scholarly journals Dysphagia and Masticatory Performance as a Mediator of the Xerostomia to Quality of Life Relation in the Older Population: A Structural Equation Model Approach

2020 ◽  
Author(s):  
Ting-Yu Lu ◽  
Jen-Hao Chen ◽  
Je-Kan Du ◽  
Ying-Chun Lin ◽  
Pei-Shan Ho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Public Health Problem ◽  
Community Dwelling ◽  
Dental Status ◽  
Mediating Effect ◽  
Masticatory Performance ◽  
Older Population

Abstract Background: The adverse impact of poor oral conditions in older adults on their quality of life is a public health problem. This study assessed the mediating effects of dental status, occlusal condition, dysphagia and masticatory performance on the association between xerostomia and oral health-related quality of life (OHRQoL) in the older population. Methods: A total of 1100 representative community-dwelling adults aged 65 years and older were recruited from a large-scale survey conducted in Kaohsiung, Taiwan. Dental status and occlusal condition were performed by dentists. Information on demographics, physical function, xerostomia, and dysphagia was collected using face-to-face interview. Masticatory performance was evaluated using color-changeable chewing gum. OHRQoL was measured using Geriatric Oral Health Assessment Index. Results: Comparing with non-xerostomia, participants with xerostomia had a 0.20 decrease in the level of OHRQoL (p< .001), and the direct effect was accounted for 83.3% of the total effect. The dysphagia and the masticatory performance were found to have a significant mediating effect on the association between xerostomia and OHRQoL (βs = 0.20 and −0.13, respectively; βs = 0.05 and −0.08, respectively) and 10.8% of the effect was attributed to dysphagia mediation. Furthermore, the functional teeth and occlusal condition had a significant mediating effect on the association between xerostomia and masticatory performance , and the functional teeth was accounted for 43.6% of the effect. Conclusions: Xerostomia had the greatest effect on OHRQoL. The mediating role of dysphagia and masticatory performance on the association between xerostomia and OHRQoL was significant and deserves further attention. Older adults could improve their OHRQoL through a community-based oral function intervention. Our results further suggest that early screening for swallowing and masticatory function is essential to prevent or delay the onset of complications.

scholarly journals Dysphagia and Masticatory Performance as a Mediator of the Xerostomia to Quality of Life Relation in the Older Population

2020 ◽  
Author(s):  
Ting-Yu Lu ◽  
Jen-Hao Chen ◽  
Je-Kan Du ◽  
Ying-Chun Lin ◽  
Pei-Shan Ho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Physical Function ◽  
Community Dwelling ◽  
Dental Status ◽  
Mediating Effects ◽  
Masticatory Performance ◽  
Oral Function

Abstract Background: The impact of poor oral health on older adults’ quality of life is a public health problem. In this study, the mediating effects of dental status, occlusal condition, dysphagia, and masticatory performance on the association between xerostomia and oral health-related quality of life (OHRQoL) were assessed in the older adult population. Methods: Stratified cluster sampling was used to recruit 1076 community-dwelling adults aged 65 years and older from Kaohsiung, Taiwan. Community care centers were randomly selected according to their geographic classifications (urban, rural, or mountainous areas). Assessments of dental status and occlusal condition were performed by dentists. Information on demographics, physical function, xerostomia, dysphagia and depression was collected through face-to-face interviews. Masticatory performance was evaluated using color-changeable chewing gum. OHRQoL was measured using the Geriatric Oral Health Assessment Index. Hierarchical regression models were used to assess the relationships between OHRQoL and physical function, dental status and oral function in older adults. Path analysis was used to estimate direct and indirect pathways between xerostomia and OHRQoL.Results: Participants with xerostomia exhibited a 0.20 OHRQoL reduction (p < .001) compared with patients with no xerostomia, and the direct effect accounted for 83.3% of the total effect. Dysphagia and masticatory performance were found to exert significant mediating effects on the association between xerostomia and OHRQoL (βs = 0.20 and −0.12, respectively; both p < .001; βs = 0.06 and −0.09, respectively; both p < .05). Moreover, potential mediating effects of the number of functional teeth (βs = −0.11 and −0.43, respectively; both p < .001) and occlusal condition (βs = 0.09 and 0.13, respectively; both p < .05) on the relationship between xerostomia and masticatory performance were noted.Conclusions: Dysphagia and masticatory performance may serve as pathways through which xerostomia affects quality of life. Early oral function intervention may be a valuable and actionable target for older adults to maintain quality of life. Our results further suggest that checkup and screening for oral dysfunction are essential to prevent or delay the onset of complications.

