Factors related to lower functional capacity of institutionalized older adults

The aim of this study was to assess the functional capacity of institutionalized older people and to verify which sociodemographic, health factors and oral health were related to the worse ability to perform daily activities. It was a cross-sectional study conducted with 512 institutionalized elderly people. Sociodemographic profile; general health and oral health conditions were evaluated. Functional capacity was assessed by Barthel Index. A high prevalence of functional dependent elderly was found (47.1%). A lower functional capacity was associated with female (p=0.006); higher education (p=0.009); older elderly (p<0.045); decision to institutionalize by others (p=0.011); affected cognitive state (p<0.001); reduced mobility (p<0.001), less autonomy for self-care in oral health and worse oral health. Institutionalized elderly has low functional capacity that is related to several aspects of their lives.

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Psychometric properties of the OHIP-14 and prevalence and severity of oral health impacts in a rural riverine population in Amazonas State, Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2010000600006 ◽

2010 ◽

Vol 26 (6) ◽

pp. 1122-1130 ◽

Cited By ~ 17

Author(s):

Flávia Cohen-Carneiro ◽

Maria Augusta Bessa Rebelo ◽

Reinaldo Souza-Santos ◽

Gláucia Maria Bovi Ambrosano ◽

Alessandra Valle Salino ◽

...

Keyword(s):

Oral Health ◽

Psychometric Properties ◽

Cross Sectional Study ◽

Health Impacts ◽

Urban Center ◽

Urban Centers ◽

Cross Sectional ◽

High Prevalence ◽

The Stability ◽

Amazonas State

The objectives of this study were: (1) test the psychometric properties of OHIP-14 in a rural population; and (2) compare the oral health impacts in two riverine communities in the Brazilian Amazon that were living at different distances from an urban center. Data were obtained from a cross-sectional study in a consecutive sample (n = 126). The validity was assessed through the association of OHIP with clinical and subjective variables, which showed a more significant association with: pain, caries, need of extraction or endodontic treatment; than with tooth loss, periodontal disease or need of prostheses. The stability and internal consistency were good (ICC = 0.97; Cronbach's α = 0.89). The prevalence of oral impacts was greater in the community far from the urban center [70.3 (59.9-80.7)] than in the community closer to it [44.3 (30.7-57.7)], and in women [66.7 (56.0-77.3)] in comparison with men [49.1 (35.3-62.7)]. The OHIP-14 adapted to rural populations in Amazonas State was valid, reproducible, and consistent. There was high prevalence of impacts, especially for riverine communities that lived far from urban centers.

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Quality of life in the institutionalized elderly with dizziness complaint: a cross-sectional study

Revista CEFAC ◽

10.1590/1982-021620182023017 ◽

2018 ◽

Vol 20 (2) ◽

pp. 228-237

Author(s):

Adriele Lins Silva ◽

Lidiane Maria de Brito Macedo Ferreira ◽

Raysa Vanessa de Medeiros Freitas ◽

Kenio Costa de Lima ◽

Ricardo Oliveira Guerra ◽

...

Keyword(s):

Quality Of Life ◽

Functional Capacity ◽

Fear Of Falling ◽

Cross Sectional Study ◽

Sectional Study ◽

Dizziness Handicap Inventory ◽

Cross Sectional ◽

Institutionalized Elderly ◽

Emotional Aspects

ABSTRACT Purpose: to evaluate the quality of life in institutionalized elderly people with dizziness complaint and to relate the results to the characteristics of dizziness and functional capacity. Methods: in this cross-sectional study, one-hundred and nineteen elderly residents in three geriatric long-term care institutions in Natal city, Brazil, were evaluated. Those who had presented dizziness in the former year (30/25.2%) were included in this study. The quality of life was measured by the Dizziness Handicap Inventory. Functional capacity was measured by the Berg Balance Scale, the Functional Reach Test, the Unipedal Stance Test with eyes open and closed, and the Falls Efficacy Scale - International. Results: associations were found between physical, functional and emotional aspects and the duration of dizziness (p=0.002, p=0.041 and p=0.004, respectively); the functional aspects with age (p=0.031), the physical aspects with the presence of falls in the previous year (p=0.039); and the physical, functional and emotional aspects of the Dizziness Handicap Inventory with fear of falling (p=0.004, p<0.001 and p=0.016, respectively). Conclusion: institutionalized elderly with dizziness complaints had a low perception of quality of life, and the duration of dizziness, age, falls and fear of falling negatively influenced their quality of life.

