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Masticatory factors as predictors of oral health-related quality of life among elderly people in Kaohsiung City, Taiwan

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Abstract

Objective

This study aimed to evaluate which masticatory factor is the best predictor of oral health-related quality of life (OHRQoL) in elderly Taiwanese individuals aged 65 years and older.

Methods

Subjects were 332 community-dwelling, independently living elderly adults (mean age, 76.0 ± 0.4 years) in Kaohsiung City, Taiwan. Information concerning age, gender, and socioeconomic status was collected via face-to-face interview questionnaires; the number of food groups rated ‘easy to chew’ was determined by using food intake questionnaires; and OHRQoL data were obtained by using the Taiwanese version of the Geriatric Oral Health Assessment Index (GOHAI-T). The number of natural teeth, functional tooth units, and posterior occlusal contacts according to Eichner Index was assessed by dental examination. Multiple regression analysis was conducted to determine the best masticatory factor that could serve as a predictor of GOHAI scores.

Results

The number of food groups rated ‘easy to chew’ was found to be the only masticatory factor affecting GOHAI-T scores, after adjustment for age, gender, socioeconomic status, and other masticatory variables. As compared to subjects who listed less food groups as ‘easy to chew,’ subjects who rated more food groups as ‘easy to chew’ were less likely to have low GOHAI-T scores.

Conclusions

Of the masticatory predictors analyzed in this study, perceived masticatory ability, as measured using a food intake questionnaire, could be the best masticatory predictor of OHRQoL in the elderly.

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References

  1. World health Organization (WHO),”Frequently Asked Questions: What is WHO’s definition of health?” Available at http://www.who.int/kobe_centre/about/faq/en/. Accessed 09 September 2012.

  2. Akifusa, S., Soh, I., Ansai, T., Hamasaki, T., Takata, Y., Yohida, A., et al. (2005). Relationship of number of remaining teeth to health-related quality of life in community-dwelling elderly. Gerodontology, 22, 91–97.

    Article  PubMed  CAS  Google Scholar 

  3. Gerritsen, A. E., Allen, P. F., Witter, D. J., Bronkhorst, E. M., & Creugers, N. H. J. (2010). Tooth loss and oral health-related quality of life: A systematic review and meta-analysis. Health and Quality of Life Outcomes, 8, 126–136.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Atchison, K. A., & Dolan, T. A. (1990). Development of the geriatric oral health assessment Index. Journal of Dental Education, 54, 680–687.

    PubMed  CAS  Google Scholar 

  5. Shepherd, A. (2009). Nutrition through the life span. Part 3: Adults aged 65 years and over. British Journal of Nursing, 18, 301–307.

    PubMed  Google Scholar 

  6. Tsai, A. C., & Chang, T. L. (2011). Association of dental prosthetic condition with food consumption and the risk of malnutrition and follow-up 4-year mortality risk in elderly Taiwanese. J Nutrition Health Aging, 15(4), 265–270.

    Article  CAS  Google Scholar 

  7. Takata, Y., Ansai, T., Soh, I., Akifusa, S., Sonoki, K., & Fujisawa, K. (2008). Relationship between chewing ability and high-level functional capacity in an 80-year-old population in Japan. Gerodontology, 25, 147–154.

    Article  PubMed  Google Scholar 

  8. Nguyen, T. C., Witter, D. J., Bronkhorst, E. M., Gerritsen, A. E., & Creugers, N. H. (2011). Chewing ability and dental functional status. International Journal of Prosthodontics, 24(5), 428–436.

    PubMed  Google Scholar 

  9. Schwahn, C., Polzer, I., Haring, R., Dörr, M., Wallaschofski, H., Kocher, T., et al. (2013). Missing, unreplaced teeth and risk of all-cause and cardiovascular mortality. International Journal of Cardiology, 167, 1430–1437.

    Article  PubMed  Google Scholar 

  10. Moriya, S., Tei, K., Harada, E., Murata, A., Muramatsu, M., Inoue, N., et al. (2011). Self-assessed masticatory ability and hospitalisation costs among the elderly living independently. Journal of Oral Rehabilitation, 38, 321–327.

    Article  PubMed  CAS  Google Scholar 

  11. Shimada, A., Sasaki, Y., & Mataki, S. (2005). An evaluation of self-reported oral health and health-related quality of life. Journal of Medical and Dental Sciences, 52, 65–72.

    PubMed  Google Scholar 

  12. Hsu, K. J., Yen, Y. Y., Lan, S. J., Wu, Y. M., Chen, C. M., & Lee, H. E. (2011). Relationship between remaining teeth and self-rated chewing ability among population aged 45 years or older in Kaohsiung City, Taiwan. The Kaohsiung Journal of Medical Sciences, 27, 457–465.

    Article  PubMed  Google Scholar 

  13. Ikebe, K., Morii, K., Matsuda, K., & Nokubi, T. (2007). Discrepancy between satisfaction with mastication, food acceptability, and masticatory performance in older adults. International Journal of Prosthodontics, 20, 161–167.

