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Relationship between mental health and chewing discomfort in older adults

노인의 정신건강과 저작불편감의 관련성

  • Min-Young Kim (Department of Dental Hygiene, Howon University) ;
  • Yun-Jung Jang (Department of Dental Hygiene, Howon University)
  • 김민영 (호원대학교 치위생학과) ;
  • 장윤정 (호원대학교 치위생학과)
  • Received : 2024.04.25
  • Accepted : 2024.05.22
  • Published : 2024.06.30

Abstract

Objectives: This study used secondary data from the 2021 Community Health Survey to identify the impact of dysphagia on mental health-related characteristics among older adults, selecting 73,970 individuals aged 65 years and older. Methods: Frequency analysis, χ2-test, and multiple logistic regression were conducted to identify risk factors affecting mental health-related characteristics among older adults. Results: Dysphagia was most common among individuals with the following demographic characteristics: female, aged 85 years and older, three-generation household and household income in the 1st quintile. Chewing discomfort according to mental health-related characteristics was higher in older adults with cognitive impairment and depression. Sex, age, education level, household income, and chewing discomfort were significant for cognitive impairment, whereas sex, age, household type, education level, household income, and chewing discomfort were significant for depression. Conclusions: The above results confirmed that chewing discomfort contributes to mental health issues such as cognitive impairment and depression. It is therefore necessary to recognize chewing discomfort as an important health problem affecting the mental health of older adults, and to develop a multifaceted dental hygiene approach to target community-dwelling older adults who suffer from chewing discomfort.

Keywords

Acknowledgement

The present research was supported by the research fund of Howon University in 2023.