scholarly journals Dysphagia and masticatory performance as a mediator of the xerostomia to quality of life relation in the older population

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ting-Yu Lu ◽  
Jen-Hao Chen ◽  
Je-Kang Du ◽  
Ying-Chun Lin ◽  
Pei-Shan Ho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Physical Function ◽  
Community Dwelling ◽  
Dental Status ◽  
Mediating Effects ◽  
Masticatory Performance ◽  
Oral Function

Abstract Background The impact of poor oral health on older adults’ quality of life is a public health problem. In this study, the mediating effects of dental status, occlusal condition, dysphagia, and masticatory performance on the association between xerostomia and oral health-related quality of life (OHRQoL) were assessed in the older adult population. Methods Stratified cluster sampling was used to recruit 1076 community-dwelling adults aged 65 years and older from Kaohsiung, Taiwan. Community care centers were randomly selected according to their geographic classifications (urban, rural, or mountainous areas). Assessments of dental status and occlusal condition were performed by dentists. Information on demographics, physical function, xerostomia, dysphagia and depression was collected through face-to-face interviews. Masticatory performance was evaluated using color-changeable chewing gum. OHRQoL was measured using the Geriatric Oral Health Assessment Index. Hierarchical regression models were used to assess the relationships between OHRQoL and physical function, dental status and oral function in older adults. Path analysis was used to estimate direct and indirect pathways between xerostomia and OHRQoL. Results Participants with xerostomia exhibited a 0.20 OHRQoL reduction (p < .001) compared with patients with no xerostomia, and the direct effect accounted for 83.3% of the total effect. Dysphagia and masticatory performance were found to exert significant mediating effects on the association between xerostomia and OHRQoL (βs = 0.20 and − 0.12, respectively; both p < .001; βs = 0.06 and − 0.09, respectively; both p < .05). Moreover, potential mediating effects of the number of functional teeth (βs = − 0.11 and − 0.43, respectively; both p < .001) and occlusal condition (βs = 0.09 and 0.13, respectively; both p < .05) on the relationship between xerostomia and masticatory performance were noted. Conclusions Dysphagia and masticatory performance may serve as pathways through which xerostomia affects quality of life. Early oral function intervention may be a valuable and actionable target for older adults to maintain quality of life. Our results further suggest that checkup and screening for oral dysfunction are essential to prevent or delay the onset of complications.

scholarly journals Dysphagia and Masticatory Performance as a Mediator of the Xerostomia to Quality of Life Relation in the Older Population

2020 ◽  
Author(s):  
Ting-Yu Lu ◽  
Jen-Hao Chen ◽  
Je-Kan Du ◽  
Ying-Chun Lin ◽  
Pei-Shan Ho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Physical Function ◽  
Dental Status ◽  
Masticatory Performance ◽  
Older Population ◽  
Oral Function ◽  
The Relationship

