Contribution of systemic inflammation and nutritional status to the relationship between tooth loss and mortality in a community-dwelling older Japanese population: a mediation analysis of data from the Tsurugaya project

2019 ◽  
Vol 24 (6) ◽  
pp. 2071-2077
Author(s):  
Takako Hiratsuka ◽  
Takamasa Komiyama ◽  
Takashi Ohi ◽  
Fumiya Tanji ◽  
Yasutake Tomata ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Systemic Inflammation ◽  
Mediation Analysis ◽  
Japanese Population ◽  
Tooth Loss ◽  
Community Dwelling ◽  
The Relationship

scholarly journals Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1041 ◽  
Author(s):  
Pilar Pérez-Ros ◽  
Rafael Vila-Candel ◽  
Lourdes López-Hernández ◽  
Francisco Miguel Martínez-Arnau
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Nutritional Status ◽  
Older People ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Dwelling Older People ◽  
The Relationship

Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35; p < 0.001). Conclusions: The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.

scholarly journals Associations Between Dentition Status and Nutritional Status in Community-Dwelling Older Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 19-19
Author(s):  
Samantha Honeywell ◽  
Hamed Samavat ◽  
EIleen Hoskin ◽  
Riva E. Touger-Decker ◽  
Rena Zelig
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Tooth Loss ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The United States ◽  
Community Dwelling ◽  
Future Research ◽  
Functional Dentition

Abstract Objectives Older adults in the United States are at greater risk for tooth loss and malnutrition than those younger than 65 years. Prior research regarding associations between dentition status and nutritional status in older adults is heterogeneous. The primary aim of this study was to explore associations between dentition status and nutritional status in older adults. Methods This was a retrospective, cross-sectional study of data from older adults (65–89 years) who received care at the Rutgers School of Dental Medicine clinics between June 1, 2015 and June 1, 2020. Nutritional status was determined using Self Mini Nutritional Assessment (Self-MNA). Records were included if they had complete odontogram and Self-MNA data. Spearman rank correlation was performed to analyze the relationships between Self-MNA scores and number of teeth. Chi-square, Fisher's Exact, and Kruskal-Wallis tests were used to examine the associations between nutritional status category, number of remaining teeth categories, and presence of functional dentition defined as ≥21 teeth. Results Of the 305 records available, 53.8% were female. The median Self-MNA score was 13, indicative of normal nutritional status; 93.1% of the sample had some tooth loss (mean ± SD = 16.7 ± 8.8 teeth). Those who were at risk for or who had malnutrition had fewer teeth (P = 0.02) than those with normal nutritional status. Those with 20–28 teeth or functional dentition were significantly more likely to be of normal nutritional status (P = 0.02 and P = 0.03, respectively) than to be at risk of or have malnutrition, compared to those with fewer teeth. Those with fewer than 20 teeth had significantly lower Self-MNA scores than those with 20 or more teeth (P = 0.02). Conclusions Older adults who were at risk of or who had malnutrition had fewer teeth than those with normal nutritional status. Those with functional dentition were more likely to have a normal nutritional status than those without functional dentition. Future research in larger more diverse samples is needed to better understand the associations between dentition status and nutritional status. Funding Sources None

scholarly journals Nutrition Mediates the Relationship between Osteosarcopenia and Frailty: A Pathway Analysis

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2957 ◽  
Author(s):  
Justin Chew ◽  
Audrey Yeo ◽  
Suzanne Yew ◽  
Cai Ning Tan ◽  
Jun Pei Lim ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Pathway Analysis ◽  
Nutritional Assessment ◽  
Handgrip Strength ◽  
Mini Nutritional Assessment ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Effect Estimate ◽  
Increased Risk ◽  
The Relationship

