scholarly journals The association of oral function with dietary intake and nutritional status among older adults: Latest evidence from epidemiological studies

2021 ◽  
Vol 57 ◽  
pp. 128-137
Author(s):  
Masanori Iwasaki ◽  
Hirohiko Hirano ◽  
Yuki Ohara ◽  
Keiko Motokawa
Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2608
Author(s):  
Elisabeth L. P. Sattler ◽  
Yuta Ishikawa ◽  
Rupal Trivedi-Kapoor ◽  
Donglan Zhang ◽  
Arshed A. Quyyumi ◽  
...  

The objective of this study was to examine the association between nutritional status and dietary intake in community-dwelling older adults with heart failure (HF). A cross-sectional analysis of NHANES III data was conducted. The analytic sample was comprised of n = 445 individuals aged 50+ years with congestive HF (54.4% male, 22.9% non-Hispanic Black, 43.8% low-income). Nutritional status was measured using the Prognostic Nutritional Index (PNI). Participants were classified by PNI quintiles with lower PNI scores indicating lower nutritional status. Participants in quintile 5 showed significantly greater intakes of energy, protein, vegetables, magnesium, zinc, copper, potassium, red meat, saturated fat, and sodium. In multivariate analyses, increased intake of red meat (β = 0.253, p = 0.040) and vegetables (β = 0.255, p = 0.038) was associated with significantly better nutritional status. In the absence of comprehensive nutritional guidance for HF patients, it appears that small increases in energy, protein (red meat), and vegetable consumption are associated with improved nutritional status.


2017 ◽  
Vol 3 ◽  
pp. 233372141770685 ◽  
Author(s):  
Tomoko Shimoda ◽  
Teppei Suzuki ◽  
Noriko Takahashi ◽  
Kaori Tsutsumi ◽  
Mina Samukawa ◽  
...  

Lifestyle diseases, which are associated with nutrition, account for 30% of elderly requiring long-term care. To increase health expectancy among Japan’s rapidly aging population, we investigated the nutritional status and body composition of elderly adults living in a region subject to heavy snowfall, to identify pertinent health indicators. The dietary habits of 288 local residents aged ≥50 years were analyzed using body composition and a brief-type self-administered diet history questionnaire. Body mass index of all residents was normal. Basal metabolic rate (BMR) and muscle mass were reduced in the older group. Dietary habits did not differ with age among men, but older women had significantly higher dietary intake. BMR and muscle mass declined with age, even when dietary intake was sustained. Despite sufficient dietary intake, independently living older adults demonstrate less efficient use of food with age. Interventions to reduce excessive sodium and protein intake are required.


2021 ◽  
pp. 19-30
Author(s):  
Anne Marie Beck ◽  
Mette Holst

AbstractThe purpose of this chapter is to describe the nutritional recommendations for older adults and change in requirements with age and disease. Key factors influencing nutritional requirements, dietary intake, and nutritional status in old adults will be described, including specific nuances for geriatric and orthogeriatric patients.


Gerodontology ◽  
2021 ◽  
Author(s):  
Nanami Sawada ◽  
Noriko Takeuchi ◽  
Daisuke Ekuni ◽  
Manabu Morita

Gerodontology ◽  
2019 ◽  
Vol 36 (3) ◽  
pp. 276-284 ◽  
Author(s):  
Piyada Gaewkhiew ◽  
Wael Sabbah ◽  
Eduardo Bernabé

2021 ◽  
pp. 1-33
Author(s):  
T. Madeira ◽  
M. Severo ◽  
D. Correia ◽  
C. Lopes ◽  
J. Gorjão Clara

