Oral health management for the prevention of sarcopenia and frailty

Abstract

Patients with chronic kidney disease (CKD) have a high prevalence of periodontal disease. Periodontal disease is thought to be associated with the progression of CKD through the chronic inflammation burden. CKD patients also have a high risk of tooth loss leading to inadequate occlusion status, which in turn could cause dietary imbalances and a decline in physical activity. Epidemiological studies have suggested that impairment of the functional dentition among older individuals could be a risk factor for protein deficiency and could be associated with sarcopenia and frailty. Functional dentition can be maintained by preventing oral diseases through periodic dental visits and appropriate oral health care. Therefore, oral health management including both professional care and self-care should be recommended for patients with CKD to prevent sarcopenia and frailty.