Older adults with xerostomia and first-line antihypertensive medication
Keywords:
older adult, antihypertensives, arterial hypertension, xerostomiaAbstract
Introduction: Xerostomia is an oral disease associated with first-line antihypertensive medication in older adults.
Objective: To characterize older adults with xerostomia medicated with first-line antihypertensive drugs in Jobabo municipality, Las Tunas province.
Methods: A cross-sectional descriptive observational research was carried out in the stomatology service of the Policlinic 14 de Junio, Jobabo municipality, Las Tunas province, Cuba, from January to December 2023. The study was carried out with 209 older adults selected through a simple random sampling.
The variables to be investigated were antihypertensive group, dose, administration interval and severity of xerostomia. The information was obtained by means of interrogation and the Xerostomia Inventory questionnaire. Percentage, mean and standard deviation were used, with a confidence interval (CI) of 95% and a significance level (α) of 0.05; in addition to the Student's t-test.
Results: In the series there was no statistically significant difference between the severity of xerostomia and the dose of thiazide diuretics (t: -1.75; p =0.08), angiotensin-converting enzyme inhibitors (t: 0.37; p: 0.70) and calcium channel blockers (t = 0.62; p: 0.53). Likewise, only the interval of administration of calcium channel blockers were significant (t: -2.04; p: 0.05) among patients with moderate and marked xerostomia.
Conclusions: In older adults medicated with first-line antihypertensives there is no relationship between dose and administration interval with respect to the severity of xerostomia.
References
1. Pérez M, Bravo B. Xerostomía en la población geriátrica del municipio Marianao. 2017. Gacmédespirit. 2018 [acceso 20/01/2024];20(3). Disponible en: https://revgmespirituana.sld.cu/index.php/gme/article/view/1671
2. Thomson WM, Chalmers JM, Spencer AJ, Williams SM. The Xerostomia Inventory: a multi-item approach to measuring dry mouth. Community Dent Health. 1999 [acceso 20/01/2024];16(1):12-7. Disponible en: https://pubmed.ncbi .nlm.nih.gob/10697349/
3. Salazar OA. Validación en Chile del cuestionario GOHAI y Xerostomía Inventory (XI) en adultos mayores. [tesis] Santiago, Chile: Universidad de Chile, Facultad de odontología, Dpto de patología, Área de anatomía patológica; 2010 [acceso 12/01/2023]. Disponible en: https://repositorio.uchile.cl/handle/2250/133962
4. Castillo AM, Chavez K, Rincón D. Tratamiento de síntomas orales en pacientes oncológicos en cuidados paliativos: revisión narrativa. 2022 [acceso 17/01/2023]. Disponible en: http://hdl.handle.net/20.500.12495/8751
5. Zarvos ML, Leal ML, Santos VC, Ratto AC, Teixeira-da Silva DF, Jansiski L, et al. Evaluation of photobiomodulation in salivary production of patients with xerostomy induced by anti-hypertensive drugs: Study protocol clinical trial (SPIRIT compliant). Medicine (Baltimore). 2020;99(16):e19583. DOI: 10.1097/ MD.0000000000019583
6. Ship JA. Holm-Pedersen P, Walls A, Ship JA. Textbook of Geriatric Dentistry. Third ed. John Wiley & Sons, Ltd; 2015. Chapter 19, Salivary function and disorders in the older adult. p. 245- 53. [acceso 02/05/2025] Disponible en: http://content.e-bookshelf.de/media/reading/L-3643935-0b84c9a076.pdf
