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Assessing frailty in the older : the role of bite force as an independent indicator

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorFerreira, Luciano Maia Alves
dc.contributor.authorBrito, José
dc.contributor.authorSilva, Josie Resende Torres da
dc.contributor.authorSilva, Marcelo Lourenço da
dc.contributor.authorAndrade, Maia e Maia Fischel e
dc.contributor.authorJúdice, André
dc.contributor.authorMendes, José João
dc.contributor.authorMachado, Vanessa
dc.contributor.authorBotelho, João
dc.contributor.authorRegalo, Simone Cecílio Hallak
dc.date.accessioned2026-04-28T10:24:17Z
dc.date.available2026-04-28T10:24:17Z
dc.date.issued2025-03
dc.description.abstractBackground: This study investigates the relationship between bite force and grip strength as indicators of frailty in older adults. Frailty syndrome, characterized by increased vulnerability to adverse health outcomes, poses significant challenges in geriatric care. Objectives: This research builds on previous findings linking oral health to frailty risk, emphasizing the need for targeted interventions. Methods: A total of 59 older participants, aged 60 years and older, were enrolled in this cross-sectional study conducted at the Egas Moniz School of Health and Science. The participants underwent assessments of bite force using an electric dynamometer and grip strength using a specialized device. Body composition was also measured using bioelectrical impedance analysis (BIA). Results: Statistical analysis revealed a significant positive correlation between bite force and grip strength, even after adjusting for age and body mass index (BMI). Age was significantly correlated with bite and grip force (p < 0.05), while BMI was correlated only with handgrip force but not with bite force (coefficient = −0.047, p = 0.737). Notably, bite force was found to be independent of BMI, unlike grip strength, which is generally influenced by body composition. This independence highlights the potential of bite force as a reliable and distinct marker for frailty that is not confounded by BMI-related factors. This study highlights the importance of oral health in maintaining overall well-being in older adults. Reduced bite force may indicate an increased risk of frailty, which can lead to malnutrition and decreased quality of life. These findings suggest that integrating bite force measurements into clinical assessments may improve the assessment of frailty and inform interventions aimed at improving health outcomes in the older population. Conclusions: This research provides new insights into the association between bite force and grip strength, emphasizing the unique value of bite force as an independent marker of frailty. It advocates for further studies to explore its role in geriatric care strategies.eng
dc.identifier.citationFerreira LMA, Brito J, da Silva JRT, da Silva ML, Fischel e Andrade MeM, Júdice A, Mendes JJ, Machado V, Botelho JT, Regalo SCH. Assessing Frailty in the Older: The Role of Bite Force as an Independent Indicator. Geriatrics. 2025; 10(2):40. https://doi.org/10.3390/geriatrics10020040
dc.identifier.doi10.3390/geriatrics10020040
dc.identifier.issn2308-3417
dc.identifier.urihttp://hdl.handle.net/10400.26/62916
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/geriatrics10020040
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectbite force
dc.subjectstrength
dc.subjectfragility
dc.subjectoral heath
dc.subjectphenotype
dc.titleAssessing frailty in the older : the role of bite force as an independent indicatoreng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue2
oaire.citation.startPage40
oaire.citation.titleGeriatrics
oaire.citation.volume10
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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