The situation and relationship of numbers of teeth, posterior occlusal pairs and sarcopenia among the older people in Suphan Buri Province
Main Article Content
Abstract
Cross-sectional research was conducted to study the situation and relationship of numbers of teeth, posterior occlusal pairs and sarcopenia among the older people in Suphan Buri Province. The sample group consisted of 595 older individuals aged between 60 and 80 chosen by multi-stage and simple random sampling. Data were gathered through questionnaires. The assessment of sarcopenia included the SARC-F screening test, handgrip strength measurement, and an oral condition assessment form. Data were analyzed using binary logistic regression. The results showed that 69.58% of the sample were female and 30.42% male, with an average age of 68.25 ± 5.87. 25.55% of the sample had sarcopenia, 29.95% of females and 15.47% of males with, most often in octogenarian samples (58.06%). Regarding the impact of other factors, the number of teeth was associated with sarcopenia (P value = 0.005). Samples with 0 - 9 permanent teeth were 1.90 times likelier to have sarcopenia (Adjusted OR = 1.90, 95% CI = 1.12 - 3.25), and those with 10-19 permanent teeth were 2.29 times likelier (Adjusted OR = 2.29, 95% CI = 1.36 - 3.84) compared to those with 20 - 32 permanent teeth. The number of Posterior occlusal pairs were not associated with sarcopenia. These findings suggest that older community residents should be screened for oral health and sarcopenia, especially those with congenital diseases, and diets with sufficient protein and physical activity promoted.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
United Nations, Department of Economic and Social Affairs, Population Division. World population ageing 2019: Highlights (ST/ESA/SER.A/430). New York: United Nations; 2019.
Ministry of Public Health, Department of Health, Bureau of Dental Public Health (TH). Guidelines for dental public health operations fiscal year 2024 [Internet]. 2023 [cited 2023 Dec 4]. Available from: https://dental.anamai.moph. go.th/th/guidelines.
(in Thai)
Chalittikul W, Kassim S, Sabbah W. The association between number of teeth and physical function limitation among older adults in the USA. Gerodontology 2020;37(4):389-94.
Chen LK, Woo J, Assantachai P, Auyeung TW, Chou MY, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc 2020;21(3):300-7.e2.
Promklang D, Piaseu N, Maruo SJ, Tantiprasoplap S. Factors associated with sarcopenia amongst older adults in congested communities in Bangkok. Thai Journal of Nursing Council 2018;33(1):49-60. (in Thai)
Chaithongkrua P, Temcharoen P, Chandrasiri V, Soontornchai S. The prevalence and related factors of sarcopenia among the elderly in Sattahip District, Chonburi Province. Journal of The Department of Medical Services 2021;46(2):103-10.
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019;48(1):16-31.
Landi F, Cruz-Jentoft AJ, Liperoti R, Russo A, Giovannini S, Tosato M, et al. Sarcopenia and mortality risk in frail older persons aged 80 years and older: results from ilSIRENTE study. Age Ageing 2013;42(2):203-9.
Lin YS, Wang Q, Shen ZK, Sun HX, Wu C, He H, et al. Association of loss of occlusal pairs of teeth with sarcopenia in a Chinese population of community-dwelling elderly. J Nutr Health Aging 2022;26(5):439-44.
Hakeem FF, Bernabé E, Sabbah W. Association between oral health and frailty among american older adults. J Am Med Dir Assoc 2021;22(3):559-63.e2.
Yun J, Lee Y. Association between oral health status and handgrip strength in older Korean adults. Eur Geriatr Med 2020;11(3):459-64.
Hatta K, Ikebe K. Association between oral health and sarcopenia: A literature review. J Prosthodontic Res 2021;65(2):131-6.
Hiratsuka T, Komiyama T, Ohi T, Tanji F, Tomata Y, Tsuji I, et al. Contribution of systemic inflammation and nutritional status to the relationship between tooth loss and mortality in a community-dwelling older Japanese population: a mediation analysis of data from the Tsurugaya project. Clin Oral Investig 2020;24(6):2071-7.
Kugimiya Y, Iwasaki M, Ohara Y, Motokawa K, Edahiro A, Shirobe M, et al. Relationship between oral hypofunction and sarcopenia in community-dwelling older adults: the Otassha study. Int J Environ Res Public Health 2021;18(12):6666.
