Published in:
01-12-2019 | Denture
Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland
Published in: The journal of nutrition, health & aging | Issue 10/2019
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Objectives
Poor oral health may complicate eating and deteriorate nutritional status. However, little is known about how the burden of oral symptoms (OS) is associated with the health-related quality of life (HRQoL) of vulnerable older people in institutional settings. This study explores how the burden of certain OS (chewing problems, swallowing difficulties, dry mouth) is associated with functioning, morbidity, nutritional status and eating habits. It also examines the association between the OS burden and HRQoL.
Design
A cross-sectional study in 2017.
Setting
All long-term care wards in Helsinki, Finland.
Participants
2401 older residents (74% females, mean age 83.9).
Measurements
Nurses assessed the residents and completed questionnaires on the participants’ demographics, functional status, diagnoses, OS and eating habits. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) and HRQoL with a 15-dimensional instrument (15D).
Results
Of the residents, 25.4% had one OS and 16.6% two or three OS. OS burden was associated linearly with poorer cognitive and physical functioning and a higher number of comorbidities, edentulousness without dentures, and less frequent teeth brushing/denture cleaning. OS burden was also associated with malnutrition, lower BMI and eating less during main meals. In the multivariate analyses adjusted for various confounding factors, a higher number of OS was associated with lower HRQoL. OS burden correlated with nearly all dimensions of HRQoL.
Conclusion
Oral symptoms are associated with generic HRQoL. Therefore, OS should be regularly assessed and managed in daily care.