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Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey.
BMC Oral Health. 2020 Jul 10; 20(1):199.BO

Abstract

BACKGROUND

To investigate if self-perceived xerostomia and stress are significant variables on the Oral-Health Related Quality of Life (OHRQoL) of elderly patients, considering the periodontal status, oral hygiene habits and sociodemographic characteristics simultaneously.

METHODS

The study cohort included 592 participants (320 females/272 Males), aged 65 years or older, representing the elder inhabitants of the Study of Periodontal Health in Almada-Seixal (SoPHiAS). Patients answered a socio-demographic and oral hygiene habits questionnaire. The Oral Health Impact Profile-14 (OHIP-14), Summated Xerostomia Inventory-5 (SXI-5) and Perceived Stress Scale-10 (PSS-10) were used. Full-mouth circumferential periodontal inspection was carried out. Multivariable regression analyses were used considering the level of periodontitis, clinical characteristics, the number of teeth, SXI, PSS-10, age, gender and oral hygiene habits.

RESULTS

Self-perceived xerostomia and stress showed a positive significant correlation with OHRQoL and each of its domains. Multiple linear regression analysis demonstrated the significant impact of SXI-5 (B = 1.20, p < 0.001) and PSS-10 (B = 0.35, p < 0.001) on the OHRQoL. SXI-5 (Odds Ratio (OR) = 1.28, p < 0.001) and PSS-10 (OR = 1.03, p = 0.022) were associated with a more frequently affected OHRQoL. The number of missing teeth, being male, mean probing depth and mean clinical attachment loss were also significant towards a frequently affected OHRQoL. Conversely, age was negatively associated with a lower OHRQoL.

CONCLUSION

Self-perceived xerostomia and stress are significant variables towards OHRQoL in elderly patients. Future studies should consider these self-perceived xerostomia and stress when investigating the impact of periodontitis and missing teeth on quality of life of older adults.

Authors+Show Affiliations

Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior Campus Universitário, Quinta da Granja, 2829 - 511, Almada, Portugal. jbotelho@egasmoniz.edu.pt. Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal. jbotelho@egasmoniz.edu.pt.Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior Campus Universitário, Quinta da Granja, 2829 - 511, Almada, Portugal. Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal.Quantitative Methods for Health Research (MQIS), CiiEM, Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal.Department of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Jorge de Viterbo Ferreira, 228, Porto, 4050-313, Portugal.Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal.Health Centers grouping (HCG) Almada-Seixal, Regional Health Administration of Lisbon and Tagus Valley (RHALTV), Av. Estados Unidos da América 77, Lisbon, 1700-179, Portugal.Department of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Jorge de Viterbo Ferreira, 228, Porto, 4050-313, Portugal.Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRL, Quinta da Granja, Almada, 2829 - 511, Portugal.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32650751

Citation

Botelho, João, et al. "Perceived Xerostomia, Stress and Periodontal Status Impact On Elderly Oral Health-related Quality of Life: Findings From a Cross-sectional Survey." BMC Oral Health, vol. 20, no. 1, 2020, p. 199.
Botelho J, Machado V, Proença L, et al. Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey. BMC Oral Health. 2020;20(1):199.
Botelho, J., Machado, V., Proença, L., Oliveira, M. J., Cavacas, M. A., Amaro, L., Águas, A., & Mendes, J. J. (2020). Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey. BMC Oral Health, 20(1), 199. https://doi.org/10.1186/s12903-020-01183-7
Botelho J, et al. Perceived Xerostomia, Stress and Periodontal Status Impact On Elderly Oral Health-related Quality of Life: Findings From a Cross-sectional Survey. BMC Oral Health. 2020 Jul 10;20(1):199. PubMed PMID: 32650751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey. AU - Botelho,João, AU - Machado,Vanessa, AU - Proença,Luís, AU - Oliveira,Maria João, AU - Cavacas,Maria Alzira, AU - Amaro,Luís, AU - Águas,Artur, AU - Mendes,José João, Y1 - 2020/07/10/ PY - 2019/11/07/received PY - 2020/07/01/accepted PY - 2020/7/12/entrez PY - 2020/7/12/pubmed PY - 2020/7/12/medline KW - Aging KW - Elders KW - Oral health-related quality of life KW - Periodontitis KW - Stress KW - Tooth loss KW - Xerostomia SP - 199 EP - 199 JF - BMC oral health JO - BMC Oral Health VL - 20 IS - 1 N2 - BACKGROUND: To investigate if self-perceived xerostomia and stress are significant variables on the Oral-Health Related Quality of Life (OHRQoL) of elderly patients, considering the periodontal status, oral hygiene habits and sociodemographic characteristics simultaneously. METHODS: The study cohort included 592 participants (320 females/272 Males), aged 65 years or older, representing the elder inhabitants of the Study of Periodontal Health in Almada-Seixal (SoPHiAS). Patients answered a socio-demographic and oral hygiene habits questionnaire. The Oral Health Impact Profile-14 (OHIP-14), Summated Xerostomia Inventory-5 (SXI-5) and Perceived Stress Scale-10 (PSS-10) were used. Full-mouth circumferential periodontal inspection was carried out. Multivariable regression analyses were used considering the level of periodontitis, clinical characteristics, the number of teeth, SXI, PSS-10, age, gender and oral hygiene habits. RESULTS: Self-perceived xerostomia and stress showed a positive significant correlation with OHRQoL and each of its domains. Multiple linear regression analysis demonstrated the significant impact of SXI-5 (B = 1.20, p < 0.001) and PSS-10 (B = 0.35, p < 0.001) on the OHRQoL. SXI-5 (Odds Ratio (OR) = 1.28, p < 0.001) and PSS-10 (OR = 1.03, p = 0.022) were associated with a more frequently affected OHRQoL. The number of missing teeth, being male, mean probing depth and mean clinical attachment loss were also significant towards a frequently affected OHRQoL. Conversely, age was negatively associated with a lower OHRQoL. CONCLUSION: Self-perceived xerostomia and stress are significant variables towards OHRQoL in elderly patients. Future studies should consider these self-perceived xerostomia and stress when investigating the impact of periodontitis and missing teeth on quality of life of older adults. SN - 1472-6831 UR - https://www.unboundmedicine.com/medline/citation/32650751/Perceived_xerostomia,_stress_and_periodontal_status_impact_on_elderly_oral_health-related_quality_of_life:_findings_from_a_cross-sectional_survey L2 - https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-01183-7 DB - PRIME DP - Unbound Medicine ER -
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