Association between oral health status and nutritional status in south Brazilian independent-living older people

Nutrition ◽  
2008 ◽  
Vol 24 (6) ◽  
pp. 546-553 ◽  
Author(s):  
Renato José De Marchi ◽  
Fernando Neves Hugo ◽  
Juliana Balbinot Hilgert ◽  
Dalva Maria Pereira Padilha
2013 ◽  
Vol 9 (4) ◽  
pp. 188
Author(s):  
Dian Isti Angraini ◽  
Al Supartinah ◽  
Deddy Nur Wachid

Background: Oral health status and dietary intake contribute to nutritional status in elderly. Missing teeth cause chewing disorder that reduces quality and quantity of food intake, which finally makes the elderly have underweight nutritional status.Objective: To determine the risk factors for underweight in the elderly at Yogyakarta Municipality.Method: The study was observational with case control design on elderly at Yogyakarta Municipality. Subjects consisted of 210 elderly matched in age and gender. Sampling was done by multistage random sampling. Oral health status was assessed through dental health status (index of missing teeth) and periodontal status (gingival index, periodontal index and oral hygiene index), dietary intake was collected by using semi quantitative food frequency questionnaire (SQ-FFQ) and underweight nutritional status was based on body mass armspan (BMA). Data were analyzed by using tests of X2 Mc.Nemar, X2 Stuart Maxwell, and conditional logistic regression.Results: Bivariate analysis showed the number of missing teeth ≥ 21 (OR=3.67, p<0.05) and 16-20 (OR=3.53, p<0.05) as risk factors of underweight, whereas the gingival index, periodontal index and oral hygiene index were not. Less intake of energy (OR=6.3), protein (OR=7.83), fat (OR=5.67) and carbohydrates (OR=7.5) were risk factors of underweight (p<0.01). Income less than Rp 808.000,00 was also risk factor for underweight (OR=4.5; p<0.01). Multivariate analysis showed the significant risk factors for underweight were the missing teeth ≥ 21 (OR=8.76) and 16-20 (OR=6.04) which increased by income less than Rp 808.000,00 (OR=5.94), less fat intake (OR=4.88), and less carbohydrate intake (OR=5.48). Income was confounding factor in the risk of missing teeth and protein intake for becoming underweight.Conclusion: Significant risk factors of underweight in elderly were missing teeth ≥ 16, less intake of fat and carbohydrate, and income less than Rp 808.000,00.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Aakriti Gupta ◽  
Umesh Kapil

Abstract Objectives Poor oral health status has been suggested to negatively impact the food selection leading to malnutrition. There is lack of evidence on the association of oral health and nutritional status amongst elderly subjects in India. The present study was undertaken to assess the association of oral health and nutritional status amongst elderly subjects in India. Methods A community based cross-sectional study was conducted during 2015–2016 in District Nainital, Uttarakhand state, India. A total of 1003 elderly population were enrolled from 30 clusters (villages) identified by using population proportionate to size sampling methodology. Information on socio demographic profile and anthropometric measurements was collected. Body mass index and Mini Nutritional Assessment (MNA) scale was calculated for assessment of nutritional status. A trained professional assessed the oral health status through physical examination. Dietary intake data were collected using 24 h dietary recall methodology. Results We found that the prevalence of complete edentulism was 11%. Use of dentures was reported amongst only 9.6% subjects who were completely edentulous. Prevalence of underweight and malnutrition was significantly higher amongst subjects with complete loss of teeth, who were suffering with chewing problems and who did not wear dentures as compared to others. Subjects who wore dentures had significantly lower prevalence of malnutrition as compared to the subjects who did not wear dentures. The 24 hour dietary recall found that nutrient intake of macronutrients such as energy, protein, fat (all P < 0.05) and micronutrients such as calcium and riboflavin (all P < 0.01) were significantly higher in subjects who used rehabilitative measures through use of dentures as compared to those who did not wear dentures. Conclusions We found that the poor oral health status of the elderly subjects resulted in poor nutritional status amongst them. The present study will help the dentists in educating the elderly about the importance of maintaining adequate oral health status for achieving optimal nutritional and weight status. In addition, improvement in primary as well as rehabilitative dental care services and oralhealth care assess by the dentists will prove to be an effective measure in improving the nutritional status of the elderly. Funding Sources Not Applicable.


BDJ ◽  
2015 ◽  
Vol 219 (7) ◽  
pp. 331-334 ◽  
Author(s):  
A. J. Karki ◽  
N. Monaghan ◽  
M. Morgan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan Antonio Ruiz-Roca ◽  
Dora Martín Fuentes ◽  
Francisco J. Gómez García ◽  
Yolanda Martínez-Beneyto

Abstract Background Older patients who spend long periods hospitalized or those who are in a situation of institutionalization represent a risk group in this regard, as many of them suffer a degree of dependence and need help to perform the basic tasks of personal care. It is therefore important to learn more of the oral health status of this group of patients in order to make a proper assessment of the situation and to develop protocols for its management. The purpose of the study was to conduct a systematic review to ascertain the oral health status of older people patients admitted to institutions or hospitalized for a long period of time. Methods a systematic review of the literature published in two different databases (PubMed, Embase and Cochrane Library) was carried out, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or hospital center for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were evaluated in some way. The selected articles were subjected to a thorough analysis. Results The search strategy covered 1.014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was, a sample of 773 patients most of them were women with an average age older than 70 years old. Conclusions The oral health of patients aged more than 65 is worse than that of the rest population. Long hospital stays or being institutionalized in a residence makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programs for the personnel responsible.


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