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Association between the functional capacity of dependant elderly people and the burden of family caregivers

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2015.01.49163 ◽

2015 ◽

Vol 36 (1) ◽

pp. 14-20 ◽

Cited By ~ 14

Author(s):

Ana Cláudia Fuhrmann ◽

Carla Cristiane Becker Kottwitz Bierhals ◽

Naiana Oliveira dos Santos ◽

Lisiane Manganelli Girardi Paskulin

Keyword(s):

Family Caregivers ◽

Elderly People ◽

Functional Capacity ◽

Care Service ◽

The Elderly ◽

Cross Sectional Study ◽

Average Score ◽

Cross Sectional ◽

Elderly Individuals ◽

Dependent Elderly

The aim of this study was to characterize dependent elderly people and their main family caregivers and the association between functional capacity of the elderly and the burden of caregivers. This cross-sectional study was conducted with 112 elderly people and caregivers connected to a primary care service in Porto Alegre, Brazil. The applied instruments related to care and socioeconomic variables were Physical and Instrumental Activities of Daily Living (PADL and IADL) and the Burden Interview. The Spearman correlation coefficient was also used. Average age of the elderly individuals in this study was 81.41 years, while the average score for PADL was 10.36 and 6.25 for IADL. Of the 112 elderly individuals, 71.4% had severe dependence. Among caregivers, 75% were women, 61.6% were the sons or daughters with an average age of 57.98 and an average burden of 29.53, which is equivalent to moderate burden. Results revealed a significant correlation between functional capacity of the elderly and caregiver burden. It was verified that the higher the dependence of elderly people, the greater the burden of caregivers.

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Prevalence of Dental Caries among adolescence of Dhanusha District, Nepal

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v3i2.16078 ◽

2016 ◽

Vol 3 (2) ◽

pp. 29-37

Author(s):

K Yadav ◽

S Prakash ◽

S Khanal ◽

JK Singh

Keyword(s):

Oral Health ◽

Dental Caries ◽

Social Impact ◽

Age Groups ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Medical College ◽

High Prevalence ◽

Mandibular Region

Background and Objectives: In developing countries like Nepal, the oral health system is currently in transition phase facing a high prevalence of dental caries. It has significant social impact in important life activities which hinders the achievement and ma intenance of good oral health due to lack of dental awareness in all age groups. Streptococcus mutans is the most predominant organism to cause dental caries. Therefore, the present study was designed to determine the prevalence of dental caries and to identify its etiology among adolescence.Material and Methods: This cross-sectional study was carried by following Standard protocols of Bergey’s Manual of Systematic Bacteriology to isolate and identify the organism. The data was analyzed using SPPS 17.0 and Microsoft excels 2007 which was considered as statistically significant at p-value < 0.05.Results: The prevalence of dental caries in adolescent was found to be 33%. The highest numbers of patients having dental caries were in the age group of 15-19 in female (66.32%) than male (39.70%). Bacterial growth was observed more in female (75.60%) than male (24.39%) which was found to be statistically significant (p=0.0001). S. mutans was found as the most important cause of dental caries. Maxillary region of tooth were more vulnerable to dental caries than mandibular region of tooth. Most of the respondents had once per day brushing habit without fluoridated dentrifice containing tooth paste.Conclusion: The prevalence of dental caries was found one third of total. S.mutans was the main causes of dental caries and molars tooth are more affected than others.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (2): 29-37

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The Relationship between prosthetic status and the Geriatric Oral Health Assessment Index in a Group of Institutionalized elderly of an Indian City: A cross-sectional study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1471 ◽

2013 ◽

Vol 14 (6) ◽

pp. 1173-1177 ◽

Cited By ~ 1

Author(s):

