Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland

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Saarela , R K T , Savikko , N M , Soini , H , Muurinen , S , Suominen , M H , Kautiainen , H & Pitkälä , K H 2019 , ' Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland ' , Journal of nutrition, health & aging , vol. 23 , no. 10 , pp. 1021-1025 . https://doi.org/10.1007/s12603-019-1268-9

Title: Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland
Author: Saarela, R. K. T.; Savikko, N. M.; Soini, H.; Muurinen, S.; Suominen, M. H.; Kautiainen, H.; Pitkälä, K. H.
Contributor: University of Helsinki, City of Helsinki
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Clinicum
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, University Management
Date: 2019
Language: eng
Number of pages: 5
Belongs to series: Journal of nutrition, health & aging
ISSN: 1279-7707
URI: http://hdl.handle.net/10138/319794
Abstract: 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.
Subject: dry mouth
chewing problems
swallowing difficulty
health-related quality of life
nursing home
NURSING-HOME RESIDENTS
NUTRITIONAL-STATUS
SWALLOWING DISORDERS
MALNUTRITION
PREVALENCE
XEROSTOMIA
ASSOCIATION
DYSPHAGIA
PEOPLE
IMPACT
3121 General medicine, internal medicine and other clinical medicine
3143 Nutrition
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