Oral Health, Loneliness and Social Isolation. A Systematic Review and Meta-Analysis

TY - JOUR

T1 - Oral Health, Loneliness and Social Isolation. A Systematic Review and Meta-Analysis

AU - Hajek, A

AU - Kretzler, B

AU - König, H-H

PY - 2022

Y1 - 2022

N2 - OBJECTIVES: Thus far, some empirical studies have investigated the association between oral health and loneliness as well as social isolation. However, a systematic review and meta-analysis is lacking synthesizing this evidence. Hence, our purpose was to close this knowledge gap.DESIGN: Systematic review and meta-analysis.SETTING AND PARTICIPANTS: Observational studies examining the association between oral health and loneliness or social isolation were included. Disease-specific samples were excluded.METHODS: We searched three electronic databases (PubMed, PsycINFO, CINAHL), and did an additional hand search. Data extraction covered methods, sample characteristics and main findings. To evaluate study quality/risk of bias, the NIH tool was used. Study selection, data extraction and assessment of study quality were each conducted by two reviewers.RESULTS: Seven studies were included in our current work. Several cross-sectional studies and one longitudinal study reported an association between poorer oral health and higher loneliness as well as higher social isolation. The quality of the studies was mostly fair, with two studies of high quality. The pooled OR was 1.47 (95% CI: 1.24-1.75) among the studies with adult samples.CONCLUSION: Most of the included studies demonstrated an association between oral health and loneliness or social isolation. There is a lack of high quality studies on these associations; in particular, future studies should use longitudinal data to clarify the directionality between oral health and loneliness or social isolation. Prospero registration number: CRD42021268116.

AB - OBJECTIVES: Thus far, some empirical studies have investigated the association between oral health and loneliness as well as social isolation. However, a systematic review and meta-analysis is lacking synthesizing this evidence. Hence, our purpose was to close this knowledge gap.DESIGN: Systematic review and meta-analysis.SETTING AND PARTICIPANTS: Observational studies examining the association between oral health and loneliness or social isolation were included. Disease-specific samples were excluded.METHODS: We searched three electronic databases (PubMed, PsycINFO, CINAHL), and did an additional hand search. Data extraction covered methods, sample characteristics and main findings. To evaluate study quality/risk of bias, the NIH tool was used. Study selection, data extraction and assessment of study quality were each conducted by two reviewers.RESULTS: Seven studies were included in our current work. Several cross-sectional studies and one longitudinal study reported an association between poorer oral health and higher loneliness as well as higher social isolation. The quality of the studies was mostly fair, with two studies of high quality. The pooled OR was 1.47 (95% CI: 1.24-1.75) among the studies with adult samples.CONCLUSION: Most of the included studies demonstrated an association between oral health and loneliness or social isolation. There is a lack of high quality studies on these associations; in particular, future studies should use longitudinal data to clarify the directionality between oral health and loneliness or social isolation. Prospero registration number: CRD42021268116.

U2 - 10.1007/s12603-022-1806-8

DO - 10.1007/s12603-022-1806-8

M3 - SCORING: Journal article

C2 - 35842757

VL - 26

SP - 675

EP - 680

JO - J NUTR HEALTH AGING

JF - J NUTR HEALTH AGING

SN - 1279-7707

ER -