Contexts of Body Image and Social Interactions Among Frail Elders

Donnelly, Leeann; Clarke, Laura Hurd; Phinney, Alison; MacEntee, Michael I.

doi:10.1002/9781118786789.ch10

Cited by 2 publications

(2 citation statements)

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“…The impact of tooth loss, reported by 56.8% of the frail older adults in our study, is associated with limitations related to mastication and physical appearance, social life, and acute pain 26 . Such factors can influence older subjects' behaviors and frailty development 27 .…”

Section: Discussionmentioning

confidence: 99%

Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study

et al. 2022

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OBJETIVE: To investigate the relationship between the masticatory function and the frailty of older people. METHODS: Exploratory cross-sectional study using secondary data from the FIBRA Project on the frailty conditions of older people living in urban areas of six Brazilian municipalities, from 2008 to 2009. The population consisted of older adults aged 65 and over with no cognitive impairment. A single session identification questionnaire and the Mini-Mental State Examination (MMSE) were applied, followed by collecting sociodemographic data and data on the participants’ self-assessment of masticatory function, general health, and oral health. RESULTS: 2,341 older people (164 frail older adults), of whom 63.2% reported not having seen a dentist in the last year, and approximately 26% of them had three or more functional feeding problems. Older participants (OR = 2.88; 95%CI: 2.01–4.13), who are retired (OR = 2.31; 95%CI: 1.18–5.53), those who were depressed (OR = 2.31; 95%CI: 1.58–3.38), and those who self-assessed their general health as worse compared to others of the same age (OR = 3.91; 95%CI: 2.39-–6.40) were at higher risk of frailty. Three or more problems related to the functional aspects of mastication were associated with a greater chance of frailty (OR = 2.06; 95%CI: 1.25–3.41). CONCLUSION: This study found an association between masticatory function and a greater chance of frailty among the studied population.

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Section: Discussionmentioning

confidence: 99%

Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study

et al. 2022

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“…Donnelly [54] indicated how oral impairments could negatively affect the body image of elderly people and consequently decrease self-esteem. She warned that elderly, living in a society where the emphasis is on youth and beauty, may become increasingly concerned about their dental appearance and feel inadequate when they do not have white and straight teeth.…”

Section: Discussionmentioning

confidence: 99%

The impact of having natural teeth on the QoL of frail dentulous older people. A qualitative study

2012

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BackgroundIn order to adapt oral care and treatment to the demands of the growing group of frail dentulous older people, it is important to understand how and to which extent having natural teeth contributes to the quality of life (QoL) of frail older people and how frailty influences their perspective.MethodsA qualitative approach was used. Interviews with 38 Dutch frail older dentulous people were tape-recorded, transcribed, coded for content and analyzed. Additional information was collected which included age, gender, living situation, use of dental prostheses, self-reported oral health status, chronic disorders, and an index for frailty.ResultsSeven themes were identified in the relationship between natural teeth and the QoL of the participants: pride and achievement; intactness; sense of control; oral function; appearance; comfort; along with coping and adapting to disabilities. Having natural teeth generally had a positive effect on QoL. Positive effects through pride and achievement, intactness, and sense of control were most apparent for the most severely frail. They compared themselves with peers who are more often edentate, and valued the good state of their teeth against the background of their declining health, especially those with disabilities causing severe chronic pain or impaired fine-motor skills. The effect of coping with and adaptation to tooth loss was also most apparent for the most severely frail. There was a gender effect in that the men generally cared less about having natural teeth than women, regardless of their level of frailty.ConclusionsQoL of frail older people is positively influenced by natural teeth, and this effect seems to increase with increasing frailty. Preservation of teeth contributes to a positive body image and self-worth. Oral care for frail people should aim to preserve natural teeth if possible.

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Contexts of Body Image and Social Interactions Among Frail Elders

Cited by 2 publications

References 52 publications

Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study

Self-assessed masticatory function and frailty in Brazilian older adults: the FIBRA Study

The impact of having natural teeth on the QoL of frail dentulous older people. A qualitative study

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