University of Oulu

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

Physical ability and comorbidity and oral health among home-dwelling older people in the Finnish population

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Author: Tiisanoja, Antti1,2; Kuukasjärvi, Matti1; Syrjälä, Anna-Maija1,2;
Organizations: 1Periodontology and Geriatric Dentistry, Research Unit of Oral Health SciencesUniversity of Oulu, Oulu, Finland
2Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
3Institute of DentistryUniversity of Eastern Finland, Kuopio, Finland
4Kuopio Research Centre for Geriatric Care, University of Eastern Finland, Kuopio, Finland
5School of Pharmacy, Faculty of Health Sciences, Kuopio CampusUniversity of Eastern Finland, Kuopio, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2021111956276
Language: English
Published: John Wiley & Sons, 2021
Publish Date: 2021-12-06
Description:

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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Series: Special care in dentistry
ISSN: 0275-1879
ISSN-E: 1754-4505
ISSN-L: 0275-1879
Volume: 41
Issue: 2
Pages: 218 - 227
DOI: 10.1111/scd.12548
OADOI: https://oadoi.org/10.1111/scd.12548
Type of Publication: A1 Journal article – refereed
Field of Science: 313 Dentistry
Subjects:
Funding: The Geriatric Multidisciplinary Strategy for the Good Care of the Elderly study was financially supported by the Social Insurance Institute and the City of Kuopio.
Copyright information: © 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.