scholarly journals Associations Between Dental Occlusion and Nutritional Status in Community-Dwelling Older Adults (P01-017-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rena Zelig ◽  
Joachim Sackey ◽  
Nevil Parikh ◽  
Eileen Hoskin ◽  
Steven Singer ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Dental Occlusion ◽  
York Academy ◽  
Tooth Number ◽  
The Mean ◽  
Community Dwelling Older Adults

Abstract Objectives This study explored associations between dental occlusion and nutritional status in community dwelling older adults. Methods This cross-sectional study utilized data from electronic health records (EHR) of new patients (>65 years), who presented for care at the Rutgers School of Dental Medicine between June 1, 2015 and June 30, 2018. The self-administered Mini Nutritional Assessment (Self-MNA) score (as a measure of nutritional status), clinical and demographic information were obtained from the EHR. Tooth number and location were recorded based on odontogram and digital radiographs. Spearman's rho, Kruskal-Wallis, and Chi Square tests were used to explore relationships between variables. Results Of the 238 records reviewed, complete data (MNA score, tooth number and location) were available for 140 (58.8%). The mean age of participants was 72.78 years (SD = 5.58); 55% were female. The mean MNA score was 12.15 (SD = 2.14); 24.3% were at risk for malnutrition, and 5% were malnourished. The mean number of teeth (excluding 3rd molars) was 17.01 (SD = 8.72); 21.4% had 0–9 teeth, 30% had 10–19 teeth, and 48.6% had 20–28 teeth. Thirty-five % had no posterior occlusion (POP); 27.1% had no anterior occlusion (AOP). MNA score was weakly but significantly correlated with number of POP (r = 0.21, P = 0.02). Those with 10–19 teeth had significantly lower MNA scores then those with 20 or more teeth (P = 0.003). Being at risk of malnutrition or malnourished was associated with having 10–19 teeth, while normal nutritional status was associated with having 20 or more teeth (P = 0.02). Conclusions In this sample of older adults, those with 10–19 teeth were more likely to be at risk of malnutrition or malnourished. Similarly, as number of POP decreased, MNA score decreased. Research utilizing a larger sample to further explore the relationships between tooth loss and nutritional status is warranted. Funding Sources Sackler Institute for Nutritional Sciences, New York Academy of Science.

scholarly journals Malnutrition and obesity in community-dwelling older adults: concomitant conditions? (PEN-3S study)

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Teresa Madeira ◽  
Catarina Peixoto-Plácido ◽  
Nuno Sousa-Santos ◽  
Nuno Mendonça ◽  
Osvaldo Santos ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Screening Tools ◽  
World Health ◽  
Anthropometric Measures ◽  
Community Dwelling Older Adults

AbstractBoth malnutrition (which here refers to undernutrition) and obesity are prevalent in older adults, but they are frequently seen as mutually exclusive. In fact, a low body mass index (BMI) is one of the aetiological diagnostic criteria for malnutrition. On the contrary, the concomitant presence of malnutrition and obesity has been less studied. The aim of this study was to characterise the nutritional status of community-dwelling older adults (≥ 65 years old) living in Portugal. The study included a nationally representative sample of randomly selected community-dwelling older adults. Trained nutritionists collected data through face-to-face structured interviews regarding sociodemographic characteristics, nutritional status and anthropometric measures (namely, weight and height), among other variables of the PEN-3S study. Nutritional status was assessed by the 18-item Mini Nutritional Assessment (full MNA®), in which a lower score indicates worse nutritional status. The World Health Organisation's (WHO) BMI cut-offs for adults were followed (obesity: BMI ≥ 30Kg/m2). MNA and BMI categories estimates (95% CI) were obtained using Complex Samples analysis (SPSS® 24.0). Non-difference between sexes was analysed with Chi-square tests. Complete information was available for 1110 community-dwelling participants (mean age: 75.9 ± 8.1 years; 48.9% women; 71.4% attended school for < 5 years). According to the MNA, 0.5% (95%CI: 0.2–1.7) were classified as malnourished and 16.0% (12.9–19.7) were at risk of malnutrition. Following WHO's BMI criteria, 0.6% (0.2–1.5) had a BMI ≤ 18.5Kg/m2, 41.9% (37.9–46.0) had a BMI between 25–30Kg/m2, and 36.7% (32.8–40.9) presented a BMI ≥ 30Kg/m2. The prevalence of risk of malnutrition was significantly higher for women (20.1%, 95%CI: 15.4–25.9) than men (10.4%, 7.6–14.1; p < 0.001). The prevalence of obesity was also significantly higher for women (42.2%, 35.9–48.7 versus 29.3%, 24.8–34.2; p = 0.007). Moreover, 13.9% (9.2–20.4) were simultaneously at risk of malnutrition and had a BMI ≥ 30Kg/m2, while no one in this BMI category was classified as malnourished. Although appropriate BMI cut-offs for older adults are still uncertain, these results highlight that a high BMI does not exclude the risk of malnutrition, particularly in women. Therefore, health professionals should routinely screen for malnutrition using multi-component, validated screening tools, irrespective of the BMI. In fact, malnutrition is preventable if detected on time and effective interventions exist. The concomitant presence of malnutrition and obesity may pose additional challenges to the treatment.

