Introduction: The assessment of the sleep status of older adults and its relationship to oral health can help determine their well-being and quality of life. In accordance with this purpose, we aimed to evaluate the relationship between oral health and sleep quality in community-dwelling older adults in an urban area. Materials and Methods: The data of this study were taken from the Kayseri Elderly Health Study. The study group was administered a questionnaire form and the Pittsburgh Sleep Quality Index. A specialist dentist examined the oral health conditions (dentures use; caries; deficient, filled, natural teeth numbers; periodontal health) using the Community Periodontal Index and the Oral Health Impact Profile-14 (OHIP-14-TR). Results: One hundred forty (38.1%) of the study group were female, and 227 (61.9%) were male. When evaluated in terms of oral hygiene, there was a statistically significant difference between those with good sleep quality and poor sleep quality in terms of mechanical interventions such as using toothpaste and an inter-dental brush, and also, OHIP-14-TR was significant. In the binary logistic regression analysis, OHIP-14-TR was found to be a significant risk factor, reflecting only the subjective interpretation of the older adults in terms of oral health-related quality of life (odds ratio: 1.069, 95.0% confidence interval: 1.043–1.096). Conclusion: This is the first epidemiologic study to examine the relationship between oral health status and sleep quality, in which many oral health indicators are evaluated together in Turkish community-dwelling older adults. OHIP-14-TR may be a useful tool to employ in sleep disorder clinics for older people.
1 July 2019 in Archives of Gerontology and Geriatrics
Introduction: This study aimed to describe the relationship between activities of daily living and cognitive function community-dwelling elderly in an urban area. Materials and Methods: Participants were 872 randomly selected people aged ≥65 years living in Kayseri, Turkey, who were registered with Family Health Centers. We used the Standardized Mini-Mental State Examination (SMMSE) to assess participants’ cognitive function, the Katz Index of Independence in Activities of Daily Living (ADL) to assess activities of daily living, the Instrumental Activities of Daily Living (IADL) scale to assess instrumental activities of daily living, and a questionnaire to assess sociodemographic characteristics. Results: Participants’ mean age was 71.9±5.5 years. The overall prevalence of IADL dependency was 17.6%; dependency was significantly higher in women than in men (by 5.5%). The prevalence of ADL dependency was 0.6%, and there was no sex difference. SMMSE and IADL scores decreased as age increased, whereas the ADL score did not change. Conclusions: Increased age is a fundamental component of cognitive impairment and limitation in activities of daily living. Community-dwelling adults aged ≥65 years with cognitive impairment should receive early evaluation for IADL dependency. In addition, a daily living activity scale that takes into account social, cultural and gender characteristics may be useful in early detection of dependence.