 4(OD)					1	0.007	-0.209	-0.484**
Item 5(MWST)						1	0.397*	0.101
Item 6(OHAT)							1	0.267
Sum of 6 items								1

Pearson' coefficients. * p<0.05, ** p<0.01, *** p<0.001