scholarly journals Association between Nutritional Status Determined By Mini Nutritional Assessment and Serum Marker Levels in Older Adults at Eldercare Facilities

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Angel G Hilerio Lopez
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Serum Marker ◽  
Cross Sectional ◽  
Mean Values ◽  
Significant Difference ◽  
The Mean

Malnutrition in the older adult is an ongoing situation in Mexico and is most apparent in individuals that reside in hospitals, nursing homes, and retirement homes. For that reason, it is necessary to evaluate the nutritional status of these adults by means of the Mini Nutritional Assessment (MNA) and levels of three serum indicators that are commonly ordered when making malnutrition diagnosis. An analytical cross-sectional study was carried out on 100 older adults residing in eldercare facilities. Nutritional status was evaluated by means of the MNA and three serum indicators (albumin, ferritin, and hemoglobin). Descriptive statistics were used to analyze sociodemographic characteristics, and a Student’s t test, based on gender and reference values, was used to compare mean values of the three serum indicators.  A Chi-square test was used to compare proportions in individuals, based on gender, who had normal nutritional status or were malnourished, and who were at-risk of malnutrition.  A One-way ANOVA with Scheffé post hoc test was used to identify the association between serum indicators and nutritional status of older adults. Of the 100 older adults studied, 53% were men and 47% were women. The mean age was 85±0.7 years. According to the MNA, 20% had normal nutritional status, 55% were at-risk of malnutrition, and 25% were malnourished. The mean indicator values were: albumin 4.7±0.04 g/dL, ferritin 74.2±8.7 ng/mL, and hemoglobin 13.0±0.1 g/dL. No significant association was found between serum indicators and each MNA classification; however, when the same indicators were compared between the sexes, hemoglobin showed a significant difference (P=0.037). Women had lower values but those values did not extend beyond the established physiological range for this population. There was a 55% prevalence of risk of malnutrition in the nutritional status of older adults living in Mexican eldercare facilities in a Mexican province and it was even more frequent in women. 

scholarly journals Malnutrition in older adults on financial assistance in an urban Asian country: a mixed methods study

2013 ◽  
Vol 17 (12) ◽  
pp. 2834-2843 ◽  
Author(s):  
Yu Xuan Koo ◽  
Min Li Kang ◽  
Angie Auyong ◽  
Glen Zq Liau ◽  
Jeremy Hoe ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Food Services ◽  
Adequate Nutrition ◽  
Depression Risk ◽  
Co Morbidity

AbstractObjectiveThe objectives of the present study were to assess the nutritional status, identify factors for malnutrition risk and evaluate barriers to adequate nutrition among recipients of the Public Assistance (PA) scheme for socio-economically disadvantaged Singaporeans.DesignUsing a cross-sectional study design, we assessed PA recipients’ malnutrition risk using the DETERMINE Nutritional Health checklist and the full Mini-Nutritional Assessment (MNA), as well as their nutritional knowledge, co-morbidity burden, depression risk, instrumental and basic activities of daily living (IADL and BADL), and awareness and utilization of available food services. In-depth interviews were also conducted on malnourished individuals (MNA score < 17) to understand barriers to adequate nutrition.SettingHomes of community-living older adults and nursing homes of institutionalized older adults.SubjectsAll PA recipients aged ≥55 years in Central Singapore District.ResultsFour hundred and sixty-five of 511 (91·0 %) eligible PA recipients participated in the study. The prevalence of malnutrition in the study population was 2·8 %. However, 50·3 % were at risk of malnutrition. Among community-dwelling respondents, the risk of malnutrition was independently associated with age >75 years, currently unmarried, BADL impairment, depression risk and BMI < 19·0 kg/m2. Qualitative analysis revealed that financial, social and physical barriers and lack of knowledge were the main contributors to poor nutritional status. Only half were aware of subsidized food services and education increased interest in utilizing food services. Among nursing home respondents, those who were BADL impaired were more likely to be at risk of malnutrition.ConclusionsAmong PA recipients, the prevalence of malnutrition is low but the risk of malnutrition is high. Education on adequate nutrition and food services are recommended.

