The Correlation of Insomnia to Hyposalivation and Xerostomia in the Elderly: A Single Centre Study
Abstract
Background: The ageing process declines body functions and disrupts circadian rhythms, resulting in insomnia. The salivary gland's functions are affected by insomnia as well. Disorders of salivary secretion, such as xerostomia and hyposalivation, are associated with low salivary function levels. Objective: This study investigates the relationship between xerostomia, hyposalivation, and insomnia in the elderly. Method: This study is analytical observational research using a cross-sectional approach. A total of ninety-one residents of Cipayung's Tresna Werdha Budi Mulia 1 nursing home were the subjects of the study. The Summated-Xerostomia Inventory (SXI-id) questionnaire was utilised to measure xerostomia, the Insomnia Severity Index (ISI) was employed to measure insomnia, and the unstimulated salivary flow rate based on the spitting method was used to measure salivation. Data analysis was conducted using Spearman's correlation test. Result: A significant linear correlation was observed between the insomnia score and unstimulated salivary flow rate (r = -0.370; p = 0.001) and between the insomnia score and the xerostomia score (r = 0.682). Conclusion: In the elderly, salivary gland secretion might be impacted by insomnia.References
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3. Tawas SAD, Mintjelungan CN, Pangemanan DHC. Xerostomia pada Usia Lanjut di Kelurahan Malalayang Satu Timur. Jurnal e-Gigi (eG). 2018;6(1):18-21.
4. Sayekti NPIW, Hendrati LY. Analisis Risiko Depresi, Tingkat Sleep Hygiene dan Penyakit Kronis dengan Kejadian Insomnia pada Lansia. Jurnal Berkala Epidemiologi. 2015;3(2):181-193.
5. Han S, Jee D, Kang YJ, Park YJ, Cho JH. Possible Association between Oral Health and Sleep Duration: A Cross-sectional Study based on the Korean National Health and Nutrition Examination Surveys from 2010 to 2015. Medicine (United States). 2021;100(48):1-7. doi:10.1097/MD.0000000000028035
6. Chigome A, Nhira S, Meyer JC. An Overview of Insomnia and its Management. Article in SA Pharmaceutical Journal. 2018;85(2):32-38. https://www.researchgate.net/publication/325882954
7. Wibowo, Astutik ND, Luhung M. Hubungan Kecemasan dengan Oral Candidiasis pada Lansia di Panti Pangesti Lawang (The Correlation of Anxiety with Oral Candidiasis on Elderly in Pangesti Nursing Home Lawang). Jurnal Keperawatan Malang. 2019;4(2):96-102. http://jurnal.stikespantiwaluya.ac.id/index.php/JPW
8. Roestamadji RI, Nastiti NI, Surboyo MDC, Irmawati A. The Risk of Night Shift Workers to the Glucose Blood Levels, Saliva, and Dental Caries. Eur J Dent. 2019;13(3):323-329. doi:10.1055/s-0039-1697211
9. Susanti V, Fidya, Prasetyaningrum N, Fuadiyah D. Saliva Dan Kesehatan Rongga Mulut. Universitas Brawijaya Press; 2021.
10. Ayuningtyas G, Harijanti K, Soemarijah DS. Penurunan Sekresi Saliva dan Terjadinya Kandidosis Mulut pada Lansia (The decrease of saliva secretion and the oral candidosis appearence in older people). Oral Medicine Dental Journal. 2009;1(1):6-10.
11. Sabirin IPR, Widyasari R, Putri NDA. Hubungan Jam Tidur Kurang Optimal terhadap Laju Alir Saliva pada Dokter Muda. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2020;32(3):220-225. doi:10.24198/jkg.v32i3.28958
12. Kurniawan A, Utariani A, Hamzah, Nalini. Hubungan antara Tingkat Stres dan Kadar Kortisol Saliva dan Faktor Penyebab Stres Residen Anestesiologi dan Terapi Intensif pada Era Pandemi Covid-19. Jurnal Syntax Transformation. 2021;2(2):147-156.
13. Ebben MR. Insomnia: Behavioral Treatment in the Elderly. Clin Geriatr Med. 2021;37(3):387-399. doi:10.1016/j.cger.2021.04.002
14. Lopez-Jornet P, Lucero Berdugo M, Fernandez-Pujante A, et al. Sleep Quality in Patients with Xerostomia: a Prospective and Randomized Case-control Study. Acta Odontol Scand. 2016;74(3):224-228. doi:10.3109/00016357.2015.1099730
15. Apessos I, Andreadis D, Steiropoulos P, Tortopidis D, Angelis L. Investigation of the Relationship between Sleep Disorders and Xerostomia. Clin Oral Investig. 2020;24(5):1709-1716. doi:10.1007/s00784-019-03029-1
16. Kasuma N. 01.Buku-Fisiologi-dan-Patologi-Saliva. In: Yanwirasti, Darwin E, Oenzil F, eds. Fisiologi Dan Patologi Saliva. 1st ed. Andalas University Press; 2015.
17. Noguchi S, Makino M, Haresaku S, Shimada K, Naito T. Insomnia and Depression Impair Oral Health-related Quality of Life in the Old-old. Geriatr Gerontol Int. 2017;17(6):893-897. doi:10.1111/ggi.12816
Published
2024-06-24
How to Cite
MAHAPUTRI, Maurila Firannisa et al.
The Correlation of Insomnia to Hyposalivation and Xerostomia in the Elderly: A Single Centre Study.
Journal of Indonesian Oral Medicine Society, [S.l.], v. 2, n. 1, p. 29-35, june 2024.
ISSN 3026-6688.
Available at: <http://jurnal.pdgi.or.id/index.php/jioms/article/view/1155>. Date accessed: 31 aug. 2024.
doi: https://doi.org/10.32793/jioms.v2i1.1155.
Section
Original Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