Sichon T, Nonglak K, Siriporn S, Jutarat B, Werayuth S. Nurses’ role in home care for older people with sarcopenia. Journal of The Royal Thai Army Nurses 2021;22:65-73. (in Thai)
Ministry of Public Health, Department of Health, Bureau of Dental Public Health (TH). Report on the results of the 8th National Oral Health Survey, Thailand 2017 [Internet]; 2018 [cited 2024 Oct 2]. Available from: http://www.dent.chula.ac.th/ upload/news/791/file_1_5834.pdf (in Thai)
Ministry of Public Health, Department of Health, Bureau of Dental Health (TH). Guidelines for conducting dental public health fiscal year 2021 [Internet]; 2022 [cited 2022 Oct 4]. Available from: https://dental.anamai.moph.go.th/th/guidelines/download?id=111492&mid=38582&mkey=m_document&lang=th&did=33364 (in Thai)
Kunavisarut S, Juankrajang J, Taweephol P. The oral care behavior and posterior dentition of the elderly In Donchedi district, Suphanburi Province. Journal of Public Health and Innovation 2021;1(2):1-13. (in Thai)
Suphanburi Provincial Public Health Office, Dental Public Health Group (TH). Survey of dental health conditions in Suphanburi Province. Suphanburi Province: Suphanburi Provincial Public Health Office; 2023. (in Thai)
Phenrung W, Jiraphan P, Umakron J. The study of falls among the elderly in the community, Suphan Buri Province. Regional Health Promotion Center 9 Journal 2020;14(34):126-41. (in Thai)
Ministry of Social Development and Human Security, Department of Older Persons (TH). Statistics for the elderly [Internet]; 2023 [cited 2024 Feb 4]. Available from: https://www.dop.go.th/th/know/side/1/1/2449. (in Thai)
Office of Permanent Secretary, Ministry of Public Health, Information and Communication Technology Center, Medical data warehouse system Health Data Center (HDC) (TH). Standard report group screening of the elderly, 10 matters; 2023 [Internet]; 2019. [cited 2024 Feb 4]. Available from: https://spb.hdc.moph. go.th/hdc/reports/report.php?&cat_id=6966b0664b89805a484d7ac96c6edc48&id=df0700e8e3c79802b208b8780ab64d61. (in Thai)
Xia X, Xu Z, Hu F, Hou L, Zhang G, Liu X. Nutrition mediates the relationship between number of teeth and sarcopenia: a pathway analysis. BMC Geriatr 2022;22(1):649.
Musikarat P, Sriburi C, Boonyarom O, Srisupakornkool K. The physical activity level and its related factors among the community-dwelling elderly in the second regional health. Royal Thai Army Medical Journal 2021;74(2):67-84. (in Thai)
Yudying W. The Relationship between Denture Quality, Masticatory performance and oral health–related quality of life and happiness of using denture in elderly complete denture wearers. Journal of Health Research and Development, Nakhon Ratchasima Provincial Public Health Office 2020;6(2):58-75. (in Thai)
Thanasupakornkul P, Wongsutilert A, Jaidee W, Punyaman U, Thararam S. SARC-F scores correlated with low physical performance and muscle strength in older Thai adults. Burapha Medical Journal 2019;5(2):87-93. (in Thai)
World Health Organization. Oral health surveys: basic methods [Internet]. France: World Health Organization; 2013. [cited 2023 Jul 9]. Available from: https://cappmediaprodst.blob.core.windows.net/ media/1016/who-oral-health-surveys-basic-methods-5th-ed.pdf.
Bursac Z, Gauss CH, Williams DK, Hosmer DW. Purposeful selection of variables in logistic regression. Source Code Biol Med 2008;3:17.
Nichanan P. Prevalence and factors related to sarcopenia among elderly in Si Sa Ket Municipality. Medical journal of srisaket surin buriram hospitals 2024;39(2):439-50. (in Thai)
Chen LK, Lee WJ, Peng LN, Liu LK, Arai H, Akishita M, et al. Recent advances in sarcopenia research in Asia: 2016 update from the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2016;17(8):767. e1-.7.