Volume 26, Issue 1 (Iranian South Medical Journal 2023)                   Iran South Med J 2023, 26(1): 38-50 | Back to browse issues page


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Kheirandish S, Farhadi A, Malekizadeh H, Jalaliyan Z S, Mahmoodi M, Poorkhan B. Relationship Between Oral Health and Cognitive Impairment in the Older Adults of Bushehr City. Iran South Med J 2023; 26 (1) :38-50
URL: http://ismj.bpums.ac.ir/article-1-1790-en.html
1- Department of Oral and Maxillofacial Pathology, School of Dentistry, Bushehr University of Medical Sciences, Bushehr, Iran
2- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of Ophthalmology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
4- Department of Internal Medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
5- Department of Biostatistics and Epidemiology, School of Health and Nutrition, Bushehr University of Medical Sci-ences, Bushehr, Iran , ma_mahmoodi@bpums.ac.ir
6- Student Research Committee, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract:   (1455 Views)
Background: Oral health in elderly people affects the choice of type of food consumed, physical and psychological condition of the person and their social communication and is of great importance. Considering the importance of issues related to oral health and cognitive impairments in the elderly, this study was conducted with the aim of investigating the relationship between oral health and cognitive impairments in the elderly of Bushehr city in 1400.
Materials and Methods: This descriptive study was conducted in 1400 on 120 elderly people who were selected based on stratified sampling from comprehensive health centers in Bushehr city. Data were collected using demographic information form, cognitive impairment test (CIT-6) and "Oral and Dental Health Assessment Index" (GOHAI) and then analyzed using frequency tables, descriptive statistics including mean and standard deviation, correlation test and regression model at a significance level of 0.05
Results: Most of the study participants (60.8%) were men. The mean age of the subjects was 64.88±4.16 years and most of them (81.6%) were retired or unemployed. The mean score of oral health was 42.49±6.06 and the mean score of cognitive disorder was 9.06±2.45. The statistical results showed that there is an inverse and significant relationship between oral and dental health and cognitive disorder of the elderly that with increasing oral health status, the cognitive impairment of the elderly decreases (r=-0.267, P-value= 0.003).
Conclusion: the health team including dentists, nurses and doctors can understand the importance of the issue of oral health of the elderly and the complications caused by Educate about the level of hygiene and ask the personnel and staff of health services to take this issue into consideration in their patient edu-cation programs.

 
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Type of Study: Original | Subject: Dentistry. Oral Surgery
Received: 2023/01/8 | Accepted: 2023/10/14 | Published: 2023/10/23

References
1. Noale M, Limongi F, Maggi S. Epidemiology of cardiovascular diseases in the elderly. Adv Exp Med Biol 2020; 1216: 29-38. [DOI]
2. Grassi L, Caruso R, Da Ronch C, et al. Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: Results from the MentDis_ICF65+ study. Health Qual Life Outcomes 2020; 18(1): 61. [DOI]
3. Farajzadeh M, Ghanei Gheshlagh R, Sayehmiri K. Health related quality of life in iranian elderly citizens: A systematic review and metaanalysis. Int J Community Based Nurs Midwifery 2017; 5(2): 100-111. [PubMed]
4. Şahin DS, Özer Ö, Yanardağ MZ. Perceived social support, quality of life and satisfaction with life in elderly people. Educ Gerontol 2019; 45(1): 69-77. [DOI]
5. Tarighat M, Ravanipour M, Pouladi S, et al. Designing and Psychometric Properties of Elderly Cognitive Empowerment Questionnaire of Individual Changes. Iran South Med J 2017; 20(2): 193-206. [DOI]
6. Oschwald J, Guye S, Liem F, et al. Brain structure and cognitive ability in healthy aging: a review on longitudinal correlated change. Rev Neurosci 2019; 31(1): 1-57. [DOI]
