Relationship between the activities of daily living, oral health‐related quality of life and dementia

Cho, Min Jeong; Jung, Eun Kyung; Jung, Yun‐Sook; Shin, Hae Eun; Kim, Eun Kyong; Kim, Hyeon Chang; Choi, Youn Hee; Song, Keun Bae

doi:10.1111/ggi.13305

Cited by 19 publications

(22 citation statements)

References 25 publications

(39 reference statements)

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“…Our regression and path analyses also showed that a decrease in ADL increased the possibility of cognitive impairment. Additionally, Pearson's correlation analysis showed that the two parameters of oral health (OHIP‐14 and GOHAI) were correlated with ADL, which supports the findings of previous studies …”

Section: Discussionsupporting

confidence: 89%

“…Many patients with cognitive impairment experience difficulties in managing their ADL, which may be a factor that complicates oral health management . In a population‐based study on elderly participants that analysed ADL and cognitive function using Cox proportional hazards regression models controlled for other covariates such as age and sex, it was concluded that ADL disability was a strong risk factor for dementia .…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive impairment causes functional disruptions in memory, thought processing, understanding, calculation, learning, language and decision making, thereby decreasing the ability to perform activities of daily living (ADL) and reducing quality of life . Decreased oral health in individuals with cognitive impairment is strongly related to a lower quality of life . Patients with cognitive impairment have a decreased ability to manage their oral health, and therefore, they are exposed to a higher risk of dental caries and gingival disorders .…”

Section: Introductionmentioning

confidence: 99%

“…Patients with cognitive impairment have a decreased ability to manage their oral health, and therefore, they are exposed to a higher risk of dental caries and gingival disorders . Moreover, it is difficult for patients with cognitive impairment to receive dental treatments when such problems arise, which may contribute to deteriorating oral health . However, in reality, the oral health of individuals with cognitive impairment is considered less important than general health, and patients themselves tend to be more negligent of oral hygiene owing to either lack of knowledge or awareness regarding oral health …”

Section: Introductionmentioning

confidence: 99%

“…Although the causative factors of cognitive impairment are still not entirely known, sex, age, family history, brain injury, physical inactivity and systemic diseases have been identified . Poor oral health was also reported as a risk factor of cognitive impairment in many studies .…”

Section: Introductionmentioning

confidence: 99%

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Association of oral health and activities of daily living with cognitive impairment

2019

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Objectives This study compared the oral health status between elderly individuals with and without cognitive impairment and explored the association of oral health and activities of daily living (ADL) with cognitive impairment. Methods We conducted convenience sampling on patients aged more than 65 years and analysed data from 630 participants. Data were collected and analysed via a survey evaluating general characteristics, oral health behaviour, subjective oral health status, Oral Health Impact Profile (OHIP‐14), Geriatric Oral Health Assessment Index (GOHAI) and ADL. Results The path analysis and regression analysis of the association of oral health and ADL with cognitive impairment showed that the OHIP‐14 was not significantly associated with cognitive impairment, whereas the GOHAI and ADL had significant associations with cognitive impairment. A 1‐point increase in the GOHAI was associated with a 0.024‐point increase in the cognitive impairment score, and a 1‐point increase in the ADL was associated with a 0.006‐point decrease in the cognitive impairment score (normal = 0, cognitive impairment = 1). Conclusions Poor oral health and ADL were associated with cognitive impairment. Therefore, oral hygiene management is important in maintaining oral health in elderly individuals with cognitive impairment.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association of oral health and activities of daily living with cognitive impairment

2019

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Psychometric properties of the Spanish version of the mild cognitive impairment questionnaire

Clement‐Carbonell

Cabañero‐Martínez

Fernández‐Alcántara

et al. 2020

Research in Nursing & Health

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The prevalence of mild cognitive impairment (MCI) has significantly increased in recent years. No specific instruments are available in Spanish for assessing health-related quality of life (HRQoL) in people with MCI. The aim of this study was to adapt transculturally and validate the mild cognitive impairment questionnaire (MCQ) in Spanish people with MCI.A standardized transcultural adaptation process was carried out, and the structural equivalence of the Spanish version of the scale was examined. In addition, we studied the reliability and construct validity of the instrument. The sample comprised 100 people with MCI, with a mean age of 79.5 years. In a confirmatory factor analysis, we found the instrument had a one-factor structure and adequate internal consistency. Related to the construct validity, we found meaningful relationships with measures of HRQoL and depression. Our results indicate that the Spanish version of the MCQ is a reliable and valid tool for measuring HRQoL in Spanish patients with MCI. The availability of specific tools, such as the MCQ allows nurses to evaluate new intervention strategies to improve the HRQoL of these patients. Furthermore, this scale can be used by researchers and clinicians to improve the standards of care provided to this population. K E Y W O R D S linguistic validation, mild cognitive impairment, psychometric properties, quality of life

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Stress‐Busting Program for Family Caregivers: Validation of the Spanish version using biomarkers and quality‐of‐life measures

Arevalo-Flechas

Flores

Wang

et al. 2022

Research in Nursing & Health

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Hispanic family caregivers of people with dementia experience higher levels of stress compared to non-Hispanic white caregivers. Long-term stress causes depression, caregiver burden, cellular aging, and dysregulation of the immune, nervous, and endocrine systems. The purpose of this study was to determine the validity of the Spanish version of the English Stress-Busting Program (SBP) for Family Caregivers by determining changes in quality-of-life measures and biomarkers. Thirty-six caregivers completed the SBP in the language of their choice (14 Spanish-speaking Hispanics [HS], 8 English-speaking Hispanics [HE], and 14 non-Hispanic English[NHE] speakers). Quality-of-life measures included the Perceived Stress Scale, the Screen for Caregiver Burden, and the Center for Epidemiologic Studies Depression Scale. Assessment of oral health and immunity included salivary flow rate, pH, buffer capacity, total protein, and secretory immunoglobulin A (sIgA). Indicators of stress (salivary cortisol), inflammation (C-reactive protein), and cellular aging (leukocyte telomere length) were assessed. Following completion of the SBP, the Spanishspeaking group had less depression and caregiver burden along with improved oral health and reduced cellular aging. When comparing baseline values to postintervention, all three groups showed significant improvement in subjective caregiver burden. When the data from all three groups were combined, biomarkers that showed improvement after nine weeks of SBP included the stress hormone cortisol, salivary pH, and leukocyte telomere length. The results indicate that the Spanish SBP reduces caregiver stress as assessed by quality-of-life indicators and biomarkers. The Spanish SBP can help to mitigate health disparities in Hispanic Spanish-speaking caregivers.

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Relationship between the activities of daily living, oral health‐related quality of life and dementia

Cited by 19 publications

References 25 publications

Association of oral health and activities of daily living with cognitive impairment

Association of oral health and activities of daily living with cognitive impairment

Psychometric properties of the Spanish version of the mild cognitive impairment questionnaire

Stress‐Busting Program for Family Caregivers: Validation of the Spanish version using biomarkers and quality‐of‐life measures

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