Hubungan antara kehilangan gigi dengan fungsi kognisi dan fungsi memori pada lansia penghuni Panti Sosial Tresna Werdha (PTSW) Senjarawi Kota Bandung

https://doi.org/10.22146/majkedgiind.15497

Kartika Indah Sari(1*), Murnisari Darjan(2), Nanan Nur'aeny(3), Lulu Eva Rakhmilla(4)

(1) Fakultas kedokteran gigi Universitas Padjajaran.
(2) Departemen Biologi Oral, Fakultas Kedokteran Gigi, Universitas Padjajaran, Bandung, Jawa Barat
(3) Departemen Ilmu Penyakit Mulut, Fakultas Kedokteran Gigi, Universitas Padjajaran, Bandung, Jawa Barat
(4) Departemen Epidemiologi dan Biostatistik, Fakultas Kedokteran, Universitas Padjajaran, Bandung, Jawa Barat
(*) Corresponding Author

Abstract


Correlation between tooth loss and cognitive and memory function in elderly residents at Social Home Tresna Werdha (PTSW) Senjarawi, Bandung City. Tooth loss is reported to be linked with Alzheimer’s disease and dementia. This study aimed to identify the correlation between tooth loss, cognitive and memory functions examined using a MMSE (mini-mental state examination) test to the elderly residents at Panti Sosial Tresna Wreda (PSTW) Senjarawi, Bandung. The research method used cross sectional design. The sampling was selected using concecutive sampling technique. The sample was selected according to the inclusion criteria including physical health (marked by their ability to perform daily activities independently) and ability to communicate well, at least 60 years of age, and independent. The results of the examination on 19 elderly people consisting of 12 females and 7 males showed that the research subjects fall in the category of having a decline in their cognitive and memory function, that is at the average age (75.89; 76.32), education level of elementary school (66.7%; 77.8%), female (41.7%; 66.7%), physical activity in the form of light exercise (50%; 66.7%) and having hypertension (58.3%; 75%), having musculoskeletal disorder (50%; 75%). Pearson chi-square test showed that there is no signicant correlation between tooth loss and cognitive function p = 1.318 (p > 0.05). Similarly, Pearson chi-square test of p = 0.333 (p> 0.05) indicates that there is signicant correlation between tooth loss and memory function. It can be concluded that there is a tendency of a decline in both cognitive function and memory function in tooth loss, but this is not evident statistically. Future research involving a larger number of samples is needed to obtain homogeneous and well-distributed data.


ABSTRAK

Kehilangan gigi dilaporkan berhubungan dengan penyakit Alzheimer dan demensia. Penelitian ini bertujuan untuk mengetahui hubungan antara kehilangan gigi dengan fungsi kognisi dan fungsi memori yang diperiksa menggunakan lembar MMSE (mini mental state examination) pada lansia di Panti Sosial Tresna Wreda (PSTW) Senjarawi Kota Bandung. Metode penelitian menggunakan desain potong lintang. Teknik pengambilan sampel concecutive sampling. Sampel penelitian dipilih sesuai kriteria inklusi meliputi sehat fisik (yang ditandai dengan dapat melakukan kegiatan sehari-hari secara mandiri) dan mampu berkomunikasi dengan baik, usia minimal 60 tahun, dan mandiri. Hasil pemeriksaan pada 19 orang lansia yang terdiri dari 12 orang wanita dan 7 orang laki-laki menemukan karakteristik subjek penelitian pada kelompok penurunan fungsi kognisi dan penurunan fungsi memori yaitu usia rata-rata (75,89; 76,32), tingkat pendidikan SD (66,7%; 77,8%), jenis kelamin perempuan (41,7%; 66,7%), aktivitas fisik berupa olahraga ringan (50%; 66,7%) dan penyakit yang diderita berupa hipertensi (58,3%; 75%), penyakit muskuloskeletal (50%; 75%). Melalui uji Pearson chi square tidak terlihat hubungan yang signifikan antara kehilangan gigi dengan fungsi kognisi p = 1,318 (p>0,05). Begitu pula melalui uji Pearson chi square, p= 0,333 (p>0,05) dapat dijelaskan bahwa tidak terlihat hubungan yang signifikan antara kehilangan gigi dengan fungsi memori. Simpulan terdapat kecenderungan penurunan fungsi kognisi dan fungsi memori pada kehilangan gigi, namun hal ini secara statistik tidak terlihat korelasi yang signifikan. Penelitian lanjutan diperlukan dengan jumlah sampel yang lebih banyak sehingga diperoleh data yang homogen dan terdistribusi dengan baik.




Keywords


cognitive function; tooth loss; elderly; MMSE

Full Text:

PDF


References

Sari KI, Darjan M, Rizali E. Distribusi permasalahan gigi dan mulut sebagai penentu kualitas hidup masysrakat lanjut usia. Proceding Book, Forum Dies FKG Unpad; 2011.


