Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
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Correlation between oral frailty and health-related quality of life (HINT-8) among older adults in Korea

한국 노인의 구강노쇠와 건강관련 삶의 질(HINT-8)의 관련성

  • In-Ja Kim (Department of Dental Hygiene, Yeoju Institute of Technology)
  • Received : 2024.01.24
  • Accepted : 2024.03.18
  • Published : 2024.04.30
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Abstract

Objectives: This study aimed to confirm the correlation between oral frailty and health-related quality of life (HINT-8) among older adults in Korea. Methods: The data of 1,318 individuals aged ≥65 years who participated in the eighth Korean National Health and Nutrition Examination Survey (2019) were analyzed using complex sample statistical analysis. Results: Chewing discomfort was found to decrease the HINT-8 scores by 1.246, 1.324, and 1.089 times in the physical, social, and mental domains, respectively. Speech discomfort was found to decrease the HINT-8 scores by 1.275, 1.449, and 1.175 times in the physical, social, and mental domains, respectively. The HINT-8 scores of participants with ≤19 natural teeth were lower in the physical and social domains. Similarly, the HINT-8 scores of participants with brushing frequency of ≤2 were lower in the positive health domain. Non-use of oral hygiene products led to a reduction in the HINT-8 score in the social health domain. Conclusions: Oral frailty in older adults reduces the health-related quality of life. Thus, it is necessary to formulate policies to manage oral frailty in this population and develop specialized programs for the management of oral frailty.

연구목적: 본 연구는 노인들의 구강노쇠 실태를 파악하고 구강노쇠와 건강관련 삶의 질(HINT-8)의 관련성을 확인하는 것이다. 연구방법: 제8기 1차 국민건강영양조사 원시자료를 이용하여 65세 이상 노인의 구강노쇠와 건강관련 삶의 질(HINT-8)의 관련성을 확인하고자 복합표본 교차분석과 일반선형모형, 복합표본 로지스틱 회귀분석을 시행하였다. 연구결과: 건강관련 삶의 질(HINT-8)은 저작불편이 있는 사람은 1.183배, 말하기 불편이 있는 사람은 1.236배, 현존치아 수가 19개 이하인 사람은 1.153배, 칫솔질 평균횟수가 2회 이하인 사람은 1.043배 낮았다(p<0.05). 저작불편이 있는 사람은 저작불편이 없는 사람보다 신체적 건강영역의 삶의 질은 1.246배 낮았고, 사회적 건강영역의 삶의 질은 1.324배 낮았으며, 정신적 건강영역의 삶의 질은 1.089배 낮았다(p<0.05). 말하기 불편이 있는 사람은 말하기 불편이 없는 사람보다 신체적 건강영역의 삶의 질은 1.275배 낮았고, 사회적 건강영역의 삶의 질은 1.449배 낮았으며, 정신적 건강영역의 삶의 질은 1.175배 낮았다(p<0.05). 현존치아 수가 19개 이하인 사람은 현존치아 수가 20개 이상인 사람보다 신체적 건강영역의 삶의 질은 1.331배 낮았고, 사회적 건강영역의 삶의 질은 1.530배 낮았다(p<0.05). 칫솔질 평균횟수 2회 이하인 사람은 칫솔질 평균횟수 3회 이상인 사람보다 긍정적 건강영역의 삶의 질이 1.128배 낮았고, 구강위생용품을 사용하지 않는 사람은 사용하는 사람보다 사회적 건강영역의 삶의 질이 1.242배 낮았다(p<0.05). 결론: 노인의 구강노쇠는 건강관련 삶의 질을 저하시키고 있다는 것이 입증되었다. 노인의 약 55%에서 구강노쇠 증상을 경험하고 있는 것으로 나타나 노인들의 구강노쇠 관리를 할 수 있는 정책 마련과 함께 구강노쇠 관리 전문프로그램 개발이 필요할것 으로 사료된다.

