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.

scholarly journals A study of factors associated with the short-form oral health impact profile (OHIP-14) in community-dwelling older adults

2015 ◽  
Vol 7 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Toshifumi Nogawa ◽  
Yoshiyuki Takayama ◽  
Takumi Kato ◽  
Yutaka Yamazaki ◽  
Shingo Moriya ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Short Form ◽  
Health Impact ◽  
Community Dwelling ◽  
Oral Health Impact Profile ◽  
Factors Associated ◽  
Community Dwelling Older Adults

Association between Oral Frailty and Nutritional Status Among Community-Dwelling Older Adults: The Takashimadaira Study

2020 ◽  
Vol 24 (9) ◽  
pp. 1003-1010 ◽  
Author(s):  
Masanori Iwasaki ◽  
K. Motokawa ◽  
Y. Watanabe ◽  
M. Shirobe ◽  
H. Inagaki ◽  
...  
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
Oral Frailty

scholarly journals Impact of Oral Health on Nutritional Status in Community-dwelling Older Adults in Turkey

2019 ◽  
Vol 1 (1) ◽  
pp. 29-35
Author(s):  
Sibel Akın ◽  
Servet Kesim ◽  
Taha Yaşar Manav ◽  
Elif Şafak Deniz ◽  
Ahmet Öztürk ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Nutritional Status ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Oral health condition and development of frailty over a 12-month period in community‐dwelling older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Laura Bárbara Velázquez-Olmedo ◽  
Socorro Aída Borges-Yáñez ◽  
Patricia Andrade Palos ◽  
Carmen García-Peña ◽  
Luis Miguel Gutiérrez-Robledo ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Condition ◽  
Community Dwelling ◽  
Self Report ◽  
Work Activity ◽  
Dental Biofilm ◽  
Increased Risk ◽  
Class 1 ◽  
Community Dwelling Older Adults

Abstract Background To determine the association between oral health condition and development of frailty over a 12-month period in community-dwelling older adults. Methods Population-based, case-cohort study derived from the Cohort of Obesity, Sarcopenia, and Frailty of Older Mexican Adults (COSFOMA) study, including data from years 2015 and 2016. Using latent class analysis, we determined the oral health condition of older adults with teeth (t0), i.e., functional teeth, presence of coronal caries, root caries, periodontal disease, dental calculus, dental biofilm, root remains, xerostomia, and need for dental prosthesis. Edentulous was considered as a separate class. Criteria of the Frailty Phenotype (t1) by Fried et al. were used: weight loss, self-report of exhaustion, walking speed, decreased muscle strength, and low physical activity. The presence of three or more criteria indicated a frail condition. The strength of the association (odds ratio, OR) between oral health condition and development of frailty was estimated through bivariate analysis. Multiple logistic regression was used to adjust for the other variables of study: sociodemographic data (sex, age, marital status, level of education, paid work activity, and living alone), comorbidities, cognitive impairment, depressive symptoms, nutritional status, and use of oral health services. Results 663 non-frail older adults were evaluated, with a mean age of 68.1 years (SD ± 6.1), of whom 55.7% were women. In t0, a three-class model with an acceptable value was obtained (entropy = 0.796). The study participants were classified as: edentulous persons (6.9%); Class 1 = Acceptable oral health (57.9%); Class 2 = Somewhat acceptable oral health (13.9%); and Class 3 = Poor oral health (21.3%). In t1, 18.0% (n = 97) of participants developed frailty. Using Acceptable oral health (Class 1) as a reference, we observed that older adults with edentulism (OR 4.1, OR adjusted 2.3) and Poor oral health (OR 2.4, OR adjusted 2.2) were at an increased risk of developing frailty compared to those with Acceptable oral health. Conclusion Older adults with edentulism and poor oral health had an increased risk of developing frailty over a 12-month period.

scholarly journals The Gender-Specific Relationship between Nutritional Status, Physical Activity and Functional Mobility in Irish Community-Dwelling Older Adults

