Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study

ABSTRACT BACKGROUND: Dry mouth syndrome or xerostomia is defined as decreased salivary flow or hypofunction of salivary glands. Its origins are multicausal and might be the result of a change in the salivary glands or a systemic imbalance. OBJECTIVE: To ascertain the prevalence of self-reported...

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Main Authors: Cindel Balbinot Fornari, Daniel Bergonci, Cauane Bruna Stein, Bernardo Antonio Agostini, Lilian Rigo
Format: Article
Language:English
Published: Associação Paulista de Medicina 2021-06-01
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400380&tlng=en
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author Cindel Balbinot Fornari
Daniel Bergonci
Cauane Bruna Stein
Bernardo Antonio Agostini
Lilian Rigo
author_facet Cindel Balbinot Fornari
Daniel Bergonci
Cauane Bruna Stein
Bernardo Antonio Agostini
Lilian Rigo
author_sort Cindel Balbinot Fornari
collection DOAJ
description ABSTRACT BACKGROUND: Dry mouth syndrome or xerostomia is defined as decreased salivary flow or hypofunction of salivary glands. Its origins are multicausal and might be the result of a change in the salivary glands or a systemic imbalance. OBJECTIVE: To ascertain the prevalence of self-reported xerostomia and to identify associated factors. DESIGN AND SETTING: Cross-sectional study on the entire population of 293 elderly people over 60 years of age living in a Brazilian municipality. METHODS: Data were gathered from a questionnaire that asked about demographic data, chronic diseases and use of continuous medications, and which used the Xerostomia Inventory (XI) to evaluate dry mouth sensation. Our analysis consisted of multivariate regression and estimation of odds ratios (OR) and their respective 95% confidence intervals (CI) in binary logistic regression models. RESULTS: The prevalence of self-reported xerostomia was 19.1%. Elderly people with diabetes had higher odds of having self-reported xerostomia (OR: 3.59; 95% CI: 1.48-8.68; P < 0.001) as did those who had chronic diseases and used continuous medication (OR: 2.3; 95% CI: 1.19-4.67; P = 0.009). Elderly people who used continuous medication for the gastrointestinal tract were more likely to have xerostomia (OR: 2.14; 95% CI: 1.03-1.44; P = 0.030). CONCLUSIONS: Elderly people with diabetes and chronic diseases who were using continuous medication were more likely to have dry mouth. Use of continuous medications for the gastrointestinal tract led to a greater chance of having self-reported xerostomia.
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spelling doaj.art-ac81a4d61af74e9992897e9d1397a73d2022-12-21T17:21:49ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602021-06-01139438038710.1590/1516-3180.2020.0616.r3.1902021Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional studyCindel Balbinot Fornarihttps://orcid.org/0000-0002-5832-8936Daniel Bergoncihttps://orcid.org/0000-0001-6736-9708Cauane Bruna Steinhttps://orcid.org/0000-0002-4072-5036Bernardo Antonio Agostinihttps://orcid.org/0000-0003-4480-1873Lilian Rigohttps://orcid.org/0000-0003-3725-3047ABSTRACT BACKGROUND: Dry mouth syndrome or xerostomia is defined as decreased salivary flow or hypofunction of salivary glands. Its origins are multicausal and might be the result of a change in the salivary glands or a systemic imbalance. OBJECTIVE: To ascertain the prevalence of self-reported xerostomia and to identify associated factors. DESIGN AND SETTING: Cross-sectional study on the entire population of 293 elderly people over 60 years of age living in a Brazilian municipality. METHODS: Data were gathered from a questionnaire that asked about demographic data, chronic diseases and use of continuous medications, and which used the Xerostomia Inventory (XI) to evaluate dry mouth sensation. Our analysis consisted of multivariate regression and estimation of odds ratios (OR) and their respective 95% confidence intervals (CI) in binary logistic regression models. RESULTS: The prevalence of self-reported xerostomia was 19.1%. Elderly people with diabetes had higher odds of having self-reported xerostomia (OR: 3.59; 95% CI: 1.48-8.68; P < 0.001) as did those who had chronic diseases and used continuous medication (OR: 2.3; 95% CI: 1.19-4.67; P = 0.009). Elderly people who used continuous medication for the gastrointestinal tract were more likely to have xerostomia (OR: 2.14; 95% CI: 1.03-1.44; P = 0.030). CONCLUSIONS: Elderly people with diabetes and chronic diseases who were using continuous medication were more likely to have dry mouth. Use of continuous medications for the gastrointestinal tract led to a greater chance of having self-reported xerostomia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400380&tlng=enChronic diseaseDiabetes mellitusDrug effects [subheading]AgedXerostomiaElderlyDiabetesEffect of drugsHyposalivationDry mouth
spellingShingle Cindel Balbinot Fornari
Daniel Bergonci
Cauane Bruna Stein
Bernardo Antonio Agostini
Lilian Rigo
Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study
São Paulo Medical Journal
Chronic disease
Diabetes mellitus
Drug effects [subheading]
Aged
Xerostomia
Elderly
Diabetes
Effect of drugs
Hyposalivation
Dry mouth
title Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study
title_full Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study
title_fullStr Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study
title_full_unstemmed Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study
title_short Prevalence of xerostomia and its association with systemic diseases and medications in the elderly: a cross-sectional study
title_sort prevalence of xerostomia and its association with systemic diseases and medications in the elderly a cross sectional study
topic Chronic disease
Diabetes mellitus
Drug effects [subheading]
Aged
Xerostomia
Elderly
Diabetes
Effect of drugs
Hyposalivation
Dry mouth
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000400380&tlng=en
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