RT Journal Article
T1 Relationship between functional masticatory units and cognitive impairment in elderly persons
A1 Cardoso, Mónica
A1 Diniz Freitas, Márcio
A1 Vázquez, Paula
A1 Cerqueiro, Sandra
A1 Diz Dios, Pedro
A1 Limeres Posse, Jacobo
K1 Cognitive impairment
K1 Dementia
K1 Dental occlusion
K1 Elderly
K1 Mini-mental state examination
AB Background: Studies on the elderly have reported that the risk of cognitive impairment is affected by chewing difficulty.Objective: To determine whether there is a relationship between the number of pairs of antagonist teeth that come into contact when the mouth is closed (functional masticatory units [FMUs]) and the level of cognitive impairment.Methods: We conducted a cross-sectional observational study with 502 institutionalised White individuals older than 65 years, living in the northwest of Spain and Portugal. Through a direct visual inspection, we recorded the number of FMUs. Cognitive impairment was assessed by applying the Mini-Cognitive Examination (MCE), a test derived from the Mini-Mental State Examination. To describe the statistical relationship between the FMUs and the MCE values, a generalised linear model (GLM) was applied. We assessed the GLM predictive capacity for detecting cognitive impairment (MCE ≤23) in a new study group consisting of 156 elderly individuals.Results: A large number of FMUs was significantly associated with a lower probability of cognitive impairment, regardless of the nature of the contact and its location (explained deviance, 30.1%). The model's discriminatory capacity for cognitive impairment based on the FMUs was “good” (0.820). The model's predictive capacity for cognitive impairment was “acceptable” (sensitivity, 0.786; positive predictive value, 0.900; accuracy, 0.729).Conclusion: In White, elderly institutionalised individuals, the absolute number of FMUs is significantly related to their MCE scores.
PB Wiley
SN 0305-182X
YR 2019
FD 2019
LK http://hdl.handle.net/10347/32781
UL http://hdl.handle.net/10347/32781
LA eng
NO Cardoso MG, Diniz-Freitas M, Vázquez P, Cerqueiro S, Diz P, Limeres J. Relationship between functional masticatory units and cognitive impairment in elderly persons. J Oral Rehabil. 2019; 46: 417–423. https://doi.org/10.1111/joor.12763
NO This is the peer reviewed version of the following article: Cardoso MG, Diniz-Freitas M, Vázquez P, Cerqueiro S, Diz P, Limeres J. Relationship between functional masticatory units and cognitive impairment in elderly persons. J Oral Rehabil. 2019; 46: 417–423, which has been published in final form at https://doi.org/10.1111/joor.12763. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited
DS Minerva
RD 25 abr 2026