doctoralThesis
Condições de saúde bucal e capacidade funcional em idosos: um estudo longitudinal de base populacional
Fecha
2018-05-08Registro en:
FREITAS, Yan Nogueira Leite de. Condições de saúde bucal e capacidade funcional em idosos: um estudo longitudinal de base populacional. 2018. 121f. Tese (Doutorado em Saúde Coletiva) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2018.
Autor
Freitas, Yan Nogueira Leite de
Resumen
The study proposes a longitudinal analysis between oral health conditions and the
functional capacity of the elderly population from the municipality of Macaíba-RN. For
that, two waves of observations were performed in a elderly population
representative cohort from this municipality. The oral health conditions examination
sought to evaluate the degree of caries attack (DMFT), the periodontal condition
(CPI/PAL), pairs of teeth in occlusion, the use and necessity of dental prostheses
and the presence of changes in soft tissue. The functional capacity evaluation, which
determines their degree of dependence, was obtained through the application of the
Katz index and the Lawton-Brody index. Furthermore, a questionnaire was used to
characterize the socioeconomic and demographic profile of the sample. Data from
the 209 individuals investigated in the second wave revealed a predominantly female
sample (66.5%). The mean age was 75.2 (± 8.14) years, with an average family
income of 1.99 (± 1.49) minimum wages. The number of self-reported diseases by
the elderly was 1.7 (± 1.1) on average. As to the oral health longitudinal evaluation,
measured from the proposed multidimensional indicator, it was observed that for
22.2% of the subjects there was a worsening in the oral health condition, while 115
individuals (63.9%) maintained the same oral health conditions and, therefore, to
13.9% was observed an improvement in these conditions. Regarding functional
capacity, it was observed that 23.5% of the individuals became dependent for the
basic activities of daily living and 88.5% of the second wave presented some degree
of dependence for the instrumental activities of daily living. Although the functional
capacity was not associated with the oral health condition, it was observed that the
oral health situation of the elderly from Macaíba-RN is precarious and stable over
time, which makes it difficult to investigate associations that may indicate factors
related to this context. It is understood that the findings presented are extremely
useful to foster reflections on the living conditions of these individuals regarding
health policies, especially the policies of oral health, which clearly does not prioritize
this age group.