Osteosarcopenia is associated with increased risk of adverse outcomes such as falls and fractures. Its association with frailty is less well-described, particularly in independent community-dwelling older adults. Although nutrition plays a crucial role in maintaining bone and muscle health, the complex relationship between osteosarcopenia and nutrition in the pathogenesis of frailty remains to be elucidated. In this cross-sectional analysis of 230 independent, community-dwelling individuals (mean age 67.2 ± 7.4 years), we examined the associations between osteosarcopenia with nutritional status and frailty, and the mediating role of nutrition in the association between osteosarcopenia and frailty. Osteosarcopenia was defined as fulfilling both the Asian Working Group for Sarcopenia 2019 consensus definition (low relative appendicular skeletal muscle mass adjusted for height, in the presence of either of either low handgrip strength or slow gait speed) and T-score ≤ −2.5 SD on bone mineral densitometry. We assessed frailty using the modified Fried criteria and nutrition using the Mini-Nutritional Assessment. We performed multiple linear regression, followed by pathway analysis to ascertain whether nutrition mediates the relationship between osteosarcopenia and frailty. Our study population comprised: 27 (11.7%) osteosarcopenic, 35 (15.2%) sarcopenic, 36 (15.7%) osteoporotic and 132 (57.4%) normal (neither osteosarcopenic, sarcopenic nor osteoporotic). Osteosarcopenia (β = 1.1, 95% CI 0.86–1.4) and sarcopenia (β = 1.1, 95% CI 0.90–1.4) were significantly associated with frailty, but not osteoporosis. Nutrition mediated the association between osteosarcopenia and frailty (indirect effect estimate 0.09, bootstrap 95% CI 0.01–0.22). In conclusion, osteosarcopenia is associated with frailty and poorer nutritional status, with nutrition mediating the association between osteosarcopenia and frailty. Our findings support early nutritional assessment and intervention in osteosarcopenia to mitigate the risk of frailty.

scholarly journals Hubungan antara Jumlah Kehilangan Gigi dengan Status Gizi pada Lansia di Desa Kolongan Atas II Kecamatan Sonder

e-GIGI ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Charlene Pioh ◽  
Krista V. Siagian ◽  
Lydia Tendean
Keyword(s):  
Nutritional Status ◽  
Tooth Loss ◽  
Sampling Method ◽  
Nutrient Status ◽  
The Elderly ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship

Abstract: Tooth loss is commonly found among elderly and have bad impact on the TMJ, mastication, aesthetics as well as speech function. Due to mastication disorder, the elderly tend to choose certain food which influences their nutritional status. This study was aimed to obtain the relationship between tooth loss and nutritional status based on BMI among the elderly at Kolongan Atas II, Sonder. This was an analytical descriptive study with a cross-sectional design. Population included elderly aged 60-65 years old at Kolongan Atas II, Sonder. Samples were obtained by using total sampling method. The results showed that there were 30 elderlies that fulfilled the inclusion criteria. Tooth loss more than ten teeth was most common among elderly with normal nutritional status followed by those with overweight. Meanwhile, there was no elderly with underweight. The relationship between the tooth loss and nutritional status was tested with the chi-square which resulted in P value of 0.597. Conclusion: There was no significant relationship between tooth loss and nutritional status among elderly at Kolongan Atas II, Sonder. The elderlies were advised to pay attention to their nutritional status and to use dentures for replacement of their missing teeth.Keywords: tooth loss, nutrient status, elderly Abstrak: Pada masa lansia sering terjadi kehilangan gigi yang menyebabkan gangguan TMJ, pengunyahan, estetik, dan fungsi bicara. Gangguan pengunyahan pada lansia menyebabkan kecenderungan memilih makanan tertentu yang dapat memengaruhi status gizi. Penelitian ini bertujuan untuk mengetahui hubungan antara kehilangan gigi dengan status gizi berdasarkan IMT pada lansia di Desa Kolongan Atas II Kecamatan Sonder. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Populasi penelitian ialah lansia berusia 60-65 tahun di Desa Kolongan Atas II Kecamatan Sonder sedangkan sampel diperoleh menggunakan metode total sampling. Hasil penelitian mendapatkan sebanyak 30 responden yang memenuhi kriteria inklusi. Kehilangan gigi >10 gigi terbanyak pada lansia dengan gizi normal diikuti dengan gizi lebih. Tidak didapatkan lansia dengan gizi kurang. Hubungan antara kehilangan gigi dengan status gizi berdasarkan IMT diuji dengan uji chi square dan mendapatkan nilai P=0,597. Simpulan: Tidak terdapat hubungan bermakna antara kehilangan gigi dengan status gizi pada lansia di Desa Kolongan Atas II Kecamatan Sonder. Disarankan agar para lansia untuk tetap memperhatikan asupan makanan agar dapat mempertahankan status gizi yang baik dan menggunakan gigi tiruan sebagai pengganti gigi yang hilang.Kata kunci: kehilangan gigi, status gizi, lansia