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 MODIFICATION OF THE MNA-SF FOR COMMUNITY-DWELLING OLDER ADULTS AT RISK OF MALNUTRITION

2017 ◽  
pp. 1-7
Author(s):  
I. Nakamura ◽  
T. Yoshida ◽  
H. Kumagai
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Roc Curve ◽  
Short Form ◽  
Risk Index ◽  
Community Dwelling ◽  
Long Term Study ◽  
Nutritional Risk Index ◽  
Community Dwelling Older Adults

Objectives: The Mini-Nutritional Assessment Short Form (MNA-SF) may be insufficient for screening and assessing the nutritional status of community-dwelling older adults. We modified MNA-SF to improve the ability for discriminating those at risk of malnutrition. Setting and participants: 123 community-dwelling elderly Japanese. Methods: Nutritional status was examined by the subjective global assessment (SGA), the geriatric nutritional risk index (GNRI) and MNA-SF. The reference standard for the diagnosis of “at risk of malnutrition” was composed from the SGA and GNRI. Specific factors associated with malnutrition in community-dwelling older adults were extracted from a literature survey and classified by a principal component analysis. A new 8-item MNA-home was constructed by adding two items from these components to the MNA-SF and compared with the MNA-SF by applying a receiver operating characteristic (ROC) curve. Results: Among the various potential MNA-home scores, the ROC curve revealed that the MNA-SF plus two items, namely an inability to prepare own meals and no motivation to go out, produced the largest area under the curve (AUC), this value being greater than that from the MNA-SF. The score of MNA-home was significantly correlated with serum albumin and hemoglobin, although the score of MNA-SF was not. The cutoff value for predicting at risk of malnutrition was <14 in the MNA-home. Conclusion: The new MNA-home had a better discriminating ability than the MNA-SF to identify those at risk of malnutrition in community-dwelling older adults. A subsequent long-term study is necessary to validate this MNA-home for correctly discriminating community-dwelling older adults at risk of malnutrition.

scholarly journals DENTITION AND MALNUTRITION RISK IN COMMUNITYDWELLING OLDER ADULTS

2018 ◽  
pp. 1-8
Author(s):  
R. Zelig ◽  
L. Byham-Gray ◽  
S.R. Singer ◽  
E.R. Hoskin ◽  
A. Fleisch Marcus ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Impact

Background and Objective: Older adults are at risk for both impaired oral health and suboptimal nutritional status. The objective of this study was to explore the relationships between malnutrition risk and missing teeth in community-dwelling older adults. Design: This was a retrospective cross-sectional analysis of data obtained from the electronic health records of 107 patients aged 65 and older who attended an urban northeast US dental school clinic between June 1, 2015 and July 15, 2016. Odontograms and radiographs were used to identify teeth numbers and locations; malnutrition risk was calculated using the Self-Mini Nutritional Assessment (Self-MNA). Relationships between numbers of teeth and malnutrition risk were assessed using bivariate logistic regression. Results: Participants (N=107) were 72.6 years (SD=5.6) of age; 50.5% were female. Mean Self-MNA score was 12.3 (SD=2.0) reflective of normal nutrition status; 20.6% were at risk for malnutrition, 4.7% were malnourished. Greater than 87% were partially or completely edentulous. Those with 10-19 teeth had lower Self-MNA scores (mean=11.6, SD=2.5) than those with 0-9 teeth (mean=12.7, SD=1.3) or 20 or more teeth (mean=12.6, SD=1.8) and had an increased risk for malnutrition (OR=2.5, p=0.076). Conclusion: The majority of this sample of older adults were partially edentulous and of normal nutritional status. Those with 10-19 teeth were more likely to be at risk for malnutrition. Further studies are needed to examine relationships between tooth loss and malnutrition risk and the impact of impaired dentition on the eating experience in a larger sample and to inform clinical practice.

scholarly journals Use of Mini Nutritional Assessment (MNA®) as a Nutritional Screening Tool among Urban Older Adults in Pasay City, Philippines

2018 ◽  
Vol 52 (3) ◽  
Author(s):  
Ernani R. Bullecer ◽  
Maribel M. Develos
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
At Risk ◽  
Nutritional Status ◽  
Body Mass ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Urban Setting ◽  
Full Form

Objective. This study has been conducted to determine the prevalence of malnutrition and nutritionally-at-risk community-dwelling older adults in an urban setting through the use of Mini Nutritional Assessment (MNA®). Methods. A cross-sectional survey was done among older adults in Barangay Sto. Niño, an urban poor community in Pasay City, Metro Manila to determine the prevalence of malnutrition and older adults using the short and full form of the Mini Nutritional Assessment (MNA®). Anthropometric assessment was done to determine body mass index as well as physical examination to determine presence of nutrient deficiencies. Results. Using the Asia Pacific cut-off for BMI, it can be noted that 16.5% were classified as underweight. On the other hand, results of the MNA® short form screening showed that less than half (42.6%) of the study respondents have normal nutritional status. Majority of the respondents were either malnourished (14.8%) or at risk of malnutrition (42.6%). Moreover, results of the Full MNA® form showed that almost half of the study respondents were either malnourished (8.2%) or at risk of malnutrition (39.3%). The rest of the study respondents were classified as having normal nutritional status (52.5%). Conclusion. As compared to Body Mass Index, which can only identify prevalence of malnutrition, the MNA®, both short and full form, was not only able to identify malnourished and nutritionally-at-risk older adult as well as provide variables that may screen for possible causes of malnutrition. This is necessary and relevant for timely nutrition intervention for improved nutritional outcome among older adults.