Departemen Kesehatan RI. Pedoman pembinaan kesehatan usia lanjut bagi petugas kesehatan; 2007.


Kim JM, Stewart R, Prince M, Kim SW, Yang SJ, Shin IS, Yoon JS. Dental health, nutritional status and recent-onset dementia in a Korean community population. Int J Geriatr Psychiatry. 2007; 22: 850 – 855.


Gatz M, Mortimer JA, Fratiglioni L, Johansson B, Breg S, Reynolds CA, Pedersen NL. Potentially modifable risk factors for dementia in identical twins. Alzheimer’s & Dementia. 2006; 2: 110 – 117.


Stein PS, Desrosiers M, Donegan SJ, Yepes JF, Kryscio SJ. Tooth loss, dementia and neuropathology in the Nun Study. J Am Dent Assoc. 2007; 138: 1314 – 1322.

Okamoto N, Morikawa M, Okamoto K, Habu N, Iwamoto J, Tomioka K, Saeki K, Yanagi M, Amano N, Kurumatani N. Relationship of tooth loss to mild memory impairment and cognitive impairment: ndings from the fujiwara-kyo study. Behavioral and Brain function. 2010; 6: 77 (diunduh September 2014). Tersedia dari http://www.behavioralandbrainfunctions.com


Tsutsui K, Kaku M, Motokawa M, Tohma Y, Kawata T, Fujita T, Kohno S, Ohtani J, Tenjoh K, Nakano M, Kamada H, Tanne K. Inuences of reduced masticatory sensory input from soft-diet feeding upon spatial memory/learning ability in mice. Biomedical Research. 2007; 28(1): 1 – 7.


Yamamoto T, Hirayama A, Hosoe N, Furube M, Hirano S. Effect of soft-diet feeding on BDNF Expression in Hippocampus of Mice. Bull Tokyo Dent Coll. 2008; 49(4): 185 – 190.


Yamamoto T, Hirayama A, Hosoe, N, Masaru F, Hirano S. Soft-diet feeding inhibits adult neurogenesis in Hippokampus of Mice. Bull Tokyo Dent Coll. 2009; 50(3): 117 – 124.


Sari KI, Farenia R, Purba A. Effect soft-diet feeding and hard-diet feeding with aerobic voluntary wheel running on hippocampus in Wistar rat. In Redjeki S, Farida R, Fatma D, Tjahajani A, Utami S, Leepel L, editors. Proceeding of Regional Oral Biologi Scientic Meeting; 2014 Oct 30-31; Depok. West Java: Indonesia, 2014: 68-73.

Kraemer WJ, Fleck SJ, Deschenes MR. Exercise physiology. For Health, Fitness and Performance. 3rd ed; 2011. 1 – 20.

Wilmore J, Knuttgen H. Aerobic exercise and endurance improving fotness for health benets. The physician and sportsmedicine. 2003; 31(5): 45.


Kim JM, Stewart R, Prince M, Kim SW, Yang SJ, Shin IS, Yoon JS. Dental health, nutritional status and recent-onset dementia in a Korean community population. Int J Geriatr Psychiatry. 2007; 22: 850 – 855.


Yeh Chih-Ko, Katz MS, Saunders MJ. Geriatric dentistry: integral component to geriatric patient care. Taiwan Geriatrcs & Gerontology. 2008; 3(3): 182 – 192.

Sheiham A. Oral health, general health and quality of life. In Bulletin of the World Health Organization. 2005; 83(9): 641 – 720.


Garcia N, Miley DD. The oral cavity and nutrition. In: Morly JE, Thomas DR. Geriatric Nutrition. CRC Press; 2007. 249 – 265.


Thalib B. Analisis hubungan status gigi dengan pola makan dan asupan nutrisi pada manula suku Bugis dan suku Mandar. Dentofasial. 2008; 7(1): 27 – 37. Tersedia dari http:// wwwjdmfs.org.


Wangsarahardja K, Dharmawan OV, KasimThe correlation between oral health status and the quality of life in the elderly. Universa Medicina. 2007; 26(4): 186 – 194.


Scherder E, Posthuma W, Bakker T, Vuijk PJ, Lobbezoo F. Fungsional status of masticatory system, execituve function and episodic memory in older persons. Journal of Oral Rehabilitation. 2008; 35: 324 – 336.


Kubo K, Chen H, Onuzuka M. The relationship between mastication and cognitive. Dalam Senescence and Senescence-Related Disorders. 2013(2) [diunduh 3 Maret 2013]. Tersedia dari Intechopen Reference Online. http:// wwwintechopen.com



DOI: https://doi.org/10.22146/majkedgiind.15497

Article Metrics

Abstract views : 5177 | views : 10742

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Majalah Kedokteran Gigi Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


 

 View My Stats


real
time web analytics