The relationship between tooth loss and pre-elderly nutritional status and quality of life
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Background: Tooth loss leads to decreased masticatory function, which affects nutritional intake. Tooth loss accompanied by poor nutritional status affects quality of life both physically and psychosocially. Purpose: This study was conducted to identify the relationship between number of teeth lost due to nutritional status and quality of life. Methods: A study conducted at Gulai Bancah Primary Health Care in Bukittinggi. Participants were recruited using a non-probability purposive sampling technique. 178 pre-elderlies aged between 45 and 59 years took part in this study. Tooth loss was reported in the dental examination format while nutritional status and quality of life pertaining to dental and oral health were determined using the Mini Nutritional Assessment (MNA) and the Geriatric Oral Health Assessment Index (GOHAI). Pearson correlation and path analysis were utilized to analyze the data. Results: The Pearson correlation test indicated a moderate correlation between tooth loss and nutritional status (r = -0.549) and a strong correlation between the number tooth lost and quality of life (r = -0.742). Pathway analysis confirmed that the direct effect value (beta coefficient = 0.552) was greater than the indirect effect value (beta coefficient = 0.189). The findings indicated that, indirectly, the amount of tooth loss mediated with nutritional status had no significant relationship to quality of life. Conclusion: An increase in tooth loss leads to pre-elderly poor nutritional status and quality of life. However, nutritional status is not an intermediate factor between the number of teeth lost and pre-elderly quality of life.
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Washio M, Kiyohara C. Health issues and care system for the elderly. Singapore: Springer Singapore; 2019. p. 196. (Current Topics in Environmental Health and Preventive Medicine). doi: https://doi.org/10.1007/978-981-13-1762-0
Kholifah SN. Keperawatan gerontik: Modul bahan ajar cetak keperawatan. Jakarta: Kementerian Kesehatan Republik Indonesia; 2016. p. 1–105. web: https://digilib.stikesmahardika.ac.id/index.php?p=show_detail&id=1432&keywords=
Saskianti T, Nugraha AP, Prahasanti C, Ernawati DS, Tanimoto K, Riawan W, Kanawa M, Kawamoto T, Fujimoto K. Study of alveolar bone remodeling using deciduous tooth stem cells and hydroxyapatite by vascular endothelial growth factor enhancement and inhibition of matrix metalloproteinase-8 expression in vivo. Clin Cosmet Investig Dent. 2022; 14: 71–8. doi: https://doi.org/10.2147/CCIDE.S354153
Badan Penelitian dan Pengembangan Kesehatan. Laporan nasional riset kesehatan dasar 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018. p. 207. web: http://repository.bkpk.kemkes.go.id/3514/
Tí´rres LH do N, da Silva DD, Neri AL, Hilgert JB, Hugo FN, Sousa M da LR de. Association between underweight and overweight/obesity with oral health among independently living Brazilian elderly. Nutrition. 2013; 29(1): 152–7. doi: https://doi.org/10.1016/j.nut.2012.05.011
de Medeiros MMD, Pinheiro MA, de Figueredo OMC, de Oliveira LFS, Wanderley RL, Cavalcanti YW, Rodrigues Garcia RCM. Masticatory function in nursing home residents: Correlation with the nutritional status and oral health-related quality of life. J Oral Rehabil. 2020; 47(12): 1511–20. doi: https://doi.org/10.1111/joor.13096
Iyota K, Mizutani S, Oku S, Asao M, Futatsuki T, Inoue R, Imai Y, Kashiwazaki H. A cross-sectional study of age-related changes in oral function in healthy Japanese individuals. Int J Environ Res Public Health. 2020; 17(4): 1376. doi: https://doi.org/10.3390/ijerph17041376
Angraini DI, Supartinah A, Wachid DN. Status kesehatan mulut dan asupan makan sebagai faktor risiko underweight pada lansia. J Gizi Klin Indones. 2013; 9(4): 188–96. doi: https://doi.org/10.22146/ijcn.18367
Kosaka T, Kida M. Tooth loss leads to reduced nutrient intake in middle-aged and older Japanese individuals. Environ Health Prev Med. 2019; 24(1): 15. doi: https://doi.org/10.1186/s12199-019-0770-3
Patel P, Shivakumar K, Patil S, Suresh K, Kadashetti V. Association of oral health-related quality of life and nutritional status among elderly population of Satara district, Western Maharashtra, India. J Indian Assoc Public Heal Dent. 2015; 13(3): 269–73. doi: https://doi.org/10.4103/2319-5932.165261
Khusumawerdanie EK, Maulina M. Status gizi lansia berdasarkan mini nutritional assessment (MNA) di panti sosial Tresna Werdha Lhokseumawe - Aceh Utara. J SAMUDERA. 2015; 9(2): 29–40. web: https://repository.unimal.ac.id/3039/