    PubMed  Google Scholar 

  14. United states Census Bureau, International Data Base, Fertility Rates—Custom Region—Taiwan http://www.census.gov/population/international/data/idb/region.php?N=%20Results%20&T=9&A=separate&RT=0&Y=2010&R=-1&C=TW. Accessed 08 April 2013.

  15. United states Census Bureau, International Data Base, Mid-year Population by Older Age Groups and Sex—Custom Region—Taiwan http://www.census.gov/population/international/data/idb/region.php?N=%20Results%20&T=2&A=separate&RT=0&Y=2026&R=-1&C=TW. Accessed 08 April 2013.

  16. United states Census Bureau, International Data Base, Mid-year Population by Older Age Groups and Sex—Custom Region—Taiwan http://www.census.gov/population/international/data/idb/region.php?N=%20Results%20&T=2&A=separate&RT=0&Y=2050&R=-1&C=TW. Accessed 08 April 2013.

  17. Tubert-Jeannin, S., Riordan, P. J., Morel-Papernot, A., Porcheray, S., & Saby-Collet, S. (2003). Validation of an oral health quality of life index (GOHAI) in France. Community Dentistry and Oral Epidemiology, 31(4), 275–284.

    Article  PubMed  CAS  Google Scholar 

  18. Leake, J. L., Hawkins, R., & Locker, D. (1994). Social and functional impact of reduced posterior dental units in older adults. Journal of Oral Rehabilitation, 21, 1–10.

    Article  PubMed  CAS  Google Scholar 

  19. Brennan, D. S., Spencer, A. J., & Roberts-Thomson, K. F. (2008). Tooth loss, chewing ability and quality of life. Quality of Life Research, 17, 227–235.

    Article  PubMed  Google Scholar 

  20. Swoboda, J., Kiyak, H. A., Persson, R. E., Persson, G. R., Yamaguchi, D. K., MacEntee, M. I., et al. (2006). Predictors of oral health quality of life in older adults. Special Care in Dentistry, 26(4), 137–144.

    Article  PubMed  Google Scholar 

  21. Inukai, M., John, M. T., Igarashi, Y., & Baba, K. (2010). Association between perceived chewing ability and oral health-related quality of life in partially dentate patients. Health and Quality of Life Outcomes, 8, 118–123.

    Article  PubMed Central  PubMed  Google Scholar 

  22. El Osta, N., Tubert-Jeannin, S., Hennequin, M., Bou Abboud Naaman, N., El Osta, L., & Geahchan, N. (2012). Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon. Health and Quality of Life Outcomes, 10, 131–140.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Ikebe, K., Hazeyama, T., Enoki, K., Murai, S., Okada, T., Kagawa, R., et al. (2012). Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese. Community Dentistry and Oral Epidemiology, 40, 406–414.

    Article  PubMed  Google Scholar 

  24. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficient in elderly patients. Journal of the American Geriatrics Society, 23, 433–441.

    PubMed  CAS  Google Scholar 

  25. Hsu, K. J., Lee, H. E., Lan, S. J., Huang, S. T., Chen, C. M., & Yen, Y. Y. (2012). Evaluation of a self-assessed screening test for masticatory ability of Taiwanese older adults. Gerodontology, 29, e1113–e1120.

    Article  PubMed  Google Scholar 

  26. Slade, S. G., & Spencer, A. J. (1994). Development and evaluation of the oral health impact profile. Community Dental Health, 11, 3–11.

    PubMed  CAS  Google Scholar 

  27. Zuluaga, D. J. M., Montoya, J. A. G., Contreras, C. I., & Herrera, R. R. (2012). Association between oral health, cognitive impairment and oral health-related quality of life. Gerodontology, 29, e667–e673.

    Article  PubMed  Google Scholar 

  28. Locker, D., Matear, D., Stephens, M., Lawrence, H., & Payne, B. (2001). Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dentistry and Oral Epidemiology, 29, 373–381.

    Article  PubMed  CAS  Google Scholar 

  29. Ku, C. C. (2007). Chewing ability and oral health related quality of life among institutionalized elderly in Taipei city. Unpublished Master’s Thesis. Taipei Medical University, Taipei, Taiwan.

  30. World Health Organization. (1997). Oral health survey, basic methods (4th ed.). Geneva: World Health Organization.

    Google Scholar 

  31. Andersen, R. (2008). Modern Methods for Robust Regression (Vol. 152, Sage University Paper Series on Quantitative Applications in the Social Sciences): SAGE Publications, Inc.

  32. Takata, Y., Ansai, T., Awano, S., Fukuhara, M., Sonoki, K., Wakisaka, M., et al. (2006). Chewing ability and quality of life in an 80-year-old population. Journal of Oral Rehabilitation, 33, 330–334.