7. Zhang Q, Wu Y, Han T, Liu E. Changes in cognitive function and risk factors for cognitive impairment of the elderly in China: 2005-2014. Int J Environ Res Public Health 2019; 16(16): 2847. [DOI]
8. Muhammad T, Meher T. Association of latelife depression with cognitive impairment: evidence from a cross-sectional study among older adults in India. BMC Geriatr 2021; 21(1): 364. [DOI]
9. Sarant J, Harris D, Busby P, et al. The effect of cochlear implants on cognitive function in older adults: initial baseline and 18-month follow up results for a prospective international longitudinal study. Front Neurosci 2019; 13: 789. [DOI]
10. Khodaveisi M, Faal Araghi Nejad A, Omidi A, et al. Comparing the structural standards of nursing homes in Markazi Province, Iran with international standards. Iranian Journal of Ageing 2018; 13(3): 362-71. (persian) [DOI]
11. Hernández-Vásquez A, Barrenechea-Pulache A, Aguirre-Ipenza R, et al. Interventions to Improve the Oral Hygiene of Individuals with Alzheimer’s Disease: A Systematic Review. Dent J (Basel) 2022; 10(5): 92. [DOI]
12. Khanagar SB, Al-Ehaideb A, Shivanna MM, et al. Age-related Oral Changes and Their Impact on Oral Health-related Quality of Life among Frail Elderly Population: A review. J Contemp Dent Pract 2020; 21(11): 1298-1303. [PubMed]
13. Yin Z, Yang J, Huang C, et al. 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]
14. Rodrigues A, Dhanania S, Rodrigues R. “If I have teeth, I can smile.” Experiences with tooth loss and the use of a removable dental prosthesis among people who are partially and completely edentulous in Karnataka, India. BDJ open 2021; 7(1): 34. [DOI]
15. Janto M, Iurcov R, Daina CM, et al. Oral health among elderly, impact on life quality, access of elderly patients to oral health services and methods to improve oral health: a narrative review. J Pers Med 2022; 12(3): 372. [DOI]
16. Saravani S, Kadeh H, Arbabi S. Oral and Dental Status, Oral Health-Related Quality of Life and Associated Factors among Institutionalized Elderly in Southeast Iran-A Cross Sectional Study. J Dent Mater Tech 2020; 9(4): 176-184. [DOI]
17. Motallebnejad M, Mehdizadeh S, Najafi N, et al. The evaluation of oral health-related factors on the quality of life of the elderly in Babol. Contemp Clin Dent 2015; 6(3): 313-7. [DOI]
18. Khosrozadeh H, Masoudi Alavi N, Gilasi H, et al. Oral health-related quality of life in older people in Kashan/Iran 2015. Nurs Midwifery Studies 2017; 6(4): 8-182. [DOI]
19. Ghasemian Gorji F, Ghadimi R, Hosseini SR, et al. Frequency of fruit and vegetable consumption and oral health-related quality of life among the elderly in Amirkola (Babol, Iran). Caspian J Dent Res 2023; 12(1): 8-19. (persian) [DOI]
20. Gaszynska E, Szatko F, Godala M, et al. Oral health status, dental treatment needs, and barriers to dental care of elderly care home residents in Lodz, Poland. Clin Interv Aging 2014; 9: 1637-44. [DOI]
21. Arthi B, Madankumar PD, Sridhar V. Association between oral health status and cognitive function among geriatrics—A cross sectional study. SM J Dent 2017; 3(2): 1015. [DOI]
22. Foroughan M, Hossieni MA, Rashedi V, et al. Comparison of cognitive function in the monolingual and bilingual elderly. J Kermanshah Univ Med Sci 2015;18(10): e74010. [DOI]
23. O’Caoimh R, Molloy DW. Comparison of the Six Item Cognitive Impairment Test (6CIT) to Commonly-Used Short Cognitive Screening Instruments in a Memory Clinic Population. J Alzheimers Dis Rep 2023; 7(1): 299-306. [DOI]
24. Aguirre-Bustamante J, Barón-López FJ, Carmona-González FJ, et al. Validation of a modified version of the Spanish Geriatric Oral Health Assessment Index (GOHAI-SP) for adults and elder people. BMC Oral Health 2020; 20(1): 61. [DOI]
25. Rezaei M, Rashedi V, Khedmati Morasae E. A Persian version of geriatric oral health assessment index. Gerodontology 2016; 33(3): 335-41. [DOI]
26. Ahmadi A, Sahaf R, Rashedi V, et al. Relationship between oral health and demographic characteristics in retired elderly people in Iran. Salmand: Iranian Journal of Ageing 2019; 13(4): 452-463. (persian) [DOI]
