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Salivary slgA and Cortisol: Markers for Functional Dependence in Older Adults

Identifieur interne : 002E43 ( Istex/Checkpoint ); précédent : 002E42; suivant : 002E44

Salivary slgA and Cortisol: Markers for Functional Dependence in Older Adults

Auteurs : Herenia P. Lawrence [Canada] ; Edward D. Fillery ; David W. Matear [Canada] ; Leslie Paterson ; Robert J. Hawkins ; David Locker [Canada]

Source :

RBID : ISTEX:87EDE935A33268B8113F8669CF224CE32D872EE1

English descriptors

Abstract

Elderly persons with health problems and physical limitations have reduced independence. Since poor functional ability is a known risk factor for disease among older populations, including oral disease, this study was undertaken to assess whether salivary defense factors and the stress hormone Cortisol are significant markers for functional dependence. Oral examinations; salivary and microbial analyses; and interviews using the Activities of Daily Living (ADD index, the Mini Nutritional Assessment (MNA) and the Perceived Life Stress Questionnaire (PLSQ) were conducted for 123 dentate subjects. Of the subjects. 80 lived independently in the community or in apartments at the Baycrest Centre for Geriatric Care in Toronto, Canada, and 43 resided in the Baycrest nursing home or the Baycrest Hospital. Whole saliva samples were assayed for total secretory immunoglobulin A (stgA), slgAI, slgA2, total protein and Cortisol using ELISA. Dependent residents in the nursing home/hospital scored significantly lower in the nutritional assessment, had higher mean PLSQ scores, increased total protein and Cortisol concentrations, and reduced salivary flow rates in comparison to ambulatory residents in the community/ apartments. In multivariate logistic regression, factors associated with functional dependence were: being male, perceiving income as inadequate, having low salivary flow rate and drinking less than 5 cups of water per day. These results indicate that salivary flow and Cortisol may be useful markers of functional dependence; however, the ability of these markers to predict functional decline cannot be confirmed until longitudinal studies are conducted.

Url:
DOI: 10.1111/j.1754-4505.2005.tb01657.x


Affiliations:


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ISTEX:87EDE935A33268B8113F8669CF224CE32D872EE1