Abstract Background: The impact of poor oral health in older adults affecting their quality of life is a public health problem. This study assessed the mediating effects of dental status, occlusal condition, dysphagia and masticatory performance on the association between xerostomia and oral health-related quality of life (OHRQoL) in the older population. Methods: Stratified cluster sampling method was used to recuit 1100 community-dwelling adults aged 65 years and older from Kaohsiung, Taiwan. Community care centers were randomly selected based on their geographic classifications (urban, rural, and mountainous areas). Assessments of dental status and occlusal condition were performed by dentists. Information on demographics, physical function, xerostomia dysphagia and depression was collected using face-to-face interview. Masticatory performance was evaluated using color-changeable chewing gum. OHRQoL was measured using Geriatric Oral Health Assessment Index. Hierarchical regression models were utilized to assess the relationship between OHRQoL and physical function, dental status and oral function in older adults. Path analysis was used to estimate direct and indirect pathways between xerostomia and OHRQoL.Results: Participants with xerostomia had a 0.17 OHRQoL reduction (p< .001) comparing to the non-xerostomia, and the direct effect was accounted for 85.0% of the total effect. The dysphagia and the poor masticatory performance were found to have a significant mediating effect on the association between xerostomia and OHRQoL (βs = 0.17 and −0.09, respectively, both p< .001; βs = 0.05 and −0.08, respectively, both p< .001) moreover, potential mediating influences of the number of functional teeth (βs = −0.11 and −0.44, respectively, both p < .001) and poor occlusal condition (βs = 0.09 and 0.12, respectively, both p < .05) on the relationship between xerostomia and masticatory performance were obervered.Conclusions: Dysphagia and poor masticatory performance may serve as a pathway of which xerostomia affects quality of life. Providing early oral function intervention may be a valuable and actionable target for older adults to maintain their quality of life. Our results further suggest that checkup and screening for oral dysfunction is essential to prevent or delay the onset of complications.

scholarly journals Dysphagia and Masticatory Performance as a Mediator of the Xerostomia to Quality of Life Relation in the Older Population

2020 ◽  
Author(s):  
Ting-Yu Lu ◽  
Jen-Hao Chen ◽  
Je-Kan Du ◽  
Ying-Chun Lin ◽  
Pei-Shan Ho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Physical Function ◽  
Community Dwelling ◽  
Dental Status ◽  
Mediating Effects ◽  
Masticatory Performance ◽  
Oral Function

Abstract Background: The impact of poor oral health on older adults’ quality of life is a public health problem. In this study, the mediating effects of dental status, occlusal condition, dysphagia, and masticatory performance on the association between xerostomia and oral health-related quality of life (OHRQoL) were assessed in the older adult population. Methods: Stratified cluster sampling was used to recuit 1076 community-dwelling adults aged 65 years and older from Kaohsiung, Taiwan. Community care centers were randomly selected according to their geographic classifications (urban, rural, or mountainous areas). Assessments of dental status and occlusal condition were performed by dentists. Information on demographics, physical function, xerostomia, dysphagia and depression was collected through face-to-face interviews. Masticatory performance was evaluated using color-changeable chewing gum. OHRQoL was measured using the Geriatric Oral Health Assessment Index. Hierarchical regression models were used to assess the relationships between OHRQoL and physical function, dental status and oral function in older adults. Path analysis was used to estimate direct and indirect pathways between xerostomia and OHRQoL.Results: Participants with xerostomia exhibited a 0.20 OHRQoL reduction (p < .001) compared with patients with no xerostomia, and the direct effect accounted for 83.3% of the total effect. Dysphagia and masticatory performance were found to exert significant mediating effects on the association between xerostomia and OHRQoL (βs = 0.20 and −0.12, respectively; both p < .001; βs = 0.06 and −0.09, respectively; both p < .05). Moreover, potential mediating effects of the number of functional teeth (βs = −0.11 and −0.43, respectively; both p < .001) and occlusal condition (βs = 0.09 and 0.13, respectively; both p < .05) on the relationship between xerostomia and masticatory performance were noted.Conclusions: Dysphagia and masticatory performance may serve as pathways through which xerostomia affects quality of life. Early oral function intervention may be a valuable and actionable target for older adults to maintain quality of life. Our results further suggest that checkup and screening for oral dysfunction are essential to prevent or delay the onset of complications.

scholarly journals Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults

2015 ◽  
Vol 25 (7) ◽  
pp. 1735-1742 ◽  
Author(s):  
Maria Augusta Bessa Rebelo ◽  
Evangeline Maria Cardoso ◽  
Peter G. Robinson ◽  
Mario Vianna Vettore
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Community Dwelling ◽  
Dental Status ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Community Dwelling Older Adults

scholarly journals Impact of Oral Health on Quality of Life and Subjective Well-Being in Community-Dwelling Older Adults in Mexico

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-227
Author(s):  
Irma Díaz ◽  
Neyda Ma Mendoza- Ruvalcaba ◽  
Elva Dolores Arias ◽  
Julio Diaz
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Well Being ◽  
Community Dwelling ◽  
Confounding Factors ◽  
Subjective Well Being ◽  
The Impact ◽  
Community Dwelling Older Adults

