Frailty and oral health-related quality of life in community-dwelling older adults: a cross-sectional study.

Poor oral health has been associated with frailty among older adults. However, limited evidence has been available on whether frailty can affect oral health-related quality of life (OHRQoL) in older adults. This study aimed to investigate the relationship between frailty and OHRQoL among community-dwelling older adults. A household-based cross-sectional study involving community-dwelling older adults aged 65 years and older was conducted in the city of Bauru, Brazil. Data on frailty status, sociodemographic characteristics, self-perceived dental care needs, and OHRQoL (OHIP-14) were collected through individual interviews. The use of and the need for total dental prostheses were assessed through clinical examinations. Logistic regression was used to determine whether frailty status and covariates were associated with OHRQoL prevalence measures (OHIP-14 total score ≥ 1 and OHIP-14 fairly/very often ≥ 1). The sample comprised 334 participants, among whom 58.7% and 41.3% were between 65-74 and 75-102 years old, respectively. The prevalence of moderate to severe frailty was 12.3%. Moderate to severe frailty (OR = 4.49; 95%CI 1.29-15.66), the need for lower dental prosthesis (OR = 2.20; 95%CI 1.27-3.81), and self-perceived dental care need (OR = 3.90; 95%CI 2.14-7.14) were associated with OHIP-14 total score ≥1. Moderate to severe frailty (OR = 2.95; 95%CI 1.33-6.55), being female (OR = 2.24; 95%CI 1.34-3.75), and self-perceived dental care need (OR = 4.80; 95%CI 2.86-8.03) were associated with OHIP-14 fairly/very often ≥1. Overall, our results showed that moderate to severe frailty was significantly associated with poor OHRQoL in community-dwelling older adults.

Capacidade funcional e saúde bucal relacionada à qualidade de vida de idosos / Functional capacity and oral health-related quality of life in elderly

É de extrema importância estudar a relação entre capacidade funcional e saúde bucal relacionado à qualidade vida, para auxiliar nos fatores intervenientes tanto no cuidado odontológico como em outras áreas de atenção à saúde do idoso, além de adequar planos de tratamento as reais necessidades de cada indivíduo, proporcionando melhor qualidade de vida. O objetivo desse estudo foi investigar a capacidade funcional e saúde bucal relacionada à qualidade de vida do idoso. Foram incluídos na pesquisa idosos acima de 65 anos que residem em área de cobertura da Estratégia Saúde da Família de Bauru. Foram investigadas, através de entrevistas, as variáveis capacidade funcional (Índice de Katz), saúde bucal relacionada à qualidade de vida (OHIP-14), condições socioeconômicas e comorbidades. Foram excluídos da pesquisa idosos que apresentavam alterações de compreensão e expressão da comunicação, Para a realização da análise estatística foi utilizado o Teste de Pearson ao nível de significância de 0,05 e a Regressão Linear Multivariada, ao nível de significância de p 0,01. Participaram da pesquisa 238 idosos com 65 anos ou mais, sendo que 56,3% tinham entre 65 e 74 anos e 43,7% tinham 75 anos ou mais, a média geral de idade foi 74,5 anos. Quanto ao sexo, 55,5% eram mulheres, houve predominância da raça branca (65,1%). Quanto a variável capacidade funcional, 8,8% apresentaram incapacidade funcional intermediária ou severa. Sobre os aspectos socioeconômicos, 61,3% dos idosos apresentaram renda mensal de até dois salários mínimos, 88,2% eram aposentados ou pensionistas, 68,9% tinham algum grau de escolaridade e 57,1% eram casados ou mantinham uma união estável. Quanto a saúde bucal relacionada à qualidade de vida, 20,6% dos entrevistados se sentiram desconfortáveis para mastigar alguns tipos de alimentos. A hipertensão arterial foi a comorbidade mais relatada pelos entrevistados (75,6%). As dimensões dificuldade para mastigar (0,21; p<0,05) e necessidade de parar as...

It is extremely important to study the relation between functional capacity and oral health related quality of life, to assist in intervening factors both in dental care as in other areas of health care for the elderly, and adequate treatment plans the real needs of each individual providing better quality of life. The aim of this study was to investigate the functional capacity and oral health related quality of life of the elderly. They were included in the survey, seniors over 65 residing in the Family Health Strategy coverage area of Bauru. Variables functional capacity (Katz Index), oral health related quality of life (OHIP-14), socioeconomic conditions and comorbidities were investigated through interviews. There were excluded from the research elders that presented understanding and communication expression changes for the statistical analysis we used the Pearson Test at the 0.05 significance level and Multivariate Linear Regression, at a significance level of p <0, 01. The participants were 238 elders aged 65 or more, wherein 56.3% were between 65 and 74 years and 43.7% were 75 years or older, the overall mean age was 74.5 years. As to gender, 55.5% were women, with predominance of Caucasians (65.1%). As for the functional capacity variable, 8.8% had intermediate or severe disability. On socio-economic aspects, 61.3% of seniors had incomes up to twice the minimum wage, 88.2% were retired or pensioners, 68.9% had some degree of schooling and 57.1% were married or maintained a stable relationship. As for oral health related quality of life, 20.6 % of respondents feel uncomfortable to chew some foods. Arterial hypertension was the most reported comorbidity by respondents (75.6 %). The dimensions "difficulty chewing" (0.21; p < 0.05) and "the need to stop meals" (0.21; p < 0.05) of the OHIP -14 instrument showed a statistically significant correlation with the Katz index. Through multivariate analysis, it was observed that the higher the inability least...