Oral health conditions and activities of daily living in an elderly population in Brazil

Abstract

Objective: To analyze the relationship between the oral health status and functional capacity in performing basic activities of daily living of a population of elderly persons. Method: A cross-sectional population-based study with 441 individuals aged 60 years or over both genders was performed in the municipality of Macaíba, Rio Grande do Norte. From intraoral epidemiological examination, the degree of caries attacks (CPO-D index), periodontal condition (CPI and PIP indexes), the use and need for dental prosthesis and the presence of oral lesions were evaluated. Independence in Activities of Daily Living was used to evaluate functional capacity. Socioeconomic and demographic characteristics were surveyed using a structured questionnaire. Results: Oral health variables were subjected to factor analysis, which resulted in four indicators. There was no association between these indicators and the functional capacity of the elderly. Gender, age, presence of caregiver, dominant area of residence, time of last visit to the dentist, type of care sought during such visit and self-perception regarding prosthesis replacement were significantly associated with oral health indicators. Conclusion: Given the non-identification of the effect of functional capacity on the oral health of the elderly, the time of measurement of the events investigated should be considered. It is suggested that dependency among the elderly occurs at different times from when the consequences of oral problems are observed, considering the cumulative effects of a previous history of invasive dental care.

Relationship Between Health Service Access to Dental Conditions in Urban and Rural Areas in Indonesia

“…Women pay more attention to their appearance, while men do not heed it. In addition women are more sensitive to emotion and empathy while men are more likely to care about better physical environment and quicker and more flexible response than women [12][13][14][15][16][17].…”

Implicações da saúde bucal na esfera funcional de idosos brasileiros

“…Brasil 9 ; *Considerada a totalidade de indivíduos que necessitaram e ou passaram pela situação em questão para realizar cálculo de porcentagem. Dificuldade Funcional: DF; Atividades Básicas de Vida Diária: ABVD; Atividades Intrumentais de Vida Diária: AIVD; Número: N. Uso de prótese dentária Não 2740 (12) 98 (15) 173 (17) 3011 (13) Próteses dentárias totais em uma das arcadas ou para substituir determinado número de dentes 3983 (18) 52 (8) 79 (8) 4115 (17) Próteses dentárias totais para ambas as arcadas 3404 (15) 68 (10) 132 13…”

“…A saúde bucal é um importante parâmetro a ser considerado, devido à sua significativa contribuição para a formação da variável percepção de saúde 1 . Apresenta, ainda, a saúde bucal, concomitante influência nas condições funcionais de idosos e na sua qualidade de vida 2,13 .…”

“…Considerando-se o edentulismo em suas variações, sabe-se que, quando esta condição é associada ao uso de prótese adequada, tende-se à redução de seus desfechos negativos na qualidade de vida. Entretanto, o desconhecimento dos desdobramentos do edentulismo, em aspectos globais, sobre a saúde de indivíduos idosos e as dificuldades de seu acesso a serviços odontológicos especializados, conduz a uma utilização e necessidade subestimadas de próteses dentárias 13 . Prosseguindo na linha de cuidado da saúde bucal, a Tabela 3 expressa os dados referentes à consulta com cirurgião-dentista ao longo da vida, demonstrando a influência deste fator sobre a capacidade funcional para as ABVD: aqueles que nunca a realizaram possuem OR=1,69 mais chances de desenvolverem dificuldade para esse agrupamento de atividades.…”

Factors associated with the frequency of medical consultations by older adults: a national study

“…Corroborating previous studies, the findings showed that female individuals aged 60 years or older had more frequent medical appointments (OR = 1.35) (6,19) when compared to males. It is known that men usually seek care late, usually when the disease is already installed (20) , reducing the number of years they live (21) . On the other hand, women commonly use lifelong health services more often for reasons related to their own gender, and perceive conditions with potential health risk earlier.…”