How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?

Andreas Zenthöfer,1 Judith Ehret,1 Melania Zajac,1 Samuel Kilian,2 Jana Kostunov,1 Peter Rammelsberg,1 Anna-Luisa Klotz1 1University of Heidelberg, Dental School, Department of Prosthodontics, Heidelberg, 69120, Germany; 2University of Heidelberg, Institute of Medical Biometry and Informati...

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Autores principales: Zenthöfer A, Ehret J, Zajac M, Kilian S, Kostunov J, Rammelsberg P, Klotz AL
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:a72410a2d8ee4144a6a465d151b2fabd2021-12-02T15:36:37ZHow Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?1178-1998https://doaj.org/article/a72410a2d8ee4144a6a465d151b2fabd2021-05-01T00:00:00Zhttps://www.dovepress.com/how-do-changes-in-oral-health-and-chewing-efficiency-affect-the-change-peer-reviewed-fulltext-article-CIAhttps://doaj.org/toc/1178-1998Andreas Zenthöfer,1 Judith Ehret,1 Melania Zajac,1 Samuel Kilian,2 Jana Kostunov,1 Peter Rammelsberg,1 Anna-Luisa Klotz1 1University of Heidelberg, Dental School, Department of Prosthodontics, Heidelberg, 69120, Germany; 2University of Heidelberg, Institute of Medical Biometry and Informatics, Heidelberg, 69120, GermanyCorrespondence: Anna-Luisa KlotzUniversity of Heidelberg, Dental School, Department of Prosthodontics, INF 400, Heidelberg, 69120, GermanyTel +49 6221 56-8799Fax +49 6221 56-5371Email anna-luisa.klotz@med.uni-heidelberg.deObjective: To evaluate how changes in oral health and chewing efficiency affect the changes in oral-health-related quality of life (OHRQoL) of nursing-home residents over six months.Methods: The study was conducted in nine nursing homes. Sociodemographic and general data were collected for all eligible individuals (n = 150). Of these, 114 participants (mean age 82.0 [± 9.5] years, 77.2% women) were available for the following tests at baseline and six months later: a comprehensive examination of dental and general health, a two-colour mixing-ability test (to assess chewing efficiency), the Geriatric Oral Health Assessment Index (GOHAI; to evaluate the OHRQoL), and the Mini Mental State Examination (MMSE; to diagnose the presence and severity of dementia). Univariate and multivariate linear regression models were compiled to analyse possible factors affecting OHRQoL.Results: For the final analysis, 108 participants were available. For the study cohort as a whole, a decrease in the number of functional occluding pairs (C: 0.195; p = 0.034) and an increase in dental-treatment needs (C: − 1.968; p = 0.056) had the greatest negative effects on OHRQoL as expressed by the GOHAI score. For denture wearers, a deterioration of denture condition (C: − 2.946; p = 0.003) was the most important predictor for a decline in OHRQoL.Conclusion: A short-term decline in oral health and function affects the OHRQoL of nursing-home residents. The most important dental variables in this regard are the number of functional occluding pairs and dental and denture-related treatment needs.Keywords: chewing-efficiency test, nursing home, OHRQoL, oral healthZenthöfer AEhret JZajac MKilian SKostunov JRammelsberg PKlotz ALDove Medical Pressarticlechewing-efficiency testnursing homeohrqoloral healthGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 789-798 (2021)
institution DOAJ
collection DOAJ
language EN
topic chewing-efficiency test
nursing home
ohrqol
oral health
Geriatrics
RC952-954.6
spellingShingle chewing-efficiency test
nursing home
ohrqol
oral health
Geriatrics
RC952-954.6
Zenthöfer A
Ehret J
Zajac M
Kilian S
Kostunov J
Rammelsberg P
Klotz AL
How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?
description Andreas Zenthöfer,1 Judith Ehret,1 Melania Zajac,1 Samuel Kilian,2 Jana Kostunov,1 Peter Rammelsberg,1 Anna-Luisa Klotz1 1University of Heidelberg, Dental School, Department of Prosthodontics, Heidelberg, 69120, Germany; 2University of Heidelberg, Institute of Medical Biometry and Informatics, Heidelberg, 69120, GermanyCorrespondence: Anna-Luisa KlotzUniversity of Heidelberg, Dental School, Department of Prosthodontics, INF 400, Heidelberg, 69120, GermanyTel +49 6221 56-8799Fax +49 6221 56-5371Email anna-luisa.klotz@med.uni-heidelberg.deObjective: To evaluate how changes in oral health and chewing efficiency affect the changes in oral-health-related quality of life (OHRQoL) of nursing-home residents over six months.Methods: The study was conducted in nine nursing homes. Sociodemographic and general data were collected for all eligible individuals (n = 150). Of these, 114 participants (mean age 82.0 [± 9.5] years, 77.2% women) were available for the following tests at baseline and six months later: a comprehensive examination of dental and general health, a two-colour mixing-ability test (to assess chewing efficiency), the Geriatric Oral Health Assessment Index (GOHAI; to evaluate the OHRQoL), and the Mini Mental State Examination (MMSE; to diagnose the presence and severity of dementia). Univariate and multivariate linear regression models were compiled to analyse possible factors affecting OHRQoL.Results: For the final analysis, 108 participants were available. For the study cohort as a whole, a decrease in the number of functional occluding pairs (C: 0.195; p = 0.034) and an increase in dental-treatment needs (C: − 1.968; p = 0.056) had the greatest negative effects on OHRQoL as expressed by the GOHAI score. For denture wearers, a deterioration of denture condition (C: − 2.946; p = 0.003) was the most important predictor for a decline in OHRQoL.Conclusion: A short-term decline in oral health and function affects the OHRQoL of nursing-home residents. The most important dental variables in this regard are the number of functional occluding pairs and dental and denture-related treatment needs.Keywords: chewing-efficiency test, nursing home, OHRQoL, oral health
format article
author Zenthöfer A
Ehret J
Zajac M
Kilian S
Kostunov J
Rammelsberg P
Klotz AL
author_facet Zenthöfer A
Ehret J
Zajac M
Kilian S
Kostunov J
Rammelsberg P
Klotz AL
author_sort Zenthöfer A
title How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?
title_short How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?
title_full How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?
title_fullStr How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?
title_full_unstemmed How Do Changes in Oral Health and Chewing Efficiency Affect the Changes of Oral-Health-Related Quality of Life of Nursing-Home Residents in the Short Term?
title_sort how do changes in oral health and chewing efficiency affect the changes of oral-health-related quality of life of nursing-home residents in the short term?
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/a72410a2d8ee4144a6a465d151b2fabd
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