Mohammed Nadeem Ahmed Bijle ◽

Vittal Das Shetty

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Health Assessment ◽

Cross Sectional Study ◽

Complete Denture ◽

Cross Sectional ◽

Institutionalized Elderly ◽

Assessment Index ◽

Indian City

ABSTRACT Aim To assess and compare the quality of life and oral health status among institutionalized elderly in Pune. Materials and methods A cross-sectional, quantitative exploratory study was conducted in persons 60 years of age in an institutionalized elderly home. The GOHAI questionnaire was completed by a single examiner, who interviewed the patients in their local language. The oral examination was carried out according to WHO oral health survey using the DMFT-index, community periodontal index (CPI), periodontal loss of attachment (PLA), prosthetic use, and needs according to criteria established by the WHO by a calibrated examiner. Descriptive analysis was carried out using absolute and relative frequencies of the qualitative variables and means with respective standard deviations for the quantitative variables. The Student's t-test was applied to compare groups. Results Out of the total 110 individuals interviewed for the study, 64% were males and 36% were females. Individuals with up to 20 missing teeth and individuals with more than 20 missing teeth were 20 and 80% respectively. Based on the prosthetic need, 66% individuals needed replacement of teeth by dentures in one or both arches while 34% did not need any replacement by complete denture. The mean value for physical dimension was 5.40 whereas for psychosocial dimension, pain/discomfort and behavioral dimension were 8.02, 4.58 and 7.32. Conclusion The quality of life was found to be more favorable in individuals with less than 20 teeth missing. The quality of life among complete denture wearers in both the arches was better as compared to the quality of life among nondenture wearers. Prosthetic replacement by complete denture helps the individuals to maintain better oral health. Clinical significance The data obtained from the present study may serve as a reference point for comparisons of the magnitude of quality-of-life indicators relating to oral health. How to cite this article Shetty VD, Bijle MNA, Patil S. The Relationship between prosthetic status and the Geriatric Oral Health Assessment Index in a Group of Institutionalized elderly of an Indian City: A cross-sectional study. J Contemp Dent Pract 2013;14(6):1173-1177.

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High Prevalence of Thyroid Antibodies in Urban Population of Peninsular Malaysia

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v19i2.1559 ◽

2020 ◽

Vol 19 (2) ◽

Author(s):

Shahar MA ◽

Omar AM ◽

AB Wahab N ◽

Sukor N ◽

Kamaruddin NA

Keyword(s):

Rural Areas ◽

Adult Population ◽

Cross Sectional Study ◽

Peninsular Malaysia ◽

Thyroid Antibodies ◽

Cross Sectional ◽

Autoimmune Thyroid ◽

High Prevalence ◽

Physical Examinations ◽

Sociodemographic Profile

INTRODUCTION: Thyroid antibodies are closely related to autoimmune thyroid disorders. To date, there are no data on the prevalence of these antibodies among the Malaysian population. This study aimed to determine the prevalence of thyroid antibodies; and the factors associated with thyroid antibodies in the Malaysian adult population. MATERIALS AND METHODS: A cross-sectional study was performed in 5 preassigned regions in Peninsular Malaysia. Participants’ sociodemographic profile and medical history were recorded. Physical examinations were done looking for abnormalities of the thyroid gland and signs of thyroid dysfunctions. Fifteen mils of blood were withdrawn and analysed for thyroid function, anti-thyroperoxidase (anti-TPO) and anti-thyroglobulin (anti-TG) antibodies at a central laboratory. RESULTS: Among the total of 2190 respondents, the overall prevalence of positive anti-TPO and anti-TG antibodies were 12.2% and 12.1%, respectively; mainly found in urban and coastal areas. Only 7% to 9% of those with positive anti-TPO or antiTG antibodies had either hypo- or hyperthyroidism. The predictors for positive anti-TPO antibody were female [adjusted OR 1.7 (95%CI: 1.2–2.4); p=0.001], Indian [adjusted OR 1.9 (95%CI: 1.1–3.1); p=0.020], and having a goitre [adjusted OR 1.8 (95%CI: 1.2–2.8), p=0.004]. The predictors of positive anti-TG antibody was female [adjusted OR 2.3 (95%CI: 1.6–3.3); p<0.001], and having a goitre [adjusted OR 2.0 (95%CI: 1.3–3.4), p=0.001]. Those living in rural areas had 38% lower risk of having positive anti-TG. CONCLUSIONS: The prevalence of positive anti-TPO and anti-TG antibodies were 12.2% and 12.1%, respectively; were higher among the urban and coastal populations. Those living in rural areas had lower risks of anti-TG antibody.