Abstract Objective: Associate the impact of oral health with quality of life and subjective well-being in the community-dwelling older adults in Mexico. Methods: Non-random sample; 326 subjects: age collected (60-69 / ≥ 70); gender (male / female); marital status (couple / no partner); schooling (0-6 years / ≥7); income for basic needs (yes / no); no depression (GDS-15), no cognitive impairment (MMSE) and comorbidity (no disease / ≥ 1 disease) to control biases. Oral conditions; Caries index (ICPOD) WHO criteria: Very low-Low; Moderate and High. Need for dental prostheses (WHO Manual): No prostheses needed (27-28 natural teeth or fixed / removable / total combination; Need prosthesis: 2-28 tooth without replacement. Xerostomia (Thomson Inventory); moderate to severe xerostomia &gt; 17 points. Dependent variables: Quality of Life Related to Oral Health (GOHAI); 57-60 points: High perception. Subjective well-being: Moral Scale of the Geriatric Center of Philadelphia (PGCMS): Low score (0-11). Results: Age: 71.84 ± 7,278; female / male (70.9 / 29.1%). Controlling confounding factors, multiple logistic regression showed that the need for multi-unit or total prostheses; high CPOD index; severe xerostomia; and low perception of well-being subjective, were associated with low GOHAI scores: P = 0.000; P = 0.004; P = 0.003; P = 0.02 respectively. Subjective well-being only was associated with severe xerostomia and low CVRSO perception: P = 0.0 1; P = 0.02 respectively. Conclusion: Taking into account various confounding factors, the Quality of Life related to Oral Health was the most affected by the deterioration of oral health.

scholarly journals Oral Health-Related Quality of Life and Life-Space Mobility in Community-dwelling Older Adults

2011 ◽  
Vol 59 (3) ◽  
pp. 512-518 ◽  
Author(s):  
Sonia K. Makhija ◽  
Gregg H. Gilbert ◽  
Olivio J. Clay ◽  
Jonathan C. Matthews ◽  
Patricia Sawyer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Life Space ◽  
Related Quality ◽  
Health Related ◽  
Community Dwelling Older Adults

Association Between Multimorbidity and Quality of Life Among Older Adults in Community-Dwelling of Uttar Pradesh, India

2021 ◽  
Author(s):  
Himanshu Himanshu ◽  
P. Arokiasamy ◽  
Y. Selvamani
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Older Adults ◽  
Communicable Disease ◽  
Linear Regression Analysis ◽  
Functional Limitation ◽  
Community Dwelling ◽  
Multivariate Linear Regression Analysis ◽  
Older Population

Abstract Background The rise in life expectancy and the share of older population represents the most significant demographic transformation in the twenty-first century. Increasing longevity with the coexistence of chronic multimorbidity makes the elderly population vulnerable to functional limitation, disability and more frequent hospitalization, resulting deterioration in QoL. The present study aims to investigate the association between non-communicable disease (NCD) multimorbidity and QoL among the older population in Varanasi, India. Methods A cross-sectional data of 500 individuals in the Varanasi district aged 50 + years were collected, using a multistage simple random sampling procedure from November 2017 to May 2018. WHOQOL-BREF was utilised to assess the quality of life of the study participants, and the important covariates used in the analysis are; age, sex, marital status, place of residence, health factors, socioeconomic status, and behavioral risk factors. Descriptive analysis was performed to assess the mean QoL score pattern, whereas multivariate linear regression analysis examines the association between multimorbidity and QoL. Results The QoL scores decreased with age and was higher among females. Regression results show that demographic and lifestyle risk factors are closely associated with QoL. multimorbidity was significantly associated with reduced quality of life. Older adults with multimorbidity had 5 points lower quality of life than those with no chronic diseases. Conclusions Multimorbidity along with demographic and lifestyle factors are significantly associated with QoL. Healthcare programmes need to factor in multimorbidity while promoting a healthy and risk-free lifestyle to control modifiable risk factors. Government assistance is necessary for the most economically dependent older population for their day-to-day needs.

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