Table 1. Questionnaire Items Used in This Study.

From: Comparative Analysis of the Oral Frailty Five-item Checklist and Oral Frailty Index-8 Tools in Assessing Oral Frailty and Their Association with Systemic Health Indicators

OF-5 specific questions ① Fewer teeth
How many of your natural teeth are left? (<20 natural teeth)
② Low articulatory oral motor skill
Have you had difficulty with clear pronunciation recently? (Yes)
Questions common to OF-5 and OFI-8 ③ Difficulty in chewing
Do you have any difficulties eating tough foods compared with 6 months ago? (Yes)
④ Difficulty in swallowing
Have you choked on your tea or soup recently? (Yes)
⑤ Dry mouth
Do you often experience having a dry mouth? (Yes)
OFI-8 specific questions ⑥ Do you use dentures? (Yes)
⑦ Do you go out less frequently than you did last year? (Yes)
⑧ Can you eat hard foods like squid jerky or pickled radish? (No)
⑨ How many times do you brush your teeth in a day? (<2 times/day)
⑩ Do you visit a dental clinic at least annually? (No)
Table 2. Baseline Characteristics of the Participants Stratified by Sex and the OF-5 and OFI-8 Questionnaires.

From: Comparative Analysis of the Oral Frailty Five-item Checklist and Oral Frailty Index-8 Tools in Assessing Oral Frailty and Their Association with Systemic Health Indicators

Total (n = 270) Men (n = 133) Women (n = 137) P value
Age (years)‡ 78 (72-83) 77 (71-83) 79 (73-83) 0.127
Height (cm)‡ 157 (151-165) 165 (160-170) 152 (148-156) <0.001
Weight (kg)‡ 59 (50-68) 65 (60-73) 52 (48-59) <0.001
Body mass index: BMI‡ 23.3 (21.4-25.8) 24.3 (22.3-26.4) 22.5 (20.6-25.3) <0.001
Grip strength (kg)‡ 21.5 (16-29.5) 29.5 (24.7-34.0) 16.6 ± 4.4 <0.001
White blood cells (/μL)‡ 5625 (4835-6588) 5850 (4985-6665) 5410 (4795-6545) 0.174
Red blood cells (×104/μL)* 426 ± 52 435 ± 57 417 ± 45 0.004
Hemoglobin (g/dL)‡ 13.2 (12.2-14.3) 13.8 (12.8-14.9) 12.8 (11.9-13.6) <0.001
Hematocrit (%)‡ 39.9 (37.2-42.8) 41.6 (38.1-44.6) 38.6 (36.6-41.4) <0.001
Platelets(×104/μL)* 21.3 ± 5.1 20.5 ± 4.8 22.1 ± 5.3 0.007
Total protein (g/dL)‡ 7.0 (6.8-7.3) 7.0 (6.7-7.3) 7.1 (6.8-7.3) 0.098
Albumin (g/dL)‡ 4.2 (3.9-4.4) 4.2 (3.9-4.4) 4.2 (3.9-4.4) 0.891
Creatinine (mg/dL)‡ 0.85 (0.73-1.05) 0.97 (0.83-1.17) 0.76 (0.66-0.90) <0.001
Comorbidities
Hypertension, n (%)† 232 (85.9) 118 (88.7) 114 (83.2) 0.223
Diabetes, n (%)† 60 (22.2) 34 (25.6) 26 (19.0) 0.241
Dyslipidemia, n (%)† 148 (54.8) 66 (49.6) 82 (59.9) 0.112
Osteoporosis, n (%)† 20 (7.4) 5 (3.8) 15 (10.9) 0.035
Malignant neoplasm, n (%)† 23 (8.5) 16 (12.0) 7 (5.1) 0.005
Cardiovascular disease, n (%)† 71 (26.3) 41 (30.8) 30 (21.9) 0.100
Cerebrovascular disease, n (%)† 30 (11.1) 14 (10.5) 16 (11.7) 0.847
Questions
OF-5 specific questions ① Fewer teeth 90 (33.3) 35 (26.3) 55 (40.1) 0.020
How many of your natural teeth are left? (<20 natural teeth) †
② Low articulatory oral motor skill 31 (11.5) 20 (15.0) 11 (8.0) 0.086
Have you had difficulty with clear pronunciation recently? (Yes) †
Questions common to OF-5 and OFI-8 ③ Difficulty in chewing 56 (20.7) 19 (14.3) 37 (27.0) 0.011
Do you have any difficulties eating tough foods compared with 6 months ago? (Yes) †
④ Difficulty in swallowing 75 (27.8) 34 (25.6) 41 (29.9) 0.497
Have you choked on your tea or soup recently? (Yes) †
⑤ Dry mouth 101 (37.4) 46 (34.6) 55 (40.1) 0.380
Do you often experience having a dry mouth? (Yes) †
OFI-8 specific questions ⑥ Do you use dentures? (Yes) † 156 (57.8) 75 (56.4) 81 (59.1) 0.712
⑦ Do you go out less frequently than you did last year? (Yes) † 76 (28.1) 28 (21.1) 48 (35.0) 0.015
⑧ Can you eat hard foods like squid jerky or pickled radish? (No) † 38 (14.1) 13 (9.7) 25 (18.2) 0.054
⑨ How many times do you brush your teeth in a day? (<2 times/day) † 57 (21.1) 32 (24.1) 25 (18.2) 0.297
⑩Do you visit a dental clinic at least annually? (No) † 55 (20.4) 25 (18.8) 30 (21.9) 0.549
Questionnaire score results
OF-5 score‡ 1 (0-2) 1 (0-2) 1 (1-2) 0.018
Oral frailty, ≥2 OF-5 score, n (%)† 110 (40.7) 45 (33.8) 65 (47.4) 0.016
OFI-8 score‡ 3 (2-5) 3 (2-4) 4 (2-5) 0.016
OFI-8 score ≤2, n (%)† 107 (39.6) 61 (45.9) 46 (33.6) 0.047
OFI-8 score = 3, n (%) † 42 (15.6) 21 (15.8) 21 (15.3) 1.000
OFI-8 score ≥4, n (%)† 121 (44.8) 51 (38.3) 70 (51.1) 0.038
Table 3. Comparison of Physical and Biological Markers between the Oral Non-Frailty and Oral Frailty Groups Determined by the OF-5, Stratified by Sex.