The Relationship Between Texture Responses on the Rorschach and Adult Attachment

2010 ◽  
Vol 31 (1) ◽  
pp. 4-21 ◽  
Author(s):  
Kazunori Iwasa ◽  
Toshiki Ogawa
Keyword(s):  
Graduate Students ◽  
Adult Attachment ◽  
Japanese Population ◽  
Attachment Anxiety ◽  
Anxiety Scale ◽  
Self Report ◽  
Comprehensive System ◽  
Attachment Avoidance ◽  
Sensitive Measure ◽  
The Relationship

We examined the relationship between texture responses (T) on the Rorschach and adult attachment in the Japanese population. 47 Japanese undergraduate and graduate students (mean age = 20.16, SD = 1.87) completed a self-report adult attachment scale as well as the Rorschach. An ANOVA revealed that T = 1 participants were attached more securely than were other groups. T > 1 participants were more preoccupied with attachment and scored higher on an attachment anxiety scale than the T = 1 group. Although these results were consistent with the interpretation of the texture response according to the Comprehensive System (CS), the results obtained for T = 0 participants were inconsistent with hypotheses derived from the CS. T = 0 participants were high on preoccupied and attachment anxiety scores, although they were theoretically expected to be high on dismissing or attachment avoidance. These results indicated that – at least in Japan – T should be regarded as a sensitive measure of attachment anxiety.

The Relationship between Nutritional Knowledge and Attitudes toward Food Intake and Nutritional Status of People with HIVAIDS

2019 ◽  
Vol 22 (11) ◽  
pp. 213-223
Author(s):  
Meirina Dwi Larasati ◽  
Nurul Dwi Anggriyani ◽  
Susi Tursilowati ◽  
Ria Ambarwati ◽  
Yuniarti Yuniarti
Keyword(s):  
Food Intake ◽  
Nutritional Status ◽  
Nutritional Knowledge ◽  
Knowledge And Attitudes ◽  
The Relationship

scholarly journals Older age, smoking, tooth loss and denture-wearing but neither xerostomia nor salivary gland hypofunction are associated with low intakes of fruit and vegetables in older Danish adults

2021 ◽  
Vol 10 ◽  
Author(s):  
Anne Marie Lynge Pedersen ◽  
Anja Weirsøe Dynesen ◽  
Berit Lilienthal Heitmann
Keyword(s):  
Salivary Gland ◽  
Tooth Loss ◽  
Vegetable Intake ◽  
Community Dwelling ◽  
Older Age ◽  
Fruit And Vegetables ◽  
Fruit And Vegetable ◽  
Flow Rates ◽  
Whole Saliva ◽  
Salivary Gland Hypofunction

Abstract Xerostomia and salivary gland hypofunction are prevalent conditions in older people and may adversely influence the intake of certain foods, notably fruit and vegetables. Here, we aimed to investigate whether xerostomia and salivary gland hypofunction were associated with a lower intake of fruit and vegetables. The study included 621 community-dwelling adults, mean age 75⋅2 ± 6⋅4 years, 58⋅9 % female, who had participated in the Copenhagen City Heart Study follow-up, and undergone interviews regarding food intake (preceding month), oral and general health (xerostomia, taste alterations, diseases, medication, alcohol consumption and smoking), clinical oral examination and measurements of unstimulated and chewing-stimulated whole saliva flow rates. The average total energy intake (8⋅4 ± 2⋅7 MJ) and protein energy percentage (14⋅8 ± 3⋅1 %) were slightly below recommendations. The average fruit (234⋅7 ± 201⋅2 g/d) and vegetables (317⋅3 ± 157⋅4 g/d) intakes were within recommendations. Xerostomia and hyposalivation were more prevalent in women than in men (16⋅4 v. 7⋅1 %, P < 0⋅001 and 40⋅7 v. 27⋅5 %, P < 0⋅001). Multiple linear regression analyses revealed that older age (β −0⋅009, se 0⋅003, P = 0⋅005), smoking (β −0⋅212, se 0⋅060, P = 0⋅0005) and wearing complete dentures/being partially or fully edentulous (β −0⋅141, se 0⋅048, P = 0⋅003), but neither xerostomia nor salivary flow rates were associated with an inadequate fruit and vegetable intake, after adjustment for covariates. Older age, smoking, tooth loss and denture-wearing were stronger determinants of low fruit and vegetable intakes than xerostomia and salivary hypofunction supporting the importance of dietary counselling and maintenance of oral health and an adequate masticatory performance.

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