Abstract Malnutrition (synonym: undernutrition) is prevalent among older adults, which may be partly related to changes in dietary intake, but evidence on the link between malnutrition and diet is scarce. The aims of this study were to estimate the association between energy/nutrients intake and malnutrition, and to characterise nutritional inadequacy in institutionalised and non-institutionalised older adults. A national survey was conducted including a Portuguese representative sample of nursing home (NH) residents (n=563) and community-dwellers (n=837) aged ≥ 65. Data included sociodemographic characteristics, self-reported health, loneliness feelings, nutritional status (Mini Nutritional Assessment®), and dietary intake (two non-consecutive 24-hour recalls). A higher energy intake was associated with lower odds of malnutrition risk (being ‘at risk of malnutrition’ or ‘malnourished’) in both settings, but only significant among NH residents after adjusting for confounders (NH: odds ratio [OR]=0.66, 95% confidence interval [CI] 0.50, 0.86; community: OR=0.64, 95% CI 0.37, 1.10). The intake of carbohydrates, fat, fibre, vitamin C, sodium, and potassium was inversely associated with malnutrition risk in NH residents; as well as protein, fat, vitamin B6, folates, sodium, potassium, calcium, and magnesium intake in community-dwellers. After additional adjustment for total energy only sodium and magnesium intake of community-dwellers remained significantly associated. The prevalence of inadequate nutrient intake was generally higher for the malnutrition risk group, which was particularly evident among community-dwellers. The effect of dietary intake on nutritional status seems more dependent on total energy and carbohydrates intake in institutionalised elders, whereas among community-dwellers protein and some micronutrients appear to have a greater impact.


2018 ◽  
Vol 21 (10) ◽  
pp. 1886-1903 ◽  
Author(s):  
Eva Kiesswetter ◽  
Eleonora Poggiogalle ◽  
Siliva Migliaccio ◽  
Lorenzo Maria Donini ◽  
Claire Sulmont-Rossé ◽  
...  

AbstractObjectiveThe identification of determinants of dietary intake is an important prerequisite for the development of interventions to improve diet. The present systematic literature review aimed to compile the current knowledge on individual functional determinants of dietary intake in community-dwelling older adults.DesignA systematic search was performed in PubMed, Scopus, Web of Science and the Cochrane Library. Titles, abstracts and full texts were screened according to predefined inclusion and exclusion criteria. Studies were included when focusing on dietary intake as an outcome and on chemosensory, oral, cognitive or physical function as a determinant.SettingCommunity.SubjectsOlder adults at least 65 years old without acute or specific chronic diseases.ResultsFrom initially 14 585 potentially relevant papers, thirty-six were included. For chemosensory, cognitive and physical function only a few papers were found, which reported inconsistent results regarding the relationship to dietary intake. In contrast, oral function was extensively studied (n31). Different surrogates of oral function like dental status, number of teeth, bite force or chewing problems were associated with food as well as nutrient intakes including fibre. As all except six studies had a cross-sectional design, no causal relationships could be derived.ConclusionsAmong functional determinants of dietary intake oral factors are well documented in older adults, whereas the role of other functional determinants remains unclear and needs further systematic research.


2020 ◽  
pp. 1-10
Author(s):  
N. S. Nazri ◽  
D. Vanoh ◽  
S. K. Leng

Abstract Low socio-economic status (SES) is often associated with various health-related problems. Therefore, the present paper aims to review the available literature to identify the prevalence of malnutrition, prevalence of poor diet quality and its associated risk factors among older adults with low SES. A literature search was performed using four databases, namely PubMed, Google Scholar, Springer and Science Direct. The search terms used were ‘diet quality’, ‘nutritional status’, ‘dietary intake’, ‘overweight’, ‘obesity’, ‘underweight’, ‘older people’ and ‘low socioeconomic status (SES)’. The overall prevalence of undernutrition among older adults with low SES worldwide was in the range of 28·9 to 48 %, while overnutrition was reported to be between 8·1 to 28·2 %. In Asia, the prevalence of undernourished older adults ranged from 3 to 64·9 %, while 2·5 to 32·8 % were overnourished. Most of the studies (60 %) included in the present review used BMI as the tool to identify malnutrition, but none of the nutritional screening tools were considered to be the ‘gold standard’. For dietary assessment, FFQ and multiple 24 h dietary recall improved the estimation of individual dietary intake. Risk factors for poor diet quality included financial hardship, functional limitation, sex, place of residence, smoking and oral health. Poor nutritional status, especially lack of good-quality diet, and thinness are prevalent among older adults with low SES. Hence, it is important to establish nutrition-related programmes and intervention studies among this group of individuals for improving their health status and quality of life.


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