Physical ability and comorbidity and oral health among home-dwelling older people in the Finnish population
Tiisanoja, Antti; Kuukasjärvi, Matti; Syrjälä, Anna-Maija; Komulainen, Kaija; Knuuttila, Matti; Hartikainen, Sirpa; Ylöstalo, Pekka (2020-12-06)
Tiisanoja, A, Kuukasjärvi, M, Syrjälä, A-M, et al. Physical ability and comorbidity and oral health among home-dwelling older people in the Finnish population. Spec Care Dentist. 2021; 41: 218– 227. https://doi.org/10.1111/scd.12548
© 2020 Special Care Dentistry Association and Wiley Periodicals LLC. This is the peer reviewed version of the following article: Tiisanoja, A, Kuukasjärvi, M, Syrjälä, A-M, et al. Physical ability and comorbidity and oral health among home-dwelling older people in the Finnish population. Spec Care Dentist. 2021; 41: 218– 227, which has been published in final form at https://doi.org/10.1111/scd.12548. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
https://rightsstatements.org/vocab/InC/1.0/
https://urn.fi/URN:NBN:fi-fe2021111956276
Tiivistelmä
Abstract
Aim: To examine how physical ability and comorbidity associate with oral health.
Methods and results: The study population comprised 161 individuals belonging to the Oral Health GeMS study. Outcome variables were the number of teeth with dental caries and deepened periodontal pockets and self-perceived oral health (pain/discomfort in mouth). Physical ability was determined by measuring limitations in daily activities (activities of daily living [ADL] and instrumental activities of daily life [IADL]) and the number of comorbidities with Functional Comorbidity Index (FCI). Poisson’s multivariate regression model was used to estimate prevalence rate ratio (PRR) and their 95% confidence intervals (CI). The physical ability or number of comorbidities did not associate consistently with oral diseases, but ADL, IADL and FCI associated all with self-perceived oral discomfort (PRR: 1.74, CI: 1.01–3.03; PRR: 1.20, CI: 1.06–1.35; PRR: 1.20, CI: 1.05–1.36, respectively). Furthermore, IADL associated also with poor self-perceived oral health (PRR: 1.27, CI: 1.03–1.57).
Conclusions: Older people with impaired physical ability and comorbidities are more likely to have oral discomfort and have poorer self-perceived oral health.
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