Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey
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...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-07-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12903-020-01183-7 |
| _version_ | 1819001756565110784 |
|---|---|
| author | João Botelho Vanessa Machado Luís Proença Maria João Oliveira Maria Alzira Cavacas Luís Amaro Artur Águas José João Mendes |
| author_facet | João Botelho Vanessa Machado Luís Proença Maria João Oliveira Maria Alzira Cavacas Luís Amaro Artur Águas José João Mendes |
| author_sort | João Botelho |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T22:54:16Z |
| format | Article |
| id | doaj.art-748140302dd44b7eab9df33269f73227 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-20T22:54:16Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-748140302dd44b7eab9df33269f732272022-12-21T19:24:10ZengBMCBMC Oral Health1472-68312020-07-012011910.1186/s12903-020-01183-7Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional surveyJoão Botelho0Vanessa Machado1Luís Proença2Maria João Oliveira3Maria Alzira Cavacas4Luís Amaro5Artur Águas6José João Mendes7Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior Campus UniversitárioPeriodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior Campus UniversitárioQuantitative Methods for Health Research (MQIS), CiiEM, Egas Moniz, CRLDepartment of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of PortoClinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRLHealth Centers grouping (HCG) Almada-Seixal, Regional Health Administration of Lisbon and Tagus Valley (RHALTV)Department of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of PortoClinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Egas Moniz, CRLAbstract 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.http://link.springer.com/article/10.1186/s12903-020-01183-7XerostomiaStressEldersOral health-related quality of lifePeriodontitisTooth loss |
| spellingShingle | João Botelho Vanessa Machado Luís Proença Maria João Oliveira Maria Alzira Cavacas Luís Amaro Artur Águas José João Mendes Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey BMC Oral Health Xerostomia Stress Elders Oral health-related quality of life Periodontitis Tooth loss |
| title | Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey |
| title_full | Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey |
| title_fullStr | Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey |
| title_full_unstemmed | Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey |
| title_short | Perceived xerostomia, stress and periodontal status impact on elderly oral health-related quality of life: findings from a cross-sectional survey |
| title_sort | perceived xerostomia stress and periodontal status impact on elderly oral health related quality of life findings from a cross sectional survey |
| topic | Xerostomia Stress Elders Oral health-related quality of life Periodontitis Tooth loss |
| url | http://link.springer.com/article/10.1186/s12903-020-01183-7 |
| work_keys_str_mv | AT joaobotelho perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT vanessamachado perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT luisproenca perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT mariajoaooliveira perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT mariaalziracavacas perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT luisamaro perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT arturaguas perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey AT josejoaomendes perceivedxerostomiastressandperiodontalstatusimpactonelderlyoralhealthrelatedqualityoflifefindingsfromacrosssectionalsurvey |