Kostecka M, Bojanowska M. An evaluation of the nutritional status of elderly with the use of the MNA questionnaire and determination of factors contributing to malnutrition. A pilot study. Rocz Panstw Zakl Hig. 2021; 72(2): 175–83. doi: https://doi.org/10.32394/rpzh.2021.0165
Machado RSP, Coelho MASC, Veras RP. Validity of the Portuguese version of the mini nutritional assessment in Brazilian elderly. BMC Geriatr. 2015; 15: 132. doi: https://doi.org/10.1186/s12877-015-0129-6
Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990; 54(11): 680–7. pubmed: http://www.ncbi.nlm.nih.gov/pubmed/2229624
Gkavela G, Kossioni A, Lyrakos G, Karkazis H, Volikas K. Oral health related quality of life in older people: Preliminary validation of the Greek version of the geriatric oral health assessment index (GOHAI). Eur Geriatr Med. 2015; 6(3): 245–50. doi: https://doi.org/10.1016/j.eurger.2015.01.001
Gita F, Wiryasmoro T, Sagala DM, Hendry, Hogervorst E, Kusdhany LS. Oral health status and oral health-related quality of life in indonesian elderly (analysis using the indonesian version of the oral health assessment tool and the geriatric oral health assessment index). J Int Dent Med Res. 2017; 10(Special Issue): 533–9. pdf: http://www.jidmr.com/journal/wp-content/uploads/2017/12/23.35Farisza-Gita-et-al-rev.pdf
Batista MJ, Lawrence HP, de Sousa M da LR. Impact of tooth loss related to number and position on oral health quality of life among adults. Health Qual Life Outcomes. 2014; 12: 165. doi: https://doi.org/10.1186/s12955-014-0165-5
Khan SU, Ghani F, Nazir Z. The effect of some missing teeth on a subjects' oral health related quality of life. Pakistan J Med Sci. 2018; 34(6): 1457–62. doi: https://doi.org/10.12669/pjms.346.15706
Pusat Data dan Informasi - Kementerian Kesehatan Republik Indonesia. Situasi lanjut usia (Lansia) di Indonesia. 2016. Available from: https://pusdatin.kemkes.go.id/article/view/16092300002/infodatin-situasi-lanjut-usia-lansia-di-indonesia.html. Accessed 2022 Sept 22.
Nursilmi N, Kusharto CM, Dwiriani CM. Hubungan status gizi dan kesehatan dengan kualitas hidup lansia di dua lokasi berbeda. Media Kesehat Masy Indones. 2017; 13(4): 369–79. doi: https://doi.org/10.30597/mkmi.v13i4.3159
Dable RA, Nazirkar GS, Singh SB, Wasnik PB. Assessment of oral health related quality of life among completely edentulous patients in Western India by using GOHAI. J Clin Diagn Res. 2013; 7(9): 2063–7. doi: https://doi.org/10.7860/JCDR/2013/6377.3406
Kikutani T, Yoshida M, Enoki H, Yamashita Y, Akifusa S, Shimazaki Y, Hirano H, Tamura F. Relationship between nutrition status and dental occlusion in community-dwelling frail elderly people. Geriatr Gerontol Int. 2013; 13(1): 50–4. doi: https://doi.org/10.1111/j.1447-0594.2012.00855.x
Perera R, Ekanayake L. Relationship between nutritional status and tooth loss in an older population from Sri Lanka. Gerodontology. 2012; 29(2): e566-70. doi: https://doi.org/10.1111/j.1741-2358.2011.00518.x
Tapsell LC, Neale EP, Satija A, Hu FB. Foods, nutrients, and dietary patterns: Interconnections and implications for dietary guidelines. Adv Nutr. 2016; 7(3): 445–54. doi: https://doi.org/10.3945/an.115.011718
Guimarí£es Rocha EKT, Vanderlei AD, Beder Ribeiro CM, de Oliveira Lima AL, dos Santos AF, Trindade Filho EM. Impact of tooth loss on quality of life. Pesqui Bras Odontopediatria Clin Integr. 2016; 16(1): 69–78. doi: https://doi.org/10.4034/PBOCI.2016.161.08
Bortoluzzi MC, Traebert J, Lasta R, Da Rosa TN, Capella DL, Presta AA. Tooth loss, chewing ability and quality of life. Contemp Clin Dent. 2012; 3(4): 393–7. doi: https://doi.org/10.4103/0976-237X.107424
Echeverria MS, Wünsch IS, Langlois CO, Cascaes AM, Ribeiro Silva AE. Oral health-related quality of life in older adults-Longitudinal study. Gerodontology. 2019; 36(2): 118–24. doi: https://doi.org/10.1111/ger.12387
Haag DG, Peres KG, Brennan DS. Tooth loss and general quality of life in dentate adults from Southern Brazil. Qual Life Res. 2017; 26(10): 2647–57. doi: https://doi.org/10.1007/s11136-017-1587-4
Yin Z, Yang J, Huang C, Sun H, Wu Y. Eating and communication difficulties as mediators of the relationship between tooth loss and functional disability in middle-aged and older adults. J Dent. 2020; 96: 103331. doi: https://doi.org/10.1016/j.jdent.2020.103331
Tulandi JDG, Tendean L, Siagian K V. Persepsi pengguna gigi tiruan lepasan terhadap fungsi estetik dan fonetik di komunitas lansia Gereja International Full Gospel Fellowship Manado. e-GIGI. 2017; 5(2): 1–9. doi: https://doi.org/10.35790/eg.5.2.2017.17069
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