Dependence in instrumental activities of daily living and its implications for older adults' oral health.

Autor: Saintrain MVL; Public Health Graduate Program, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil., Saintrain SV; Public Health Graduate Program, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil., de Oliveira Branco JG; Public Health Graduate Program, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil., Peixoto Caldas JM; Center for Health Technology and Services Research (CINTESIS), University of Porto (UP), Porto, Portugal., Lourenço CB; Public Health Graduate Program, University of Fortaleza (UNIFOR), Fortaleza, Ceará, Brazil., Vieira-Meyer APGF; Family Health Master's Program, Oswaldo Cruz Foundation, Eusébio, Ceará, Brazil.; Faculty of Dentistry, Centro Universitário Christus, Fortaleza, Ceará, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Apr 29; Vol. 16 (4), pp. e0249275. Date of Electronic Publication: 2021 Apr 29 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0249275
Abstrakt: We aimed to assess the association between dependence in instrumental activities of daily living (IADL) and oral health in older adults. We conducted a cross-sectional study of 280 people aged ≥60 years served at public primary health care centers in Northeastern Brazil. Sociodemographic, oral discomfort and general health data were collected. The Lawton and Brody scale were used to assess IADL. This research adheres to the STROBE checklist. Most participants were married (n = 139; 49.6%), women (n = 182; 65.0%) and retired (n = 212; 75.7%). A total of 37 (13.2%) older adults had some degree of dependence in IADL. Dependence in IADL was associated with: retirement (p<0.040), poor general health (p = 0.002), speech problems (p = 0.014), use of medications (p = 0.021), difficulty chewing and swallowing food (p = 0.011), voice changes (p = 0.044), edentulism (p = 0.011), use of toothbrush (p<0.001), use of toothpaste (p<0.001), and visit to the dentist in the previous year (p = 0.020). Functional disability was associated with older age, cardiovascular diseases, speech problems, chewing and swallowing difficulties, use of medication and brushing deficiency. The functional dependence in IADL can be considered an indicator of oral health status in older adults.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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