From: Comparative Analysis of the Oral Frailty Five-item Checklist and Oral Frailty Index-8 Tools in Assessing Oral Frailty and Their Association with Systemic Health Indicators

Men (n = 133) Women (n = 137)
Oral non-frailty, 0-1 OF-5 score (n = 88) Oral frailty, ≥2 OF-5 score (n = 45) P Value Oral non-frailty, 0-1 OF-5 score (n = 72) Oral frailty, ≥2 OF-5 score (n = 65) P Value
Age (year-old)‡ 76 (69-81) 79 (73-85) 0.022 78 (73-83) 79 (74-83) 0.620
Height (cm)* 165.4 ± 7.2 163.5 ± 5.9 0.131 151.9 ± 5.0 151.5 ± 6.8 0.701
Body weight (kg)‡ 68 (60-73) 62 (58-71) 0.080 52 (48-60) 52( 45.6-58) 0.410
Body mass index‡ 24.6 (22.4-26.6) 23.2 (21.9-26.1) 0.255 22.7 (20.7-25.3) 22.4 (20.5-25.3) 0.449
Grip strength (kg)* 30.2 ± 7.0 28.1 ± 7.3 0.114 17.0 ± 4.1 16.1 ± 4.8 0.248
White blood cells (/μL)‡ 5610 (4803-6485) 6300 (5180-7705) 0.030 5370 (4645-6508) 5510 (4840-6560) 0.446
Red blood cells (×104/μL)* 438 ± 59 429 ± 54 0.414 419 ± 42 415 ± 49 0.590
Hemoglobin (g/dL) 13.8 ± 1.7* 13.5 ± 1.4* 0.404 13.0 (11.9-13.7)‡ 12.6 (11.9-13.4)‡ 0.230
Hematocrit (%) 41.3 ± 4.9* 40.5 ± 4.0* 0.327 39.3 (36.9-41.3)‡ 38.2 (36.1-41.5)‡ 0.359
Platelets (×104/μL) 20.5 ± 5.0* 20.5 ± 4.5* 0.981 21.3 (18.7-25.2)‡ 21.6 (17.9-25.7)‡ 0.841
Total protein (g/dL)* 7.0 ± 0.4 7.0 ± 0.5 0.931 7.1 ± 0.4 7.1 ± 0.4 0.957
Albumin (g/dL)‡ 4.2 (4.0-4.4) 4.1 (3.9-4.4) 0.241 4.2 (3.9-4.4) 4.1 (3.9-4.3) 0.514
Creatinine (mg/dL ‡ 0.95 (0.83-1.19) 0.99 (0.85-1.14) 0.801 0.76 (0.68-0.97) 0.76 (0.64-0.86) 0.381
Hypertension, n (%)† 79 (89.8) 39 (86.7) 0.576 64 (88.9) 50 (76.9) 0.070
Diabetes, n (%)† 22 (25.0) 12 (26.7) 0.836 11 (15.3) 15 (23.1) 0.280
Dyslipidemia, n (%)† 45 (51.1) 21 (46.7) 0.715 47 (65.3) 35 (53.8) 0.222
Osteoporosis, n (%)† 5 (5.7) 0 (0.0) 0.167 5 (6.9) 10 (15.4) 0.170
Malignant neoplasm, n (%)† 10 (11.4) 6 (13.3) 0.782 3 (4.2) 4 (6.2) 0.708
Cardiovascular disease, n (%)† 28 (31.8) 13 (28.9) 0.843 17 (23.6) 13 (20.0) 0.682
Cerebrovascular disease, n (%)† 8 (9.1) 6 (13.3) 0.552 9 (12.5) 7 (10.8) 0.796
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