Associations between Dentition Status and Nutritional Status in Community-Dwelling Older Adults

2022 ◽  
pp. 238008442110638
Author(s):  
S. Honeywell ◽  
H. Samavat ◽  
R. Touger-Decker ◽  
J.S. Parrott ◽  
E. Hoskin ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Health Care Professionals ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Routine Practice ◽  
Lower Odds ◽  
Functional Dentition

Background/Objective: Older adults are at higher risk of malnutrition. The aim of this study was to explore associations between nutritional status and dentition status among older adults seeking care in a dental clinic. Methods: This was a cross-sectional study of data from older adults (65–89 y) who received care at a northeastern US urban dental school clinic between June 2015 and June 2020 (N = 305). Clinical and demographic data were obtained from the electronic health record; nutritional status was determined using the Self–Mini Nutritional Assessment (Self-MNA), and odontograms and digital radiography were used to determine dental data. Adjusted multivariable models were used to explore associations between variables. Results: The sample was 53.8% female with a median age of 72.0 y. The median Self-MNA score was 13, reflective of normal nutritional status; 29.5% were at risk of or had malnutrition. Median numbers of teeth and posterior and anterior occluding pairs of teeth (POP, AOP) were 18.0, 2.0, and 5.0, respectively. Those with normal nutritional status had significantly more teeth, POPs, and AOPs than those at risk of or with malnutrition (P = 0.015, P = 0.015, and P = 0.039, respectively). Every additional unit increase in the number of natural or restored teeth or POP was associated with significantly lower odds of being at risk of or with malnutrition (3% and 13%, respectively). Having functional dentition was associated with 46% lower odds of being at risk of or with malnutrition. Conclusion: This study demonstrated that older adults who had more teeth, better occlusion, and functional dentition were more likely to be of normal nutritional status than those who had less teeth, had poorer occlusion, and lacked functional dentition. Further research with larger, more diverse samples and varied measures of dentition are needed to better understand the associations between nutritional status and dentition status. Knowledge Transfer Statement: The findings from this study suggest that older adults with fewer teeth and therefore less efficient occlusion are at higher risk for malnutrition than those with more teeth and better occlusion. Health care professionals should include screening for dentition and malnutrition as part of their routine practice to identify patients who may have tooth loss and be at risk of malnutrition and refer them accordingly for interventions to optimize oral health and nutritional status.

scholarly journals A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults

2020 ◽  
Vol 18 (1) ◽  
pp. 213
Author(s):  
Masanori Iwasaki ◽  
Keiko Motokawa ◽  
Yutaka Watanabe ◽  
Maki Shirobe ◽  
Hiroki Inagaki ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Nutritional Status ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Tongue Pressure ◽  
Increased Risk ◽  
Community Dwelling Older Adults ◽  
Oral Frailty

Background: Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were longitudinal associations between oral frailty, defined as accumulated deficits in oral health, and deteriorating nutritional status among community-dwelling older adults. Methods: The study population consisted of 191 men and 275 women (mean age, 76.4 years) from the Takashimadaira Study. Multifaced oral health assessment was performed at baseline, and oral frailty was defined as having ≥3 of the following six components: fewer teeth, low masticatory performance, low articulatory oral motor skill, low tongue pressure, and difficulties in chewing and swallowing. Nutritional status assessment was performed at baseline and two-year follow-up using the Mini Nutritional Assessment®-Short Form (MNA®-SF). Deteriorating nutritional status was defined as a decline in the nutritional status categories based on the MNA®-SF score during the study period. The association between oral frailty and deteriorating nutritional status was assessed using logistic regression analyses. Results: Oral frailty was observed in 67 (14.4%) participants at baseline. During the study, 58 (12.4%) participants exhibited deteriorating nutritional status. After adjusting for potential confounders, oral frailty was significantly associated with deteriorating nutritional status (adjusted odds ratio, 2.24; 95% confidence interval, 1.08–4.63). Conclusion: Community-dwelling older adults with oral frailty had an increased risk of deteriorating nutritional status.

Sign in / Sign up

Export Citation Format

Share Document