---
title: "Subjective Oral Status, Oral Health Behaviours, and History of Systemic Disease in Older Adults"
id: "pubmed-42694012"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42694012"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42694012/"
doi: "10.3290/j.ohpd.c_2807"
published_at: "2026-09-04T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Subjective Oral Status, Oral Health Behaviours, and History of Systemic Disease in Older Adults
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42694012
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42694012/)
- **DOI:** [10.3290/j.ohpd.c_2807](https://doi.org/10.3290%2Fj.ohpd.c_2807)
- **Published At:** 2026-09-04T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This cross-sectional analysis used data from 979 community-dwelling older adults aged 65–85 in Higashiura-cho, Aichi Prefecture, collected in 2018 via group examination and self-administered questionnaire. - Investigators examined associations between history of systemic diseases (including cancer, myocardial infarction, stroke, hypertension, diabetes, liver disease, lung disease, mental illness, and bone disease) and oral-related variables: **concerns about teeth and mouth condition**, **use of interdental brushes and dental floss**, and **experience of oral hygiene instruction**. - Multivariable logistic regression models were used to test associations between oral variables and systemic disease histories. - Average participant age was 73.0 ± 5.2 years; 52.4% were female. - No significant associations were found between having **concerns about teeth and mouth condition** or using **interdental brushes and dental floss** and any systemic disease history examined. - Receiving **oral hygiene instruction** was positively associated with a history of **hypertension** (odds ratio 1.4; 95% confidence interval 1.0–2.0). - Authors caution that all disease and oral-health measures were self-reported; this limits causal inference and may introduce reporting bias. - The study suggests dental hygienists should consider patients’ systemic disease status—particularly **hypertension**—when providing oral hygiene instruction, but findings should be interpreted cautiously due to study design and self-reporting.
## Clinical Analysis & Structured Key Points
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Oral Health Prev Dent. 2026. Show details Display options Display options Format Abstract PubMed PMID Oral Health Prev Dent Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Oral+Health+Prev+Dent%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Oral+Health+Prev+Dent%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42694012/) . 2026 Sep 4:24:775-781. doi: 10.3290/j.ohpd.c_2807. ### Authors [Rumi Nishimura](https://pubmed.ncbi.nlm.nih.gov/?term=Nishimura+R&cauthor_id=42694012), [Haruka Fukutani](https://pubmed.ncbi.nlm.nih.gov/?term=Fukutani+H&cauthor_id=42694012), [Marin Ishigami](https://pubmed.ncbi.nlm.nih.gov/?term=Ishigami+M&cauthor_id=42694012), [Maho Omoda](https://pubmed.ncbi.nlm.nih.gov/?term=Omoda+M&cauthor_id=42694012), [Mayuka Asaeda](https://pubmed.ncbi.nlm.nih.gov/?term=Asaeda+M&cauthor_id=42694012), [Yukoh Muraki](https://pubmed.ncbi.nlm.nih.gov/?term=Muraki+Y&cauthor_id=42694012), [Noriyasu Uchibori](https://pubmed.ncbi.nlm.nih.gov/?term=Uchibori+N&cauthor_id=42694012), [Mariko Naito](https://pubmed.ncbi.nlm.nih.gov/?term=Naito+M&cauthor_id=42694012) * PMID: **42694012** * DOI: [ 10.3290/j.ohpd.c_2807 ](https://doi.org/10.3290/j.ohpd.c_2807) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Purpose:** Inadequate oral hygiene and management affect oral health and are associated with systemic diseases. Although systemic disease history may relate to subjective oral status and oral health behaviours, these associations remain insufficiently examined. This study investigated the associations between systemic disease history, subjective oral status, and oral health behaviours among community-dwelling older adults. **Methods and materials:** We analysed data from 979 individuals aged 65-85 years, residing in Higashiura-cho, Aichi Prefecture, who participated in a 2018 group examination and completed a self-administered questionnaire. Multivariable logistic regression was used to evaluate associations between oral-related variables ('concerns about teeth and mouth condition', 'use of interdental brushes and dental floss', and 'experience of oral hygiene instruction') and histories of systemic diseases (cancer, myocardial infarction, stroke, hypertension, diabetes, liver disease, lung disease, mental illness, and bone disease). **Results:** The mean age was 73.0 ± 5.2 years, and 52.4% were female. No significant associations were observed between 'concerns about teeth and mouth condition', 'use of interdental brushes and dental floss', and systemic disease history. However, participants who had received oral hygiene instruction had higher odds of a history of hypertension (odds ratio: 1.4; 95% confidence interval: 1.0-2.0). **Conclusion:** Among community-dwelling older adults, receiving oral hygiene instruction was positively associated with a history of hypertension. As the data were self-reported, findings should be interpreted with caution. Dental hygienists should consider patients' systemic health status, particularly hypertension, when providing oral hygiene instruction. **Keywords:** cross-sectional study; history of systemic disease; older people; oral health; oral hygiene instruction. 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