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 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 ◽  
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 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 The relationship between oral conditions, masticatory performance and oral health-related quality of life in children

2013 ◽  
Vol 58 (9) ◽  
pp. 1070-1077 ◽  
Author(s):  
Taís de Souza Barbosa ◽  
Maria Claudia de Morais Tureli ◽  
Marinês Nobre-dos-Santos ◽  
Regina Maria Puppin-Rontani ◽  
Maria Beatriz Duarte Gavião
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Related Quality ◽  
Masticatory Performance ◽  
Related Quality ◽  
Health Related ◽  
Oral Conditions ◽  
The Relationship

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 Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Yifan Lou ◽  
Nan Jiang ◽  
Katherine Ornstein
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
The United States ◽  
Life Care ◽  
Person Centered Care ◽  
Centered Care ◽  
The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

Virtual Reality to Help Older People in Nursing Homes: A New Way to Reduce Psychological Symptoms?

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Vaillant Ciszewicz AJ ◽  
◽  
Guerin O ◽  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Virtual Reality ◽  
Nursing Homes ◽  
Older People ◽  
Psychological Symptoms ◽  
Psychological Disorders ◽  
Innovative Approach ◽  
Older Population

Older people living in nursing homes often present with psychological symptoms such as depression, anxiety and apathy. Numerous studies focused on the effects of Virtual Reality (VR) in the older population. This innovative approach could lead to a significant reduction in psychological disorders in older adults and improve their quality of life.

Sign in / Sign up

Export Citation Format

Share Document