    Article  PubMed  CAS  Google Scholar 

  33. Tsakos, G., Steele, J. G., Marcenes, W., Walls, A. W. G., & Sheiham, A. (2006). Clinical correlates of oral health-related quality of life: Evidence from a national sample of British older people. European Journal of Oral Sciences, 114, 391–395.

    Article  PubMed  Google Scholar 

  34. Naito, M., Suzukamo, Y., Nakayama, T., Hamajima, N., & Fukuhara, S. (2006). Linguistic adaptation and validation of the General Oral Health Assessment Index (GOHAI) in an elderly Japanese population. Journal of Public Health Dentistry, 66(4), 273–275.

    Article  PubMed  Google Scholar 

  35. Lahti, S., Suominen-Taipale, L., & Hausen, H. (2008). Oral health impacts among adults in Finland: Competing effects of age, number of teeth, and removable dentures. European Journal of Oral Sciences, 116(3), 260–266.

    Article  PubMed  Google Scholar 

  36. Fueki, K., Yoshida, E., & Igarashi, Y. (2011). A structural equation model relating objective and subjective masticatory function and oral health-related quality of life in patients with removable partial dentures. Journal of Oral Rehabilitation, 38, 86–94.

    Article  PubMed  CAS  Google Scholar 

  37. Larsson, Å., Haglund, L., & Hagberg, J. E. (2009). Doing everyday life—experiences of the oldest old. Scandinavian Journal of Occupational Therapy, 16(2), 99–109.

    Article  PubMed  Google Scholar 

  38. Brandtstädter, J., & Greve, W. (1994). The aging self: Stabilizing and protective processes. Developmental Review, 14(1), 52–80.

    Article  Google Scholar 

  39. Ettinger, R. L. (1998). Changing dietary patterns with changing dentition: How do people cope? Special Care in Dentistry, 18(1), 33–39.

    Article  PubMed  CAS  Google Scholar 

  40. Shinkai, R. S. A., Hatch, J. P., Sakai, S., Mobley, C. C., Saunders, M. J., & Rugh, J. D. (2001). Oral function and diet quality in a community-based sample. Journal of Dental Research, 80(7), 1625–1630.

    Article  PubMed  CAS  Google Scholar 

  41. Gunne, H. S., Bergman, B., Enbom, L., & Högström, J. (1982). Masticatory efficiency of complete denture patients. A clinical examination of potential changes at the transition from old to new denture. Acta Odontologica Scandinavica, 40(5), 289–297.

    Article  PubMed  CAS  Google Scholar 

  42. Ueno, M., Yanagisawa, T., Shinada, K., Ohara, S., & Kawaguchi, Y. (2008). Masticatory ability and functional tooth units in Japanese adults. Journal of Oral Rehabilitation, 35, 337–344.

    Article  PubMed  CAS  Google Scholar 

  43. Zhang, Q., Witter, D. J., Bronkhorst, E. M., & Creugers, N. H. (2012). Chewing ability in an urban and rural population over 40 years in Shandong Province, China. Clinical Oral Investigations,. doi:10.1007/s00784-012-0822-1.Epub2012Sep2.

    Google Scholar 

  44. Wong, M. C. M., Liu, J. K. S., & Lo, E. C. M. (2002). Translation and validation of the Chinese version of GOHAI. Journal of Public Health Dentistry, 62(2), 78–83.

    Article  PubMed  Google Scholar 

  45. Wang, A. D., & Ling, J. Q. (2011). Factors associated with the oral health-related quality of life in elderly persons in dental clinic: Validation of a Mandarin Chinese version of GOHAI. Gerodontology, 28(3), 184–191. doi:110.1111/j.1741-2358.2009.00360.x. Epub 02011 Jun 00321.

    Article  CAS  Google Scholar 

  46. Hassel, A. J., Koke, U., Schmitter, M., & Rammelsberg, P. (2006). Factors associated with oral health-related quality of life in institutionalized elderly. Acta Odontologica Scandinavica, 64, 9–15.

    Article  PubMed  Google Scholar 

  47. Hellstrom, Y., & Hallberg, I. R. (2001). Perspectives of elderly peo ple receiving home help on health, care and quality of life. Health and Social Care in the Community, 9(2), 61–71.

    Article  PubMed  CAS  Google Scholar 

  48. Tsakos, G., Sheiham, A., Iliffe, S., Kharicha, K., Harari, D., Swift, C. G., et al. (2009). The impact of educational level on oral health-related quality of life in older people in London. European Journal Oral Sciences, 117, 286–292.

    Article  Google Scholar 

  49. Federation Dentaire Internationale. Global goals for oral health in the year. (2000). 1982. International Dental Journal, Type="Italic">32(1), 74–77.

    Google Scholar 

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Correspondence to Yea-Yin Yen.

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Hsu, KJ., Lee, HE., Wu, YM. et al. Masticatory factors as predictors of oral health-related quality of life among elderly people in Kaohsiung City, Taiwan. Qual Life Res 23, 1395–1405 (2014). https://doi.org/10.1007/s11136-013-0574-7

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