Life expectancy with negative physical oral health impact on quality of life in older adults

Abstract

<jats:p>Abstract: Oral impairments can affect overall health and life expectancy in older adults. Our study evaluates the life expectancy with negative physical oral health impact on quality of life (POHIQoL) among older adults. Life expectancy with negative POHIQoL was estimated by the Sullivan method, using the prevalence of POHIQoL - obtained in the Health, Well-being and Ageing (SABE Study); and official mortality data for adults aged 60 years or older living in São Paulo, Brazil. Between 2000 and 2010, negative POHIQoL increased from 23.4% (95%CI: 20.2-26.9) to 30.4% (95%CI: 27.0-34.3) among older adults; total life expectancy increased from 22 and 17.5 to 23.7 and 19.4 years among 60-year-old women and men, respectively; and the proportion of remaining years to be lived with negative POHIQoL increased from 25.1% to 32.1% for the same age group. In both years, individuals aged 60 years with lower education level were expected to live more years with negative POHIQoL when compared with the most schooled ones (2000: 15.9 [95%CI: 15.0-16.8] vs. 14.3 [95%CI: 13.7-14.8]; 2010: 16.3 [95%CI: 15.1-17.4] vs. 14.1 [95%CI: 13.2-15.1]). Similarly, women were expected to live more years with negative POHIQoL than men. Within ten years, life expectancy with negative POHIQoL increased, as well as the existence of inequalities in sex and education level among Brazilian older adults. Expansion in coverage and focus on equity in dental care are still necessary to overcome persistent dental-related problems and inequalities and, therefore, contribute to healthy ageing.</jats:p>

Influencia de la salud oral en la calidad de vida de los adultos mayores: una revisión sistemática

“…Al aplicar la estrategia de búsqueda se identificaron en las bases bibliográficas electrónicas Medline, 2810 registros, en LILACS registros, en SciELO, 58 registros y en EBSCO Dentistry & Oral Sciences, 162 registros, totalizando 3134 artículos, los que fueron sometidos al protocolo PRISMA y de dicha aplicación se obtuvieron 17 artículos (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) (Figura 1).…”

Edentulism‐free life expectancy among older Brazilian adults: SABE study, 2006‐2016

“…Despite the increase in EFLE for most groups from 2006 to 2016, sex and education inequalities remained significant in the studied period. Inequalities in healthy life expectancy were suggested in studies using other general health [2][3][4][5][6][7] and oral health 23 measures, and might be explained by the worse health and living conditions of the most vulnerable groups. 36,37 The pro-rich inequalities in tooth loss 38 and dental care may be explained by the higher use of dental services, especially for preventive reasons, among the higher educated.…”

“…37 Consistent with previous studies, women expect to live longer but with more disabilities and diseases. [2][3][4][5][6][7]23 Higher male mortality at early ages, in addition to contributing to a decrease in TLE, could allow the composition of a more homogeneous and healthier group of older men due to a selection mechanism. 2,7 Furthermore, tooth loss seems to be more prevalent 10,32 and to occur at an early age among women, 32 which in part can be explained by financial, social and health conditions.…”

“…More recently, Oliveira et al 23 showed that 60-and 80-year-old Brazilian adults expected to live, respectively, 32% and 40% of their remaining lives with poor physical oral health-related quality of life in 2010. Women and the less educated were the most affected.…”

Relationship between weight loss and regular dental management of older adults residing in long-term care facilities: a 1-year multicenter longitudinal study

“…Several studies have reported on the association between undernutrition and oral hygiene [23][24][25]. Furthermore, studies also assert that oral care (including oral healthcare) is effective at preventing undernutrition and aspiration pneumonia as well as extending patients' life expectancy [24][25][26][27]. The effectiveness of oral care in preventing pneumonia is attributable to reducing oral bacteria and inducing swallowing reflexes [14,15]; however, no other reports support this finding.…”