Keywords

References

  1. Won JW, Kim HS, Kim MJ, Kim MJ, Kim MJ, Kim SY, et al. Medical cost estimation of frailty and cost-effectiveness of comprehensive integrated frailty management in primary care. Seoul: National Evidence-based Healthcare Collaborating Agency; 2021:1-3.
  2. Lim HD. The important consideration for healthy life of older age; frailty and oral frailty. JKDA 2022;61(1):59-66. https://doi.org/10.22974/jkda.2022.61.1.004
  3. National Evidence-based Healthcare Collaborating Agency, Notification yard, Press release [Internet]. Diagnostic criteria and treatment of oral senility in Korea[cited 2023 Apr 20]. Available from: https://www.neca.re.kr/lay1/bbs/S1T12C38/F/38/view.do?article_seq=9022&cpage=2&rows=10&condition=&keyword=&show=&cat=.
  4. Dibello V, Zupo R, Sardone R, Lozupone M, Castellana F, Dibello A, et al. Oral frailty and its determinants in older age: a systematic review. Lancet Healthy Longev 2021;2(8):e507-e20. https://doi.org/10.1016/S2666-7568(21)00143-4
  5. Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, et al. Oral frailty as a risk factor for physical frailty and mortality in community-dwelling older adults. J Gerontol A Biol Sci Med Sci 2018;73(12):1661-7. https://doi.org/10.1093/gerona/glx225
  6. Ramsay SE, Papachristou E, Watt RG, Tsakos G, Lennon LT, Papacosta AO, et al. Influence of poor oral health on physical frailty: a population based cohort study of older British men. J Am Geriatr Soc 2018;66(3):473-9. https://doi.org/10.1111/jgs.15175
  7. Hakeem FF, Bernabe E, Sabbah W. Association between oral health and frailty: a systematic review of longitudinal studies. Gerodontology 2019;36(3):205-15. https://doi.org/10.1111/ger.12406
  8. Ohara Y, Motokawa K, Watanabe Y, Shirobe M, Inagaki H, Motohashi Y, et al. Association of eating alone with oral frailty among community-dwelling older adults in Japan. Arch Gerontol Geriatr 2020;87:104014. https://doi.org/10.1016/j.archger.2020.104014
  9. Koyama S, Aida J, Kondo K, Yamamoto T, Saito M, Ohtsuka R, et al. Does poor dental health predict becoming homebound among older Japanese? BMC Oral Health 2016;16(1):51. https://doi.org/10.1186/s12903-016-0209-9
  10. So JS, Jung HI, Kim NH, Ko SM, Lee JN, Kim JH, et al. Clinical practice guidelines for oral frailty. JKDA 2023;61(1):26-58. https://doi.org/10.22974/jkda.2022.61.1.003
  11. Cho MW. Valuation of Korean health-related quality of life instrument with 8 items (HINT-8). Cheongju-si: Korea Disease Control and PreventionAgency;2017:28-9.
  12. Kim YR. The convergence effects of walking days on health-related quality of life (HINT-8) and oral health-related behaviors: National health and nutrition examination survey (2019). J Korea Converg Soc 2021;12(12):107-15. https://doi.org/10.15207/JKCS.2021.12.12.107
  13. Kim YR. Effect of oral health promotion and oral disease treatment on health-related quality of life measurement tools EQ-5D and HINT8: the 8th Korea national health and nutrition examination survey. J Korean Soc Dent Hyg 2021;21(5):621-8. https://doi.org/10.13065/jksdh.20210060
  14. Kim YR. Effect of oral prosthesis status on factor related oral health and quality of life (HINT-8) in middle-aged Koreans: using the 2019 data from the KNHNES. J Korean Oral Health Sci 2021;9(4):9-17. https://doi.org/10.33615/jkohs.2021.9.4.9
  15. Kang HK. The relationship between oral condition and quality of life (HINT-8) according to grip strength in middle-aged Korean women: using the 2019 data from the KNHNES. J Korean Oral Health Sci 2022;10(2):93-100. https://doi.org/10.33615/jkohs.2022.10.2.93
  16. Kim YR. Relationship between oral health and quality of life (HINT-8) according to economic activity of middle-aged Korean women: the 8th Korea national health and nutrition examination survey. J Korea Converg Soc 2022;13(4):127-35. https://doi.org/10.15207/JKCS.2022.13.04.127
  17. Park JS, Kim IJ. Oral health behavior according to perceived oral symptoms in the older adults. J Korean Soc Dent Hyg 2016;16(6):955-68. https://doi.org/10.13065/jksdh.2016.16.06.955
  18. Ju OJ, Kim IJ, Son JL. Influence of health-related quality of life (EQ-5D) on oral health problems in older adults in the national health and nutrition survey. J Korea Converg Soc 2020;11(1):309-15. https://doi.org/10.15207/JKCS.2020.11.1.309
  19. Kim MJ, Kim EH, Lim CY. Relationship of depression with the quality of life and oral health of older adults Koreans: data from the 8th national health and nutrition examination survey. J Dent Hyg Sci 2022;5(2):73-83. https://doi.org/10.22753/JKDHS/2022.5.2.73
  20. Lee NY, Choi HN, Kim HA. Number of teeth and quality of life among the older adults: a systematic review. J Korean Soc Dent Hyg 2020;20(5):545-59. https://doi.org/10.13065/jksdh.20200050