Frailty and Oral Health: Associations with Candidiasis, Prosthesis Use, and Hyposalivation

<b>Background/Objectives</b>: Frailty syndrome favors the deterioration of health; therefore, identifying associated factors is essential for establishing preventive measures. Oral candidiasis is a factor that may be related to the onset of frailty. Our objective was to evaluate the association between frailty and oral candidiasis in institutionalized participants. <b>Methods</b>: We conducted a cross-sectional study involving 589 institutionalized individuals aged 65 years or older. A diagnosis of candidiasis was established clinically and with a microbiological study (potassium hydroxide (KOH) test and culture for candidiasis). Assessments of salivary flow and the use of dental prostheses were also performed. Frailty was classified according to Fried's phenotype criteria. <b>Results</b>: Frailty and prefrailty were found in 28.9% and 66.7% of the participants, respectively. Oral candidiasis was diagnosed in 39.05% of cases and was more frequent among individuals with dental prostheses (49.13%) and hyposalivation (47.54%). <b>Conclusions</b>: Our findings suggest that frailty in institutionalized older adults is associated with the presence of subprosthetic stomatitis associated with candidiasis and hyposalivation, indicating the need for integrated oral health strategies in geriatric care.

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Publication Details

Journal
Geriatrics
Published
2025-08-26
DOI
https://doi.org/10.3390/geriatrics10050116
Primary Topic
Frailty in Older Adults
Type
article
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article

Frailty and Oral Health: Associations with Candidiasis, Prosthesis Use, and Hyposalivation

Ludwig Álvarez-Córdova, Fuad Huamán‐Garaicoa, Sofía Cuadrado‐Ríos, Karla Cruz‐Moreira et al.
Geriatrics
Frailty in Older Adults
article

Frailty and Oral Health: Associations with Candidiasis, Prosthesis Use, and Hyposalivation

Ludwig Álvarez-Córdova, Fuad Huamán‐Garaicoa, Sofía Cuadrado‐Ríos, Karla Cruz‐Moreira, Renata Centanaro-Vera, Marcelo Armijos
article en

Abstract

<b>Background/Objectives</b>: Frailty syndrome favors the deterioration of health; therefore, identifying associated factors is essential for establishing preventive measures. Oral candidiasis is a factor that may be related to the onset of frailty. Our objective was to evaluate the association between frailty and oral candidiasis in institutionalized participants. <b>Methods</b>: We conducted a cross-sectional study involving 589 institutionalized individuals aged 65 years or older. A diagnosis of candidiasis was established clinically and with a microbiological study (potassium hydroxide (KOH) test and culture for candidiasis). Assessments of salivary flow and the use of dental prostheses were also performed. Frailty was classified according to Fried's phenotype criteria. <b>Results</b>: Frailty and prefrailty were found in 28.9% and 66.7% of the participants, respectively. Oral candidiasis was diagnosed in 39.05% of cases and was more frequent among individuals with dental prostheses (49.13%) and hyposalivation (47.54%). <b>Conclusions</b>: Our findings suggest that frailty in institutionalized older adults is associated with the presence of subprosthetic stomatitis associated with candidiasis and hyposalivation, indicating the need for integrated oral health strategies in geriatric care.

GeriatricsVol. 10(5)
University of Guayaquil (EC), Universidad Espíritu Santo (EC), Universidad Católica de Santiago de Guayaquil (EC), Universidad de Las Américas (EC), Instituto Nacional de Investigación en Salud Pública (EC), National Oncologic Institute (PA), Universidad Metropolitana (EC)
Openalex Percentile: Top 74%
Frailty in Older Adults
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