References

  1. Seoul Asan Medical Center, Health information, Medical encyclopedia, Mild cognitive impairment[Internet]. Press releases; 2020[cited 2024 May 08]. https://www.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=32003. 
  2. National Center for Mental Health. Customer engagement understanding mental illness [Internet]. Press releases; 2020[cited 2024 May 08]. Available from: https://www.ncmh.go.kr/ncmh/board/boardView.do?no=7515&fno=41&gubun_no=&menu_cd=02_06_02_01&bn=newsView&search_item=&search_content=&pageIndex=1. 
  3. Seoul Asan Medical Center, Health information, Medical encyclopedia, Mild cognitive impairment[Internet]. Press releases; 2020[cited 2024 May 08]. https://www.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=31581. 
  4. Health insurance review & assessment service. Evaluate the quality of outpatient depression care by provider! [Internet]. Press releases; 2020[cited 2024 Apr 21]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=10162&pageIndex=1&pageIndex2=1. 
  5. Susman JL, Crabtree BF, Essin kG. Depression in rural family practice. Easy to recognize, difficult to diagnose. Arch Fam Med 1995;4(5):427-31. https://doi.org/10.1001/archfami.4.5.427 
  6. Department of Health and Human Services. Transforming mental health policy to a 'prevention, treatment, and recovery' approach [Internet]. Press releases; 2023[cited 2024 Apr 21]. Available from: https://www.mohw.go.kr/board.es?mid=a10503010200&bid=0027&tag=&act=view&list_no=1479142&cg_code=. 
  7. Ramos MI, Allen LH, Mungas DM, Jagust WJ, Haan MN, Green R, et al. Low folate status is associated with impaired cognitive function and dementia in the sacramento area latino study on aging. Am J Clin Nutr 2005;82(6):1346-52. https://doi.org/10.1093/ajcn/82.6.1346 
  8. Chang SA, Kim YS. Effects of stress and depression on oral health status of middle aged population in Korea. Hanyang Goryeong Society Monograph 2013;4(2):71-90. 
  9. Lee JC, Park JA, Bae NG, ChoYC. Factors related to depressive symptoms among the elderly in urban and rural areas. JAMCH 2008;33(2):204-20. 
  10. Choi MI, Noh HJ, HanSY, MunSJ. Effect of cognitive function and oral health status on mastication ability in elderly individuals. J Korean Soc Dent Hyg 2019;19(1):65-78. https://doi.org/10.13065/jksdh.20190003 
  11. Cademartori MG, Gastal MT, Giacommelli NG, Fernando DF, Correa MB. Is depression associated with oral health outcomes in adults and elders? a systematic review and meta-analysis. Clin Oral Investig 2018;22(8):2685-702. https://doi.org/10.1007/s00784-018-2611-y 
  12. Park JE, An HJ, Jung SU, Lee YN, Kim CI, Jang YA. Characteristics of the dietary intake of Korean elderly by chewing ability using data from the Korea national health and nutrition examination survey 2007-2010. J Nutr Health 2013;46(3):285-95. https://doi.org/10.4163/jnh.2013.46.3.285 
  13. Ministry of Health and Welfare. Korea health statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANESVI-2). Seoul: Ministry of Health and Welfare; 2014:64. 
  14. Choi JS, Jung SH. Policy planning for oral health promotion. Seoul: Korea institute for health and affairs; 2000:78-84. 
  15. Cho MJ, Ma JK. Relationship between the number of remaining teeth and depression in Korean adults. J Korean Soc Dent Hyg 2016;16(1):19-25. https://doi.org/10.13065/jksdh.2016.16.01.19 
  16. Won YS, Jin KN. The relationship of oral state and health condition among elderly people. J Korean Soc Dent Hyg 2003;3(2):157-68. 
  17. Kubo K, Chen H, Onozuka M. The relationship between mastication and cognition. INTECH Open Access Publisher, Chapter 5. 115-32. https://doi.org/10.5772/54911 
  18. Takiguchi T, Yoshihara A, Takano N, Miyazaki H. Oral health and depression in older Japanese people. Gerodontology 2016;33(4):439-46. https://doi.org/10.1111/ger.12177 
  19. Moon SH, Hong GRS. Predictors of chewing discomfort among community-dwelling elderly. J Korean Acad Community Health Nurs 2017;28(3):302-12.https://doi.org/10.12799/jkachn.2017.28.3.302 
  20. Lee SJ. Relationship between chewing difficulty and self-perceived health, quality of life (EQ-5D) in elderly[Master's thesis]. Seoul: Hanyang University, 2019. 
  21. John MT, Micheelis W, steele JG. Depression as a risk factor for denture dissatisfaction. J Dent Res 2007;86(9):852-6. https://doi.org/10.1177/154405910708600909 
  22. Paganini-Hill A, White S, Atchison K. Dental health behaviors, dentition, and mortality in the elderly: the leisure world cohort study. J Aging Res 2011;2011:156061. https://doi.org/10.4061/2011/156061 
  23. Jung EJ, Song AH. A convergence study of the influence of masticatory ability on frailty in the community elderly. J Korea Converg Soc 2022;13(2):47-54. https://doi.org/10.15207/JKCS.2022.13.02.047 
  24. Choi MS, Lee JH, Yon HK. The relationship between dental prosthesis status, prosthesis need and mastication function in the Korean elderly population:the 5th Korea national health and nutrition examination survey (2010-2012). J Korean Soc Dent Hyg 2014;14(3):293-302. https://doi.org/10.13065/jksdh.2014.14.03.293 
  25. Shin BM, Jung SH. Socio-economic inequalities in tooth loss and chewing difficulty in the Korean elderly. J Korean Acad Oral Health 2012;36(3):195-202. 
  26. Cho HK, Jung YS, Heo HJ, Yonm YS, Song KB, Choi YH. Relationship of loneliness and subjective chewing discomfort in the elderly. J Korean Acad Oral Health 2020;44(2):85-90. https://doi.org/10.11149/jkaoh.2020.44.2.85 
  27. Leung DY, Leung AY, Chi I. Factors associated with chewing problems and oral dryness among older Chinese people in Hong Kong. Gerodontology 2016;33(1):106-15. https://doi.org/10.1111/ger.12116 
  28. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Youn JC, et al. A normative study of the mini-mental state examination in the Korean elderly. J Korean Neuropsychiatr Assoc 2002;41(3):508-25. 
  29. Choi ES, Cho HA. Effect of perceived stress on general health and oral health status in elderly: results from the Korea national health and nutrition examination survey 2014. J Korean Soc Dent Hyg 2017;17(5):899-910. https://doi.org/10.13065/jksdh.2017.17.05.899 
  30. Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Tkiguchi T, Wada T, et al. Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly. Geriatr Gerontol Int 2013;13(3):718-25. https://doi.org/10.1111/ggi.12006