Condi??es de sa?de bucal e capacidade funcional em idosos

• Main Author: Silva, Diviane Alves da
• Other Authors: CPF:50337157472
• Format: Others
• Language: Portuguese
• Published: Universidade Federal do Rio Grande do Norte 2014
• Subjects: Sa?de bucal; Idoso; Estudos transversais; Capacidade funcional; Oral health; Aged; Cross-sectional studies; Functional capacity; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Online Access: http://repositorio.ufrn.br:8080/jspui/handle/123456789/17070

Made available in DSpace on 2014-12-17T15:30:57Z (GMT). No. of bitstreams: 1 DivianeAS_DISSERT.pdf: 4582731 bytes, checksum: b2a12b375fb2c08949b82a66d2982801 (MD5) Previous issue date: 2011-06-03 === Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico === Population aging is one of the greatest challenges to contemporary public health and, in this perspective, the functional capacity emerges as an important feature in geriatric assessment. The oral health of elderly, in turn, deserves special attention because, historically, in the dental services, this population group was not considered a priority for attention, which is verified by high rates of edentulism found even among these individuals. The present study proposes to examine the relationship between oral health status and functional capacity in an elderly population. To this end, intra-oral epidemiological examination was performed to assess the degree of dental caries, periodontal status, use and need of prosthesis and the presence of lesions. Functional capacity was assessed by the Independence in Activities of Daily Living, which considers the independence or not in the performance of six self-care functions. Socioeconomic and demographic characteristics and general health status were also investigated, in view of the possibility of intervention of these variables in the investigated relation. An factor analysis of the principal components was conducted which resulted four indicators of oral health conditions, representative of the population studied. 441 seniors were enrolled with mean age of 71.7 (? 8.7) years, the majority being female (68%). Functional capacity was dichotomized into completely independent individuals (89.6%) and dependent on at least one of the functions considered (10.4%). There was an association between functional capacity and the indicators related to the presence of many teeth and dental caries, and to that associated with the use and need of prostheses. These associations in turn, lost statistical significance when adjusting for confounding variables, combined in separate models for each indicator. Some of these variables, however, remained associated with functional capacity. It is considered that the study of oral health status of elderly, associeted with the search for an association with functional capacity is important in the construction of indicators necessary for planning preventive and therapeutic interventions that reduce the risk for loss of ability in daily physical functions and their consequences, as the harm in the oral self-care === O envelhecimento populacional constitui um dos maiores desafios para a sa?de p?blica contempor?nea e, nessa perspectiva, a capacidade funcional surge como importante crit?rio na avalia??o geri?trica. A sa?de bucal dos idosos por sua vez, merece aten??o especial visto que, historicamente, nos servi?os odontol?gicos, tal grupo populacional n?o era considerado como prioridade de aten??o, o que se verifica pelas altas taxas de edentulismo ainda encontrada entre esses indiv?duos. O estudo em quest?o prop?e analisar a rela??o entre as condi??es de sa?de bucal e a capacidade funcional de uma popula??o de idosos. Para tanto, realizou-se exame epidemiol?gico intra-oral que avaliou o grau de ataque de c?rie, condi??o periodontal, uso e necessidade de pr?tese e presen?a de les?es. A capacidade funcional foi avaliada atrav?s da Escala de Independ?ncia em Atividades da Vida Di?ria, que considera a independ?ncia ou n?o no desempenho de seis fun??es de autocuidado. Caracter?sticas socioecon?mico-demogr?ficas e de sa?de geral tamb?m foram pesquisadas, tendo em vista a possibilidade de interven??o de tais vari?veis na rela??o investigada. Realizou-se uma an?lise fatorial de componentes principais da qual resultaram quatro indicadores de sa?de bucal, representativos das condi??es da popula??o estudada. Foram arrolados 441 idosos com idade m?dia de 71,7 (?8,7) anos, sendo a maioria do sexo feminino (68%). A capacidade funcional foi dicotomizada em indiv?duos totalmente independentes (89,6%) e dependentes em ao menos uma das fun??es consideradas (10,4%). Observou-se associa??o entre a capacidade funcional e os indicadores relacionados ? presen?a de elementos dent?rios e c?rie, e ?quele associado ao uso e necessidade de pr?tese. Tais associa??es por sua vez, perderam signific?ncia estat?stica quando do ajuste para algumas vari?veis de confus?o, combinadas em modelos distintos para cada indicador. Algumas dessas vari?veis, entretanto, mantiveram-se associadas ? capacidade funcional. Considera-se que o estudo das condi??es de sa?de bucal de idosos, aliado ? busca de uma associa??o com a capacidade funcional revela-se importante na constru??o de indicadores necess?rios ao planejamento de medidas preventivas e interven??es terap?uticas que reduzam os riscos para a perda de habilidade nas fun??es f?sicas cotidianas e suas sequelas, como o preju?zo no autocuidado bucal