27. Khatmi Nasab N, Shamshiri M, Zamani U. The Study of Oral Health Status and Its Related Quality of Life in Elderly People Supported by Welfare Organization in Ardabil City. J Health Care 2019; 21(4): 308-18. (persian) [DOI]
28. Faezi M, Rejeh N, Soukoti M. Assessment of oral health in older people referred to selected dentistry schools of universities of Tehran. J Health Promot Manag 2015; 5(1): 1-10. (persian) [Article]
29. Anto EJ, Siagian LO, Siahaan JM, et al. The relationship between hypertension and cognitive function impairment in the elderly. Open Access Maced J Med Sci 2019; 7(9): 1440-1445. [DOI]
30. Arsalani N, Nobahar M, Ghorbani R, et al. Cognitive disorders and some associated social factors in elderly pepole. Koomesh 2018; 20(2): 240-7. (persian) [Article]
31. Soleimani R, Shokrgozar S, Fallahi M, et al. An investigation into the prevalence of cognitive impairment and the performance of older adults in Guilan province. J Med Life 2018; 11(3): 247-253. [DOI]
32. Hou Q, Guan Y, Yu W, et al. Associations between obesity and cognitive impairment in the Chinese elderly: an observational study. Clin Interv Aging 2019; 14: 367-373. [DOI]
33. Jia L, Du Y, Chu L, et al. Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health 2020; 5(12): e661-e71. [DOI]
34. Pais R, Ruano L, Moreira C, et al. Prevalence and incidence of cognitive impairment in an elder Portuguese population (65–85 years old). BMC Geriatr 2020; 20(1): 470. [DOI]
35. Sindi S, Kåreholt I, Ngandu T, et al. Sex differences in dementia and response to a lifestyle intervention: Evidence from Nordic population‐ based studies and a prevention trial. Alzheimers Dement 2021; 17(7): 1166-78. [DOI]
36. Mauvais-Jarvis F, Bairey Merz N, Barnes PJ, et al. Sex and gender: modifiers of health, disease, and medicine. Lancet 2020; 396(10250): 565-82. [DOI]
37. Matsubara C, Furuya J, Watanabe Y, et al. Effect of oral health intervention on cognitive decline in community-dwelling older adults: a randomized controlled trial. Arch Gerontol Geriatr 2021; 92: 104267. [DOI]
38. Chiesi F, Grazzini M, Innocenti M, et al. Older people living in nursing homes: An oral health screening survey in Florence, Italy. Int J Environ Res Public Health 2019; 16(18): 3492. [DOI]
39. Lee KH, Jung ES, Choi YY. Association of oral health and activities of daily living with cognitive impairment. Gerodontology 2020; 37(1): 38-45. [DOI]
40. Park H, Suk SH, Cheong JS, et al. Tooth loss may predict poor cognitive function in community-dwelling adults without dementia or stroke: the PRESENT project. J Korean Med Sci 2013; 28(10): 1518-21. [DOI]
41. Chávez EM, Kossioni A, Fukai K. Policies supporting oral health in ageing populations are needed worldwide. Int Dent J 2022; 72(4S): S27-S38. [DOI]
42. Preston J, Biddell B. The physiology of ageing and how these changes affect older people. Medicine 2021; 49(1): 1-5. [DOI]
43. Gondivkar SM, Gadbail AR, Gondivkar RS, et al. Nutrition and oral health. Dis Mon 2019; 65(6): 147-54. [DOI]
44. Kane SF. The effects of oral health on systemic health. Gen Dent 2017; 65(6): 30-4. [PubMed]
45. Dietrich T, Webb I, Stenhouse L, et al. Evidence summary: the relationship between oral and cardiovascular disease. Br Dent J 2017; 222(5): 381-5. [DOI]
46. Manger D, Walshaw M, Fitzgerald R, et al. Evidence summary: the relationship between oral health and pulmonary disease. Br Dent J 2017; 222(7): 527-33. [DOI]
47. Baiju RM, Peter E, Varghese NO, et al. Oral health and quality of life: current concepts. J Clin Diagn Res 2017; 11(6): ZE21-ZE26. [DOI]
48. Ming Y, Hsu SW, Yen YY, et al. Association of oral health–related quality of life and Alzheimer disease: a systematic review. J Prosthet Dent 2020; 124(2): 168-75. [DOI]
49. Chang EJ, Woo HJ, Jeong KH. Mediating Effect of Cognitive Function on the Relationship Between Geriatric Oral Health and Quality of Life Among Korean Seniors. J Prev Med Public Health 2022; 55(1): 106-113. [DOI]

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