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KMID : 1157520140100010023
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International Journal of Clinical Preventive Dentistry
2014 Volume.10 No. 1 p.23 ~ p.30
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Appetite Loss and Related Factors in Community-Dwelling Elderly Thai
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Patcharaphol Samnieng
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Abstract
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Objective: The purpose of this study was to investigate the prevalence of appetite loss and factors associated with oral healthstatus, nutritional status and quality of life among the community-dwelling elderly Thai.
Methods: The subjects were 612 elderly people (68.8±5.9 years), who lived in Phitsauloke, Thailand. Appetite was assessedby a single question-item as follows: “During the past month, how often did you have an appetite loss?” The information ofsociodemographic, medical history, general and dental health behaviors were collected. Nutritional status was assessed withMini Nutritional Assessment (MNA) and quality of life with general oral health assessment index (GOHAI). Oral status suchas teeth, periodontal condition and unstimulated saliva flow rate were examined.
Results: The prevalence of subjective appetite loss was 27.9%. The subjects with appetite loss had lower scores on GOHAIand MNA than those with normal group (p＜0.05). Logistic regression analysis showed that age, systemic disease, medication,living status, gingival bleeding, denture wearing, oral ulcer and salivary flow rate were significantly associated factors(p＜0.05).
Conclusion: Appetite loss affected nutritional status and quality of life. Age, systemic disease, intake of medicine, living status,gingival bleeding, denture, oral ulcer and salivary flow rate were risks factors of appetite loss. Therefore, improvement oforal health by professional and self care will promote appetite, prevent malnutrition and increase quality of life in theelderly.
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KEYWORD
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appetite loss, elderly, nutrition, quality of life, Thailand
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