Hubungan antara Jumlah Gigi dan Jumlah Oklusi Gigi Posterior dengan Kekuatan Genggaman Tangan pada Populasi Lansia di Yogyakarta
Christia Aye Waindy Vega(1*), Bekti Nur’aini(2), Bambang Priyono(3), Elastria Widita(4), Lisdrianto Hanindriyo(5), Dewi Agustina(6), Fimma Naritasari(7), Rini Widyaningrum(8), Budi Rodestawati(9)
(1) Program Studi Higiene Gigi, FKG, Universitas Gadjah Mada, Indonesia
(2) Program Studi Higiene Gigi, FKG, Universitas Gadjah Mada, Indonesia
(3) Departemen Ilmu Kedokteran Gigi Pencegahan dan Ilmu Kedokteran Gigi Masyarakat, FKG, Universitas Gadjah Mada
(4) Program Studi Higiene Gigi, FKG, Universitas Gadjah Mada, Indonesia
(5) Departemen Ilmu Kedokteran Gigi Pencegahan dan Ilmu Kedokteran Gigi Masyarakat, FKG, Universitas Gadjah Mada
(6) Departemen Ilmu Penyakit Mulut, FKG, Universitas Gadjah Mada
(7) Departemen Ilmu Penyakit Mulut, FKG, Universitas Gadjah Mada
(8) Departemen Radiologi Dental dan Maksilofasial, FKG, Universitas Gadjah Mada
(9) Program Studi Higiene Gigi, FKG, Universitas Gadjah Mada, Indonesia
(*) Corresponding Author
Abstract
Latar Belakang: Penurunan jumlah gigi dan oklusi gigi posterior dapat memengaruhi kemampuan mengunyah yang dapat berakibat pada berkurangnya asupan nutrisi. Hal ini dapat berdampak pada aktivitas otot, terutama masa dan kekuatan otot yang tercermin melalui kekuatan genggaman tangan.
Tujuan: Mengetahui hubungan antara jumlah gigi dan jumlah oklusi gigi posterior dengan kekuatan genggaman tangan populasi lansia di Yogyakarta.
Metode: Penelitian observasional dengan rancangan cross sectional dilakukan pada 75 lansia berusia ≥60 tahun. Pemeriksaan rongga mulut dilakukan oleh empat dokter gigi terlatih. Pemeriksaan Indeks Masa Tubuh dan pemeriksaan fisik dilakukan oleh dua higienis gigi terlatih. Gigi dihitung dengan menjumlahkan gigi asli, jumlah oklusi gigi dihitung menggunakan Index Eichner’s. Indeks Masa Tubuh (IMT) dihitung dengan satuan kg/m2. Kekuatan genggaman tangan diukur menggunakan hand dynamometer dalam satuan kilogram. Tingkat aktivitas fisik dievaluasi menggunakan kuesioner terstandar IPAQ. Uji chi-square dan regresi logistik digunakan untuk mengetahui hubungan antara jumlah gigi, jumlah oklusi gigi dan variabel covariat dengan kekuatan genggaman tangan.
Hasil: Uji Chi-square menunjukkan tidak terdapat perbedaan kekuatan genggaman tangan antara subjek yang memiliki jumlah gigi ≥20 dan <20 serta antara subjek dengan ≥2 dan <2 zona oklusi gigi posterior. Faktor risiko penurunan kekuatan genggaman tangan adalah aktivitas fisik (OR= 6,342, p=0,010).
Kesimpulan: Mempertahankan jumlah gigi ≥20 dan aktivitas fisik bermanfaat untuk mempertahankan kesehatan oral dan sistemik.
Keywords
Full Text:
PDFReferences
Alley, D. E., Shardell, M. D., Peters, K. W., McLean, R. R., Dam, T. T. L., Kenny, A. M., Fragala, M. S., Harris, T. B., Kiel, D. P., Guralnik, J. M., Ferrucci, L., Kritchevsky, S. B., Studenski, S. A., Vassileva, M. T., & Cawthon, P. M. (2014). Grip strength cutpoints for the identification of clinically relevant weakness. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 69 A(5), 559–566. https://doi.org/10.1093/gerona/glu011
Badan Pusat Statistik. (2010). Klasifikasi Perkotaan dan Perdesaan di Indonesia. Peraturan Kepala Badan Pusat Statistik Nomor 37 tahun 2020 tentang Klasifikasi Perkotaan dan Perdesaan di Indonesia. Jakarta.