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The relationship between nutrient intake, dental status and family cohesion among older Brazilians

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2011000100012 ◽

2011 ◽

Vol 27 (1) ◽

pp. 113-122 ◽

Cited By ~ 10

Author(s):

Fabiola Bof de Andrade ◽

Arnaldo de França Caldas Junior ◽

Pedro Makumbundu Kitoko ◽

Eliana Zandonade

Keyword(s):

Oral Health ◽

Elderly People ◽

Nutrient Intake ◽

Family Cohesion ◽

The Elderly ◽

Cross Sectional Study ◽

Dental Status ◽

Cross Sectional ◽

Institutionalized Elderly ◽

The Relationship

The aim of this study was to investigate the relationship between inadequate nutrient intake, oral health and family cohesion. This was a cross-sectional study with a sample of 887 non-institutionalized elderly people from Vitória, Espírito Santo State, Brazil. Oral examination was performed by trained and calibrated examiners and three measurements were considered: number of posterior occluding pairs of natural teeth (POP), number of teeth and overall dental status. Nutrient intake was assessed by a 24-hour diet recall interview. The elderly person's perception of family cohesion was assessed using the family adaptability and cohesion scale. People with no POP were more likely than those with 5 or more POP to have inadequate intake of vitamin C (OR = 2.79; 95%CI: 1.16-6.71), calcium (OR = 3.74; 95%CI: 1.69-8.25), riboflavin (OR = 2.49; 95%CI: 1.10-5.64) and zinc (OR = 3.43; 95%CI: 1.07-10.94). There was no association between elderly people's perceptions of family cohesion and inadequate intakes. It was concluded that oral health is related to inadequate intake of important nutrients among non-institutionalized elderly people.

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Factors related to sarcopenia and functional capacity in institutionalized elderly

Rev Rene ◽

10.15253/2175-6783.20202143864 ◽

2020 ◽

Vol 21 ◽

pp. e43864

Author(s):

Marilia Braga Marques ◽

Janaína Fonseca Victor Coutinho ◽

Caroline Ribeiro Sousa ◽

Joana Maria Rocha Sales ◽

Maria Lucimar Castro de Brito ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Functional Capacity ◽

Disease Risk ◽

Cross Sectional Study ◽

Timed Up And Go ◽

Cross Sectional ◽

Institutionalized Elderly ◽

Factors Associated ◽

Risk Of Falls

Objective: to analyze factors related to sarcopenia and functional capacity of institutionalized elderly. Methods: descriptive, correlational, cross-sectional study, with 92 elderly people, in four long-term institutions. For data collection, a socioeconomic and clinical form, Mini Mental State Examination, Barthel Index and Timed Up and Go test were applied. In the analysis, the chi-square and Fisher’s exact tests were adopted. Results: it was identified that 68 (73.9%) had probable sarcopenia, 7 (7.6%) sarcopenia and 11 (12.0%) severe sarcopenia. The factors associated with sarcopenia were education (p=0.017), risk of falls (p=0.000) and chronic kidney disease (p=0.040). As for functional capacity, 49 (53.3%) had mild dependence, 40 (43.5%) moderate and 3 (3.3%) severe. The factors associated with functional capacity were risk of falls (p=0.010), polypharmacy (p=0.017) and education (p=0.019). Conclusion: it was found that education, polypharmacy, chronic kidney disease, risk of falls, falls and sarcopenia can influence the functional capacity of institutionalized elderly.

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Dental Prosthetic Status and Prosthetic Needs of the Institutionalized Elderly Living in Geriatric Homes in Hyderabad: A Pilot Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1470 ◽

2013 ◽

Vol 14 (6) ◽

pp. 1169-1172

Author(s):

P Ratnakar ◽

G Maheswar ◽

G Ajay Kumar ◽

S Malathi ◽

K Sridevi ◽

...