Le document en format XML

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<name sortKey="Fillery, Edward D" sort="Fillery, Edward D" uniqKey="Fillery E" first="Edward D." last="Fillery">Edward D. Fillery</name>
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<name sortKey="Matear, David W" sort="Matear, David W" uniqKey="Matear D" first="David W." last="Matear">David W. Matear</name>
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<name sortKey="Paterson, Leslie" sort="Paterson, Leslie" uniqKey="Paterson L" first="Leslie" last="Paterson">Leslie Paterson</name>
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<name sortKey="Hawkins, Robert J" sort="Hawkins, Robert J" uniqKey="Hawkins R" first="Robert J." last="Hawkins">Robert J. Hawkins</name>
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<title level="j" type="main">Special Care in Dentistry</title>
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<term>Ambulatory</term>
<term>Ambulatory subjects</term>
<term>Anthropometric indices</term>
<term>Anthropometric measurements</term>
<term>Bacterial adherence</term>
<term>Baycrest</term>
<term>Baycrest centre</term>
<term>Baycrest hospital</term>
<term>Baycrest ohrqol survey</term>
<term>Bivariate analyses</term>
<term>Bonferroni test</term>
<term>Care dentist</term>
<term>Caries</term>
<term>Cortisol</term>
<term>Dent</term>
<term>Dental care facility</term>
<term>Dental insurance coverage</term>
<term>Denture</term>
<term>Dependent group</term>
<term>Dependent residents nursing home</term>
<term>Dependent subjects</term>
<term>Elderly population</term>
<term>Epithelial cells</term>
<term>Exocrine glands</term>
<term>Final model</term>
<term>Flow rate</term>
<term>Flow rates</term>
<term>Fluid intake</term>
<term>Functional ability</term>
<term>Functional decline</term>
<term>Functional dependence</term>
<term>Functional status</term>
<term>Gender differences</term>
<term>General health</term>
<term>Geriatric</term>
<term>Geriatric care</term>
<term>Geriatric patients</term>
<term>Greater stress responses</term>
<term>Higher numbers</term>
<term>Hospital residents</term>
<term>Humoral immunity</term>
<term>Hydration status</term>
<term>Immune function</term>
<term>Immune parameters</term>
<term>Immunoglobulin</term>
<term>Independent subjects</term>
<term>Logistic regression model</term>
<term>National institute</term>
<term>Nursing home</term>
<term>Nursing home residents</term>
<term>Nutritional</term>
<term>Nutritional state</term>
<term>Nutritional status</term>
<term>Odds ratio</term>
<term>Older adults</term>
<term>Ontario ministry</term>
<term>Oral candidiasis</term>
<term>Oral examinations</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral microbiol immunol</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral yeasts</term>
<term>Parotid saliva</term>
<term>Physical disabilities</term>
<term>Physical disability</term>
<term>Physical health</term>
<term>Present study</term>
<term>Pressure sores</term>
<term>Protein intake</term>
<term>Psychological stress</term>
<term>Psychosocial</term>
<term>Psychosocial stress</term>
<term>Public health dent</term>
<term>Root caries</term>
<term>Root caries diagnosis</term>
<term>Root caries index</term>
<term>Saliva</term>
<term>Salivary</term>
<term>Salivary antibodies</term>
<term>Salivary cortisol</term>
<term>Salivary cortisol concentrations</term>
<term>Salivary flow</term>
<term>Salivary flow rate</term>
<term>Salivary flow rates</term>
<term>Salivary levels</term>
<term>Salivary markers</term>
<term>Salivary protein concentration</term>
<term>Salivary secretory immunoglobulin</term>
<term>Salivary siga</term>
<term>Same superscript numbers</term>
<term>Secretory</term>
<term>Secretory immunoglobulin</term>
<term>Siga</term>
<term>Siga levels</term>
<term>Slga</term>
<term>Spec care dentist</term>
<term>Stratified test</term>
<term>Stress levels</term>
<term>Study participants</term>
<term>Tooth loss</term>
<term>Total protein</term>
<term>Total protein concentrations</term>
<term>Total siga</term>
<term>Weight loss</term>
<term>Whole saliva</term>
<term>Yeast</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Ambulatory</term>
<term>Ambulatory subjects</term>
<term>Anthropometric indices</term>
<term>Anthropometric measurements</term>
<term>Bacterial adherence</term>
<term>Baycrest</term>
<term>Baycrest centre</term>
<term>Baycrest hospital</term>
<term>Baycrest ohrqol survey</term>
<term>Bivariate analyses</term>
<term>Bonferroni test</term>
<term>Care dentist</term>
<term>Caries</term>
<term>Cortisol</term>
<term>Dent</term>
<term>Dental care facility</term>
<term>Dental insurance coverage</term>
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<term>Dependent group</term>
<term>Dependent residents nursing home</term>
<term>Dependent subjects</term>
<term>Elderly population</term>
<term>Epithelial cells</term>
<term>Exocrine glands</term>
<term>Final model</term>
<term>Flow rate</term>
<term>Flow rates</term>
<term>Fluid intake</term>
<term>Functional ability</term>
<term>Functional decline</term>
<term>Functional dependence</term>
<term>Functional status</term>
<term>Gender differences</term>
<term>General health</term>
<term>Geriatric</term>
<term>Geriatric care</term>
<term>Geriatric patients</term>
<term>Greater stress responses</term>
<term>Higher numbers</term>
<term>Hospital residents</term>
<term>Humoral immunity</term>
<term>Hydration status</term>
<term>Immune function</term>
<term>Immune parameters</term>
<term>Immunoglobulin</term>
<term>Independent subjects</term>
<term>Logistic regression model</term>
<term>National institute</term>
<term>Nursing home</term>
<term>Nursing home residents</term>
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<term>Nutritional state</term>
<term>Nutritional status</term>
<term>Odds ratio</term>
<term>Older adults</term>
<term>Ontario ministry</term>
<term>Oral candidiasis</term>
<term>Oral examinations</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral microbiol immunol</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral yeasts</term>
<term>Parotid saliva</term>
<term>Physical disabilities</term>
<term>Physical disability</term>
<term>Physical health</term>
<term>Present study</term>
<term>Pressure sores</term>
<term>Protein intake</term>
<term>Psychological stress</term>
<term>Psychosocial</term>
<term>Psychosocial stress</term>
<term>Public health dent</term>
<term>Root caries</term>
<term>Root caries diagnosis</term>
<term>Root caries index</term>
<term>Saliva</term>
<term>Salivary</term>
<term>Salivary antibodies</term>
<term>Salivary cortisol</term>
<term>Salivary cortisol concentrations</term>
<term>Salivary flow</term>
<term>Salivary flow rate</term>
<term>Salivary flow rates</term>
<term>Salivary levels</term>
<term>Salivary markers</term>
<term>Salivary protein concentration</term>
<term>Salivary secretory immunoglobulin</term>
<term>Salivary siga</term>
<term>Same superscript numbers</term>
<term>Secretory</term>
<term>Secretory immunoglobulin</term>
<term>Siga</term>
<term>Siga levels</term>
<term>Slga</term>
<term>Spec care dentist</term>
<term>Stratified test</term>
<term>Stress levels</term>
<term>Study participants</term>
<term>Tooth loss</term>
<term>Total protein</term>
<term>Total protein concentrations</term>
<term>Total siga</term>
<term>Weight loss</term>
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<front>
<div type="abstract" xml:lang="en">Elderly persons with health problems and physical limitations have reduced independence. Since poor functional ability is a known risk factor for disease among older populations, including oral disease, this study was undertaken to assess whether salivary defense factors and the stress hormone Cortisol are significant markers for functional dependence. Oral examinations; salivary and microbial analyses; and interviews using the Activities of Daily Living (ADD index, the Mini Nutritional Assessment (MNA) and the Perceived Life Stress Questionnaire (PLSQ) were conducted for 123 dentate subjects. Of the subjects. 80 lived independently in the community or in apartments at the Baycrest Centre for Geriatric Care in Toronto, Canada, and 43 resided in the Baycrest nursing home or the Baycrest Hospital. Whole saliva samples were assayed for total secretory immunoglobulin A (stgA), slgAI, slgA2, total protein and Cortisol using ELISA. Dependent residents in the nursing home/hospital scored significantly lower in the nutritional assessment, had higher mean PLSQ scores, increased total protein and Cortisol concentrations, and reduced salivary flow rates in comparison to ambulatory residents in the community/ apartments. In multivariate logistic regression, factors associated with functional dependence were: being male, perceiving income as inadequate, having low salivary flow rate and drinking less than 5 cups of water per day. These results indicate that salivary flow and Cortisol may be useful markers of functional dependence; however, the ability of these markers to predict functional decline cannot be confirmed until longitudinal studies are conducted.</div>
</front>
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