Department of Family Medicine, Erciyes University School of Medicine, Kayseri, Turkey.
Biruni University School of Dentistry, İstanbul, Turkey.
Niger J Clin Pract. 2023 Oct;26(10):1449-1455. doi: 10.4103/njcp.njcp_756_22.
The assessment of the sleep status of older adults and its relationship to oral health can help determine their well-being and quality of life. In accordance with this purpose, we aimed to evaluate the relationship between oral health and sleep quality in community-dwelling older adults in an urban area.
The data of this study were taken from the Kayseri Elderly Health Study. The study group was administered a questionnaire form and the Pittsburgh Sleep Quality Index. A specialist dentist examined the oral health conditions (dentures use; caries; deficient, filled, natural teeth numbers; periodontal health) using the Community Periodontal Index and the Oral Health Impact Profile-14 (OHIP-14-TR).
One hundred forty (38.1%) of the study group were female, and 227 (61.9%) were male. When evaluated in terms of oral hygiene, there was a statistically significant difference between those with good sleep quality and poor sleep quality in terms of mechanical interventions such as using toothpaste and an inter-dental brush, and also, OHIP-14-TR was significant. In the binary logistic regression analysis, OHIP-14-TR was found to be a significant risk factor, reflecting only the subjective interpretation of the older adults in terms of oral health-related quality of life (odds ratio: 1.069, 95.0% confidence interval: 1.043-1.096).
This is the first epidemiologic study to examine the relationship between oral health status and sleep quality, in which many oral health indicators are evaluated together in Turkish community-dwelling older adults. OHIP-14-TR may be a useful tool to employ in sleep disorder clinics for older people.
评估老年人的睡眠状况及其与口腔健康的关系有助于确定他们的健康状况和生活质量。根据这一目的，我们旨在评估城市社区老年人的口腔健康与睡眠质量之间的关系。
本研究的数据来自开塞利老年人健康研究。研究组接受了问卷调查和匹兹堡睡眠质量指数（PSQI）。一位口腔专家使用社区牙周指数（CPI）和口腔健康影响程度量表-14（OHIP-14-TR）检查了口腔健康状况（使用义齿；龋齿；缺失、填充、天然牙齿数量；牙周健康）。
研究组中 140 名（38.1%）为女性，227 名（61.9%）为男性。在口腔卫生方面，睡眠质量良好和睡眠质量差的人群之间在使用牙膏和牙间刷等机械干预措施方面存在统计学显著差异，OHIP-14-TR 也具有统计学意义。在二元逻辑回归分析中，OHIP-14-TR 被发现是一个显著的风险因素，仅反映了老年人对口腔健康相关生活质量的主观解释（比值比：1.069，95.0%置信区间：1.043-1.096）。
这是第一项在土耳其社区居住的老年人中同时评估许多口腔健康指标，以调查口腔健康状况与睡眠质量之间关系的流行病学研究。OHIP-14-TR 可能是老年人睡眠障碍诊所的一种有用工具。