7. Organización Mundial de la Salud. Década de Envejecimiento Saludable 2020-2030. Ginebra, Suiza: OMS. 2020 [acceso 29/04/2023]. Disponible en: https://cdn.who.int/media/docs/default-source/decade-of-healthy-ageing/decade-proposal-final-apr2020rev-es.pdf?sfvrsn=b4b75ebc_28&download=true
8. Martínez LR, Hernández F, Casañas E, Serrano J, Hernández G, López RM. Xerostomia and Salivary Flow in Patients Taking Antihypertensive Drugs. Int. J. Environ. Res. PublicHealth. 2020;17:2478. DOI: 10.3390/ijerph17072478
9. Organización Mundial de la Salud. Directriz para el tratamiento farmacológico de la hipertensión en adultos. Ginebra, Suiza: Organización Mundial de la Salud; 2022 [acceso 27/05/2023] Disponible en: https://apps.who.int/iris/handle/10665/36 4491
10. WHO. Collaborating Centre for Drug Statistics Methodology. Guidelines for ATC classification and DDD assignment. Italy, Geneva: WHO; 2023 [acceso 12/01/2024]. Disponible en: https://www.whocc.no/filearchive/publications/2023guidelinesweb. pdf
11. Ministerio de Salud Públuca (MINSAP). Formulario Nac. Medicamentos. Cuba: ECIMED; 2022 [acceso 12/01/2024].Disponible en: https://www.ecimed.sld. cu
12. Torrecilla R, Castro I. Efectos del envejecimiento en la cavidad bucal. Rev 16 de Abril. 2020 [acceso 26/07/2023];59(278):e819. Disponible en: https://rev16deabril .sld.cu/index.php/16_04/article/view/819/533
13. Nuñez LC, Bosch AI, González L, Trupman Y. Ancianos con enfermedades bucales y medicación antihipertensiva. MEDISAN. 2023 [acceso 26/06/2023];27(3). Disponible en: https://medisan.sld.cu/index.php/san/article/view/4546
14. Ventocilla N, Condorhuamán Y. Adherencia farmacoterapéutica en pacientes hipertensos en el Centro Integral del Adulto Mayor Sta Anita–Lima. Ciencia e Investigación. 2020 [acceso 12/01/2024];23(1):3-8. Disponible en: https://revistasinvestigacion.unmsm.edu.pe/index.php/farma/article/view/18716
15. Llena C. The rôle of saliva in maintaining oral health and as an aid to diagnosis. Med Oral Patol Oral Cir Bucal2006 [acceso 09/12/2023];11:E449-55. Disponible en: https://scielo.isciii.es/pdf/medicorpa/v11n5/en_15.pdf
16. Pacheco D, Ortiz Y, Guerrero Y, Gómez O, Fernández YN. Polifarmacia y prescripción de medicamentos potencialmente no apropiados en adultos mayores hospitalizados. Multimed. 2023 [acceso 26/07/2023];(27):e2690. Disponible en: https://creativecommons.org/licenses/by-nc-sa/4.0/
17. Roca IC, Ramos K, Martínez GJ, Pérez D, González-Rodríguez MR. Caracterización de la polifarmacia en adultos mayores de un consultorio médico urbano. Revista Médica. Granma. 2021 [acceso 26/05/2023];(25)2:e2052. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-481 820210 00200006&lng=es
18. Elmi Z, Shabanian M, Maleki D. Oral Manifestations of Patients Taking Anti-Hypertensive Medications. J Islam Dent Assoc Iran. 2020 [acceso 10/10/2022];32(3-4):83-8. Disponible en: https://jida.ir/article-1-2120-en.pdf
19. Nápoles AM, Nápoles IJ, Díaz SM. El envejecimiento y cambios bucodentales en el adulto mayor. Arch méd Camagüey. 2023 [acceso 09/12/2023] 27:e9112. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/9112
20. Lalvay DA, Castañeda AO, Cobos DF. Antihypertensive medication and its adverse reactions in the oral cavity. Anintegrativereview. RSD. 2022 [acceso 09/12/2022];11(10):e202111032624. Disponible en: https://rsdjournal.org/index. php/rsd/article/view/32624
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Copyright (c) 2025 Lian Cristino Nuñez Peña, Liuba González-Espangler, Ana Ibis Bosch-Nuñez, Yordanis Garbey Pierre, Susana Beatriz Oliu-Bosch

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