Badewy, R., Singh, H., Quiñonez, C., & Singhal, S. (2021). Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review. Health Services Insights, 14. https://doi.org/10.1177/1178632921989734
Castreján-Pérez, R. C., Borges-Yá̃ez, S. A., Gutiérrez-Robledo, L. M., & Ávila-Funes, J. A. (2012). Oral health conditions and frailty in Mexican community-dwelling elderly: A cross sectional analysis. BMC Public Health, 12(1). https://doi.org/10.1186/1471-2458-12-773
Chan, A. K. Y., Tamrakar, M., Jiang, C. M., Lo, E. C. M., Leung, K. C. M., & Chu, C. H. (2021). Common medical and dental problems of older adults: A narrative review. Geriatrics (Switzerland), 6(3). https://doi.org/10.3390/geriatrics6030076
Cohen, D. D., Gómez-Arbeláez, D., Camacho, P. A., Pinzon, S., Hormiga, C., Trejos-Suarez, J., Duperly, J., & Lopez-Jaramillo, P. (2014). Low muscle strength is associated with metabolic risk factors in Colombian children: The ACFIES study. PLoS ONE, 9(4), 1–10. https://doi.org/10.1371/journal.pone.0093150
Cooper, a J. M., Lamb, M. J. E., Sharp, S. J., Simmons, R. K., & Griffin, S. J. (2016). Bidirectional association between physical activity and muscular strength in older adults: Results from the UK Biobank study. International Journal of Epidemiology, 1–8. https://doi.org/10.1093/ije/dyw054
Dang, K.T. Q., Minh, H. Le, Thanh, H. N., & Van, T. V. (2012). Analyzing surface EMG signals to determine relationship between jaw imbalance and arm strength loss. BioMedical Engineering OnLine, 11(55): 1–14. https://doi.org/ 10.1186/1475-925X-11-55
Eremenko, M., Pink, C., Biffar, R., Schmidt, C. O., Ittermann, T., Kocher, T., & Meisel, P. (2016). Cross-sectional association between physical strength, obesity, periodontitis and number of teeth in a general population. Journal of Clinical Periodontology, 43(5), 401–407. https://doi.org/10.1111/jcpe.12531
Fleming, E., Afful, J., & Griffin, S. O. (2020). Prevalence of Tooth Loss Among Older Adults: United States, 2015-2018. NCHS Data Brief, 368, 1–8.
Gil-Montoya, J. A., de Mello, A. L. F., Barrios, R., Gonzalez-Moles, M. A., & Bravo, M. (2015). Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clinical Interventions in Aging, 10, 461–467. https://doi.org/10.2147/CIA.S54630
Griffin S. O., Jones, J. A., Brunson, D., Griffin, P. M., Bailey, W. D. (2012). Burden of Oral Disease Among Older Adults and Implications for Public Health Priorities. 102(3), 411–418. https://doi.org/10.2105/AJPH.2011.300362
Hagströmer, M., Oja, P., & Sjöström, M. (2006). The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutrition, 9(6), 755–762. https://doi.org/10.1079/phn2005898
Hämäläinen, P., Rantanen, T., Keskinen, M., & Meurman, J. H. (2004). Oral health status and change in handgrip strength over a 5-year period in 80-year-old people. Gerodontology, 21(3), 155–160. https://doi.org/10.1111/j.1741-2358.2004.00022.x
Hsu, K., Yen, Y., Lan, S., Wu, Y., & Chen, C. (2011). Relationship between remaining teeth and self-rated chewing ability among population aged 45 years or older in Kaohsiung City , Taiwan. Kaohsiung Journal of Medical Sciences, 27(10), 457–465. https://doi.org/10.1016/j.kjms.2011.06.006
Ikebe, Kazunoir, Matsuda, K., Murai, S., Maeda, Y., & Nokubi, T. (2010). Validation of the Eichner index in relation to occlusal force and masticatory performance. The International Journal of Prosthodontics, 23(6), 521–524. http://www.ncbi.nlm.nih.gov/pubmed/21209986
Ikebe, Kazunori, Matsuda, K., Kagawa, R., Enoki, K., Okada, T., Yoshida, M., Maeda, Y., Katsoulis, J., Nikitovic, S. G., Spreng, S., Neuhaus, K., Mericske-Stern, R., Peyron, M. a., Blanc, O., Lund, J. P., Woda, a., Mishellany-Dutour, a., Renaud, J., Peyron, M. A., Al., E. (2012). Masticatory performance in older subjects with varying degrees of tooth loss. Journal of Dentistry, 40(1), 71–76. https://doi.org/10.1016/j.jdent.2011.10.007
Kawahara H., Inoue, M., Okura, K., Oshima, M., Matsuka, Y. (2021) Risk Factors for Tooth Loss in Patients with ≥25 Remaining Teeth Undergoing Mid-Long-Term Maintenance A Retrospective Study. Int. J. Environ. Res., 18, 7174: 1-8. https://doi.org/10.3390/
ijerph18137174
Kementerian Kesehatan RI. 2014. Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 tentang Pedoman Gizi Seimbang. Kementerian Kesehatan RI. Jakarta.