2021 ◽  
Vol 18 (16) ◽  
pp. 8427
Author(s):  
Maeve Lorraine O’Connell ◽  
Tara Coppinger ◽  
Seán Lacey ◽  
Tijana Arsenic ◽  
Aoife Louise McCarthy
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Nutritional Status ◽  
Short Form ◽  
Community Dwelling ◽  
Functional Mobility ◽  
Activity Level ◽  
Specific Relationship ◽  
Community Dwelling Older Adults ◽  
Gender Specific

Research suggests that both nutrition and physical activity can protect mobility in older adults, but it is yet to be determined whether these relationships are affected by gender. Thus, we investigated the gender-specific relationship between nutritional status, physical activity level and functional mobility in Irish older adults. A cross-sectional study was undertaken in 176 community-dwelling older adults (73.6 ± 6.61 years) living in Cork, Ireland. Nutritional status was measured using the Mini Nutritional Assessment-Short Form (MNA-SF) and physical activity was assessed via the Physical Activity Scale for the Elderly (PASE). Functional mobility was measured using the Timed Up and Go (TUG) test. The gender-stratified relationship between variables was assessed using Pearson’s correlations and multiple linear regression. Partial correlations (p < 0.05) were observed for TUG with PASE score in both genders, and with MNA-SF score in females, only. Multiple regression showed that physical activity was a predictor of TUG in both genders (β = 0.257 for males, β = 0.209 for females, p < 0.05), while nutritional status was a predictor of TUG in females, only (β = −0.168, p = 0.030). Our results suggest that physical activity is associated with functional mobility in both genders, while the relationship between nutritional status and mobility may be specific to older females. These findings may be of interest for the design of functional preservation strategies.

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 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 NUTRITIONAL INTAKE AND STATUS AND PHYSICAL FUNCTION OF OLDER ETHNIC MINORITIES: A LONGITUDINAL STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S847-S848
Author(s):  
Evans A Asamane ◽  
Carolyn A Greig ◽  
Janice L Thompson
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Physical Function ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Ethnically Diverse ◽  
Community Dwelling ◽  
Nutritional Intake ◽  
Nutrient Intakes ◽  
Over Time

Abstract There are limited longitudinal data regarding nutritional intake and status, and physical function in community-dwelling ethnically diverse older adults. This study explored these variables and their relationship at baseline (n=100) and after 8-months (n=81) among community-dwelling ethnically diverse older adults (≥60 years) in Birmingham, United Kingdom. Multiple pass 24-hour dietary recalls and the Mini Nutritional Assessment-Short Form assessed nutritional intake and status, respectively. The Short Physical Performance Battery(SPPB) and handgrip strength measured physical function. Linear and multinomial regression analyses were used to predict the relationship between nutritional intake, status and physical function. Mean(SD) age was 70(8.1) years (60% male), with 62% of the sample being obese. Significant decreases in intakes of vitamin B6(0.88-0.77mg/day, p=0.014); vitamin B1(0.73-0.63mg/day, p=0.029); iron(6.16-5.85mg/d, p=0.045); folate(113.23-106.66µg/d, p=0.043); and magnesium(154.54-144.59mg/d, p=0.031) occurred over time. At both timepoints, across sexes, daily intakes of all micronutrients except vitamin B12, phosphorus and manganese were below the Recommended Nutrient Intakes. There were significant declines in SPPB scores(Z=-4.01, p&lt;0.001) and nutritional status(Z=-2.37,p=0.018) over time. At baseline, younger age, better nutritional status, and higher vitamin D and fibre intakes were associated with higher SPPB scores. At follow-up, higher baseline SPPB scores (OR=0.54 95% CI:0.35, 0.81) were associated with reduced decline in nutritional status. The observed declines in nutritional status and physical function, and the inadequate nutrient intakes in the absence of weight loss within eight months pose serious challenges to healthy ageing. There is an urgent need to re-evaluate and tailor appropriate dietary advice for this population to support them to age healthily.

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