Keyword(s):

Oral Health ◽

Pilot Study ◽

Unmet Need ◽

The Elderly ◽

Cross Sectional Study ◽

Cross Sectional ◽

Institutionalized Elderly ◽

Prosthetic Status ◽

Prosthetic Need ◽

Elderly Living

ABSTRACT Introduction To promote oral health among the elderly, we need to know their prosthetic status and prosthetic need. Hence, a survey of prosthetic status and need of elderly inmates of geriatric homes in Hyderabad was done. Materials and methods A cross-sectional study was undertaken, and 174 subjects aged 60 years and above were examined of which 103 were male and 71 were female (59.2% males and 40.8% females). The oral examination of the study subjects was carried out using basic oral health surveys, WHO 1997 criteria. Results Majority of the subjects, 73 (70.8%) males and 53 (74.6%) females had no prosthesis. Only 4.6% had complete dentures and 21.1% had removable partial dentures and 10.9% had single/multiple bridges. Need for any prosthesis was (83.5%) male and 63 (88.7%) female subjects and nearly 82. 8% subjects required one-unit prosthesis. Conclusion Dental prosthetic status of people living in geriatric homes is very poor and there is high unmet need for prosthetic care existed among the institutionalized elderly surveyed. Key messages A prevention based intervention programs to reduce early tooth loss is recommended and Oral health programs should be specially designed for these special group. How to cite this article Kumar GA, Maheswar G, Malathi S, Sridevi K, Ratnakar P, Someshwar B. Dental Prosthetic Status and Prosthetic Needs of the Institutionalized Elderly Living in Geriatric Homes in Hyderabad: A Pilot Study. J Contemp Dent Pract 2013;14(6):1169-1172.

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Minerals Intake Distributions in a Large Sample of Iranian at-Risk Population Using the National Cancer Institute Method: Do They Meet Their Requirements?

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000232 ◽

2015 ◽

Vol 85 (3-4) ◽

pp. 129-144 ◽

Cited By ~ 3

Author(s):

Zahra Heidari ◽

Awat Feizi ◽

Leila Azadbakht ◽

Nizal Sarrafzadegan

Keyword(s):

At Risk ◽

National Cancer Institute ◽

Population Based ◽

Cross Sectional Study ◽

Normal Function ◽

Dietary Intakes ◽

Middle Aged ◽

Cross Sectional ◽

Nutritional Interventions ◽

High Prevalence

Abstract. Background: Minerals are required for the body’s normal function. Aim: The current study assessed the intake distribution of minerals and estimated the prevalence of inadequacy and excess among a representative sample of healthy middle aged and elderly Iranian people. Methods: In this cross-sectional study, the second follow up to the Isfahan Cohort Study (ICS), 1922 generally healthy people aged 40 and older were investigated. Dietary intakes were collected using 24 hour recalls and two or more consecutive food records. Distribution of minerals intake was estimated using traditional (averaging dietary intake days) and National Cancer Institute (NCI) methods, and the results obtained from the two methods, were compared. The prevalence of minerals intake inadequacy or excess was estimated using the estimated average requirement (EAR) cut-point method, the probability approach and the tolerable upper intake levels (UL). Results: There were remarkable differences between values obtained using traditional and NCI methods, particularly in the lower and upper percentiles of the estimated intake distributions. A high prevalence of inadequacy of magnesium (50 - 100 %), calcium (21 - 93 %) and zinc (30 - 55 % for males > 50 years) was observed. Significant gender differences were found regarding inadequate intakes of calcium (21 - 76 % for males vs. 45 - 93 % for females), magnesium (92 % vs. 100 %), iron (0 vs. 15 % for age group 40 - 50 years) and zinc (29 - 55 % vs. 0 %) (all; p < 0.05). Conclusion: Severely imbalanced intakes of magnesium, calcium and zinc were observed among the middle-aged and elderly Iranian population. Nutritional interventions and population-based education to improve healthy diets among the studied population at risk are needed.

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