Kim, J. E., Kim, N. Y., Choi, C. H., & Chung, K. H. (2021). Association between oral health status and relative handgrip strength in 11,337 korean. Journal of Clinical Medicine, 10(22). https://doi.org/10.3390/jcm10225425
Komulainen, K., & Ylo, P. (2012). Associations of instrumental activities of daily living and handgrip strength with oral self-care among home-dwelling elderly 75+. Gerodontology. 29: e135–e142. https://doi.org/10.1111/j.1741-2358.2010.00427.x
Kossioni, A., & Bellou, O. (2011). Eating habits in older people in Greece: The role of age, dental status and chewing difficulties. Archives of Gerontology and Geriatrics, 52(2), 197–201. https://doi.org/10.1016/j.archger.2010.03.017
Laguzzi, P. N., Schuch, H. S., Medina, L. D., de Amores, A. R., Demarco, F. F., & Lorenzo, S. (2016). Tooth loss and associated factors in elders: Results from a national survey in uruguay. Journal of Public Health Dentistry, 76(2), 143–151. https://doi.org/10.1111/jphd.12123
Lee, S. H., & Gong, H. S. (2020). Measurement and interpretation of handgrip strength for research on sarcopenia and osteoporosis. Journal of Bone Metabolism, 27(2), 85–96. https://doi.org/10.11005/jbm.2020.27.2.85
Massy-westropp, N. M., Gill, T. K., Taylor, A. W., Bohannon, R. W., & Hill, C. L. (2011). Hand Grip Strength : age and gender stratified normative data in a population-based study. BMC Research Notes, 4(1), 127. https://doi.org/10.1186/1756-0500-4-127
Nakamura, M., Ojima, T., Nagahata, T., Kondo, I., Ninomiya, T., Yoshita, K., Arai, Y., Ohkubo, T., Murakami, K., Nishi, N., Murakami, Y., Takashima, N., Okuda, N., Kadota, A., Miyagawa, N., Kondo, K., Okamura, T., Ueshima, H., Okayama, A., & Miura, K. (2019). Having few remaining teeth is associated with a low nutrient intake and low serum albumin levels in middle-aged and older Japanese individuals: Findings from the NIPPON DATA2010. Environmental Health and Preventive Medicine, 24(1), 1–9. https://doi.org/10.1186/s12199-018-0752-x
Natto, Z. S., Aladmawy, M., Alasqah, M., & Papas, A. (2014). Factors contributing to tooth loss among the elderly: A cross sectional study. Singapore Dental Journal, 35, 17–22. https://doi.org/10.1016/j.sdj.2014.11.002
Okamoto, N., Amano, N., Nakamura, T., & Yanagi, M. (2019). Relationship between tooth loss, low masticatory ability, and nutritional indices in the elderly: A cross-sectional study. BMC Oral Health, 19(1), 1–10. https://doi.org/10.1186/s12903-019-0778-5
Parker, M. L., Thornton-Evans, G., Wei, L., & Griffin, S. O. (2020). Prevalence of and Changes in Tooth Loss Among Adults Aged ≥50 Years with Selected Chronic Conditions — United States, 1999–2004 and 2011–2016. In MMWR. Morbidity and Mortality Weekly Report (Vol. 69, Issue 21, pp. 641–646). https://doi.org/10.15585/mmwr.mm6921a1
Raadsheer, M. C., Eijden, V., Ginkel, F. C., Prahl-Andersen, B. (2004). Human jaw muscle strength and size in relation to limb muscle strength and size. Eur J Oral Sci, 10, 398–405. https://doi.org/10.1111/j.1600-0722.2004.00154.x
Robinson, S., Granic, A., & Sayer, A. A. (2019). Nutrition and muscle strength, as the key component of sarcopenia: An overview of current evidence. Nutrients, 11(12), 1–17. https://doi.org/10.3390/nu11122942
Sagawa, K., Kikutani, T., Tamura, F., & Yoshida, M. (2017). Factors related to skeletal muscle mass in the frail elderly. Odontology, 105(1), 91–95. https://doi.org/10.1007/s10266-015-0231-4
Shin, H. S. (2019). Handgrip strength and the number of teeth among Korean population. Journal of Periodontology, 90(1), 90–97. https://doi.org/10.1002/JPER.18-0242
Tetsuka, M., Saga, T., Nakamura, M., Tabira, Y., Kusukawa, J., & Yamaki, K. I. (2012). Relationship between masseter muscle form and occlusal supports of remaining teeth. Kurume Medical Journal, 59(1–2), 5–15. https://doi.org/10.2739/kurumemedj.59.5
Tôrres, L. H. D. N., Tellez, M., Hilgert, J. B., Hugo, F. N., De Sousa, M. D. L. R., & Ismail, A. I. (2015). Frailty, Frailty Components, and Oral Health: A Systematic Review. Journal of the American Geriatrics Society, 63(12), 2555–2562. https://doi.org/10.1111/jgs.13826
Zaitsu, T., Ohnuki, M., Ando, Y., & Kawaguchi, Y. (2022). Evaluation of occlusal status of Japanese adults based on functional tooth units. International Dental Journal, 72(1), 100–105. https://doi.org/10.1016/j.identj.2021.02.005
DOI: https://doi.org/10.22146/jkesvo.76423
Article Metrics
Abstract views : 1421 | views : 1254Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Jurnal Kesehatan Vokasional
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Jurnal Kesehatan Vokasional with registered number ISSN 2541-0644 (print), ISSN 2599-3275 (online) published by the Departement of Health Information Management and Services, Vocational College, Universitas Gadjah Mada