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Effects of general and oral health status on dementia in the elderly in some areas

일부 지역 노인의 전신건강과 구강건강상태가 치매에 미치는 영향

  • Received : 2021.02.19
  • Accepted : 2021.04.09
  • Published : 2021.04.30

Abstract

Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

Keywords

References

  1. Martinez MF, Flores JC, de Las Heras, Susana Perez, Lekumberri AM, Menocal MG, et al.Risk factors for dementia in the epidemiological study of munguialde county (basque country-spain). BMC Neurol 2008;8(39):1-8. https://doi.org/10.1186/1471-2377-8-39
  2. Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, et al. Alzheimer's disease international. global prevalence of dementia: a delphi consensus study. Lancet 2005;366(9503):2112-7. https://doi.org/10.1016/S0140-6736(05)67889-0
  3. Go HB, Kim MG, Kim JY, Kim HS, Park YS, Seo SH, et al. The relationship between dementia and oral health in some elderly in Daejeon. J Dent Hyg Sci 2016;16(6):481-7. https://doi.org/10.17135/jdhs.2016.16.6.481
  4. Lee IS, Lee KO, Ko Y. Evaluation of KDSQ-C's reliability and validity between the subject elderly and caregiver. J Korean Acad Community Health Nurs 2012;23(4):446-50. https://doi.org/10.12799/jkachn.2012.23.4.446
  5. Yang DW, Cho BL, Chey JY, Kim SY, Kim BS. The development and validation of Korean dementia screening questionnaire(KDSQ). J Korean Neurol Assoc 2002;20(2):1-8.
  6. Elsig F, Schimmel M, Duvernay E, Giannelli SV, Graf CE, Carlier S, et al. Tooth loss, chewing efficiency and cognitive impairment in geriatric patients. Gerodontology 2015;32(2):149-56. https://doi.org/10.1111/ger.12079
  7. Kang HK. A study on the relationship between physical activity, mental health, oral health and quality of life according to chewing difficulty. J Korean Oral Health Sci 2019;7(2):1-8. https://doi.org/10.33615/jkohs.2019.7.2.1
  8. Lee BH, Park JS, Kim NR. The effect of physical activity program on cognitive function, physical performance, gait, quality of life and depression in the elderly with dementia. Journal of Special Education & Rehabilitation Science 2011;50(2):307-28.
  9. Delwel S, Binnekade TT, Perez RS, Hertogh CM, Scherder EJ, Lobbezoo F. Oral hygiene and oral health in older people with dementia: a comprehensive review with focus on oral soft tissues. Clin Oral Investig 2018;22(1):93-108. https://doi.org/10.1007/s00784-017-2264-2
  10. Daly B, Thompsell A, Sharpling J, Rooney YM, Hillman L, Wanyonyi KL, et al. Evidence summary: the relationship between oral health and dementia. Br Dent J 2017;223(11):846-53. https://doi.org/10.1038/sj.bdj.2017.992.
  11. Kang KL. Association between dementia and oral health. The Journal of the Korean Dental Association 2018;56(3):218-30.
  12. Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet 2017;390(10113):2673-734. https://doi.org/10.1016/S0140-6736(17)31363-6
  13. Dementia Australia National. Alzheimer's disease [Internet]. Dementia Australia National;2019. [cited 2021 Jan 16]. Available from: http://www.dementia.org.au/about-dementia/types-of-dementia/alzheimers-disease
  14. Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock's concise textbook of clinical psychiatry. 4th ed. New York: Wolter Kluwer; 2003:1-712.
  15. Kim ES, Hong MH. Perceived oral health awareness in dementia and dementia- suspected depending on KMME. J Korean Soc Dent Hyg 2015;15(2):217-23. https://doi.org/10.13065/jksdh.2015.15.02.217
  16. Jones JA, Lavallee N, Alman J, Sinclair C, Garcia RI. Caries incidence in patients with dementia. 1993;10(2):76-82. https://doi.org/10.1111/j.1741-2358.1993.tb00086.x
  17. Kamer AR, Craig RG, Dasanayake AP, Brys M, Glodzik-Sobanska L, de Leon MJ. Inflammation and Alzheimer's disease: possible role of periodontal diseases. Alzheimer's Dementia 2008;4(4):242-50. https://doi.org/10.1016/j.jalz.2007.08.004
  18. Okamoto N, Morikawa M, Okamoto K, Habu N, Iwamoto J, Tomioka K, et al. Relationship of tooth loss to mild memory impairment and cognitive impairment: findings from the Fujiwara-kyo study. Behav Brain Funct 2010;6(77):1-8. https://doi.org/10.1186/1744-9081-6-77
  19. Tangerman A, Winkel EG. Intra-andextra-oralhalitosis: finding of a new form of extra-oralblood-borne halitosis caused by dimethyl sulphide. J Clin Periodontol 2007;34(9):748-55. https://doi.org/10.1111/j.1600-051X.2007.01116.x