PMID- 37489324 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230727 IS - 2308-3417 (Electronic) IS - 2308-3417 (Linking) VI - 8 IP - 4 DP - 2023 Jul 15 TI - The Prevalence of Xerostomia in Older Thai Individuals with Type II Diabetes Mellitus and Its Association with Type of Toothpaste and Oral Functions: A Cross-Sectional Study Using Questionnaires. LID - 10.3390/geriatrics8040076 [doi] LID - 76 AB - AIM: To investigate the prevalence of xerostomia in older people with diabetes mellitus and its impacts on oral functions, as well as to determine potential risk factors for xerostomia. METHODS: An analytical cross-sectional study was conducted on 623 older type 2 diabetes mellitus (T2DM) Thai people using valid structural questionnaires. Patients were interviewed, and data were recorded. Xerostomia was assessed using subjective symptom questionnaires. Risk factors for xerostomia were analyzed using bivariate and multiple logistic regression analyses. RESULTS: Among the study participants, 38.4% of the older T2DM people had xerostomia, which is associated with sex, age, type of toothpaste, years of diabetes, hemoglobin A1c level, other systemic diseases, medication, smoking, alcohol consumption, and denture wearing. It was significant that xerostomia was associated with toothpaste containing spicy herbal extracts (OR: 9.32 [3.46 to 15.25]), while toothpaste containing artificial sweeteners tended to lower the risk of xerostomia. In addition, older T2DM adults with xerostomia had greater impaired oral functions, which include difficulties in speaking (OR: 3.31 [1.11 to 9.80]), tasting (OR: 5.12 [3.26 to 8.06]), swallowing (OR: 3.59 [2.32 to 5.53]), and chewing (OR: 3.34 [1.15 to 5.82]). CONCLUSIONS: Xerostomia is prevalent in older Thai people with T2DM. The results suggest that toothpaste containing spicy herbal extracts might increase the risk of xerostomia, resulting in various oral function problems. Therefore, greater awareness of xerostomia in this group should be raised to monitor dental health, and professionals should work in parallel with other aspects of oral health promotion. FAU - Sonpanao, Panitan AU - Sonpanao P AUID- ORCID: 0000-0002-0308-5578 AD - Translational Medicine (International Program), Institute of Medicine, Suranaree University of Technology (SUT), Nakhon Ratchasima 30000, Thailand. AD - School of Geriatric Oral Health, Institute of Dentistry, Suranaree University of Technology (SUT), Nakhon Ratchasima 30000, Thailand. FAU - Janebodin, Kajohnkiart AU - Janebodin K AD - Department of Anatomy, Faculty of Dentistry, Mahidol University, Bangkok 10400, Thailand. FAU - Namvichaisirikul, Niwatchai AU - Namvichaisirikul N AD - Department of Family Medicine and Community Medicine, Institute of Medicine, Suranaree University of Technology (SUT), Nakhon Ratchasima 30000, Thailand. FAU - Thongjit, Supattarayan AU - Thongjit S AD - School of Family and Community Oral Health, Institute of Dentistry, Suranaree University of Technology (SUT), Nakhon Ratchasima 30000, Thailand. FAU - Jitprasertwong, Paiboon AU - Jitprasertwong P AUID- ORCID: 0000-0001-6170-1685 AD - School of Geriatric Oral Health, Institute of Dentistry, Suranaree University of Technology (SUT), Nakhon Ratchasima 30000, Thailand. LA - eng GR - D6200381-5/2565/National Research Council of Thailand/ PT - Journal Article DEP - 20230715 PL - Switzerland TA - Geriatrics (Basel) JT - Geriatrics (Basel, Switzerland) JID - 101704019 PMC - PMC10366830 OTO - NOTNLM OT - dental health surveys OT - diabetes OT - older people OT - toothpaste OT - xerostomia COIS- The authors declare no conflict of interest. EDAT- 2023/07/25 06:43 MHDA- 2023/07/25 06:44 PMCR- 2023/07/15 CRDT- 2023/07/25 04:42 PHST- 2023/04/25 00:00 [received] PHST- 2023/07/11 00:00 [revised] PHST- 2023/07/13 00:00 [accepted] PHST- 2023/07/25 06:44 [medline] PHST- 2023/07/25 06:43 [pubmed] PHST- 2023/07/25 04:42 [entrez] PHST- 2023/07/15 00:00 [pmc-release] AID - geriatrics8040076 [pii] AID - geriatrics-08-00076 [pii] AID - 10.3390/geriatrics8040076 [doi] PST - epublish SO - Geriatrics (Basel). 2023 Jul 15;8(4):76. doi: 10.3390/geriatrics8040076.