The impact of oral health on geriatric syndromes  and clinical outcomes in elderly people  in the Kyrgyz Republic

Zhilbera Romankulova; Murat Garipov; Symbat Kaipova; Arzykan Alisherova; Sagynali Mamatov

Abstract

Oral health is substantial for everyday life and overall health and well-being. The study aimed to assess the impact of self-rated oral health on geriatric conditions in elderly patients aged 65 years and older. This prospective study included 330 patients aged 65 years and older. The mean age was 76.3 ± 7.4 years, with more women than men (58.2% versus 41.8%). Three items from the General Oral Health Assessment Index scale were used to assess oral health status, with scores ranging from 1 to 5, with higher scores indicating poorer health. Based on their total scores, patients were divided into three groups: good (3 points), satisfactory (4-7 points) and poor (8-15 points). Upon examination of the oral cavity, good health was observed in 83 (25.2%) patients, satisfactory health in 134 (40.6%) patients, and poor oral health in the remaining 113 (34.2%) patients. The deterioration in oral health was associated with the frequency of various geriatric syndromes during follow-up. Increased awareness of oral health for appropriate therapeutic approaches may improve clinical outcomes in the care of frail elderly people

Keywords

oral health; geriatric syndromes; clinical outcomes; elderly people

Suggested citation

APA Style

Romankulova, Zh., Garipov, M., Kaipova, S., Alisherova, A. & Mamatov, S. (2025). The impact of oral health on geriatric syndromes and clinical outcomes in elderly people in the Kyrgyz Republic. Eurasian Health Journal, 17(4), 213-225. https://doi.org/10.54890/1694-8882-2025-4-213

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Vancouver Style

Romankulova, Zh., Garipov, M., Kaipova, S., Alisherova, A., Mamatov, S.. The impact of oral health on geriatric syndromes and clinical outcomes in elderly people in the Kyrgyz Republic. Eurasian Health J. 2025;17(4):213-25. https://doi.org/10.54890/1694-8882-2025-4-213

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References

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[1] Gil-Montoya JA, de Mello AL, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clin Interv Aging. 2015;10:461–7. DOI: 10.2147/CIA. S54630

[2] GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 19902017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789– 858. DOI: 10.1016/S0140-6736(18)32279-7

[3] Razak PA, Richard KM, Thankachan RP, Hafiz KA, Kumar KN, Sameer KM. Geriatric oral health: A review article. J Int Oral Health. 2014;6(6):110–6.

[4] Tôrres LH, Tellez M, Hilgert JB, Hugo FN, de Sousa MD, Ismail AI. Frailty, frailty components, and oral health: A systematic review. J Am Geriatr Soc. 2015;63(12):2555–62. DOI: 10.1111/jgs.13826

[5] Mamatov SM, Arstanbekova MA, Imanalieva FE, Bazira KK. Status and prospects of gerontology and geriatrics in the Kyrgyz Republic. Adv Gerontol. 2020;33(2):391–6. DOI: 10.34922/AE.2020.33.2.025

[6] Arstanbekova MA, Musakeev AO, Mamatov SM. Prevalence of geriatric syndromes in elderly patients in social hospitals in the southern regions of the Kyrgyz Republic. Russ J Geriatr Med. 2025;3(23):428–30. DOI: 10.37586/2686-8636-3-2025-428-430

[7] Campos JADB, Zucoloto ML, Bonafé FSS, Maroco J. General oral health assessment index: A new evaluation proposal. Gerodontology. 2017;34(3):334–42. DOI: 10.1111/ger.12270

[8] Tkacheva ON, Kotovskaya YuV, Runikhina NK, Frolova AV, Naumov AV, Vorobyeva NM, et al. Clinical guidelines on frailty. Russ J Geriatr Med. 2020;(1):11–46. DOI: 10.37586/2686-8636-1-2020-11-46

[9] Pinto TCC, Machado L, Bulgacov TM, Rodrigues-Junior AL, Costa MLG, Ximenes RCC, et al. Is the Montreal Cognitive Assessment (MoCA) screening superior to the Mini-Mental State Examination (MMSE) in the detection of mild cognitive impairment (MCI) and Alzheimer’s Disease (AD) in the elderly? Int Psychogeriatr. 2019;31(4):491–504. DOI: 10.1017/S1041610218001370

[10] Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: Developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001;56(6):366–72. DOI: 10.1093/gerona/56.6.m366

[11] Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):85–94. DOI: 10.1093/geronj/49.2.m85

[12] Toniazzo MP, Amorim PS, Muniz FWMG, Weidlich P. Relationship of nutritional status and oral health in elderly: Systematic review with meta-analysis. Clin Nutr. 2018;37(3):824–30. DOI: 10.1016/j.clnu.2017.03.014

[13] Dibello V, Zupo R, Sardone R, Lozupone M, Castellana F, Dibello A, et al. Oral frailty and its determinants in older age: A systematic review. Lancet Healthy Longev. 2021;2(8):507–20. DOI: 10.1016/S2666 7568(21)00143-4

[14] Tanaka T, Hirano H, Ikebe K, Ueda T, Iwasaki M, Shirobe M, Minakuchi S, et al. Oral frailty five-item checklist to predict adverse health outcomes in community-dwelling older adults: A Kashiwa cohort study. Geriatr Gerontol Int. 2023;23(9):651–9. DOI: 10.1111/ggi.14634

[15] van Munster BC, Boot GG, Festen S, de Rooij SE. Goals and outcomes of hospitalised older people: Does the current hospital care match the needs of older people? Intern Med J. 2022;52(5):770–5. DOI: 10.1111/ imj.15508

[16] Chew J, Chia JQ, Kyaw KK, Fu JK, Ang J, Lim YP, et al. Association of oral health with frailty, malnutrition risk and functional decline in hospitalized older adults: A cross-sectional study. J Frailty Aging. 2023;12(4):277–83. DOI: 10.14283/jfa.2023.33

[17] Miyahara S, Maeda K, Kawamura K, Matsui Y, Satake S, Arai H, et al. Association between intrinsic capacity and oral health in older patients in a frailty clinic. Eur Geriatr Med. 2024;15(4):1119–27. DOI: 10.1007/ s41999-024-00956-5

[18] Yang Y, Liang L, Cai J, You J, Liao X. Improving oral hygiene for better cognitive health: Interrelationships of oral hygiene habits, oral health status, and cognitive function in older adults. J Adv Nurs. 2024;80(1):275–86. DOI: 10.1111/jan.15769

[19] Park CM, Oh G, Lee H, Jung HW, Lee E, Jang IY, et al. Multicomponent intervention and long-term disability in older adults: A nonrandomized prospective study. J Am Geriatr Soc. 2021;69(3):669–77. DOI: 10.1111/ jgs.16926