scholarly journals A Pilot Cross-Sectional Study on Oral Health and Nutritional Status of Institutionalized Older Adults: A Focus on Sarcopenia

Author(s):  
Luca Aquilanti ◽  
Sonila Alia ◽  
Sofia Pugnaloni ◽  
Lorenzo Scalise ◽  
Arianna Vignini ◽  
...  

The global population aged over 60 will double by 2050. This pilot cross-sectional study aims at evaluating nutritional and oral health status and the prevalence of sarcopenia in older adults living in an Italian residential aged care facility. Thirty-two adults aged ≥ 65 years were included. Individual sociodemographic data and nutritional and oral health data were collected. For sarcopenia diagnosis, muscle mass, physical performance, muscle strength and anthropometric parameters were recorded. Participants underwent a nutritional screening and a dental examination. Mini Nutritional Assessment and masticatory mixing ability test were performed. The results showed that men recorded a hand strength significantly higher than that of women, 25.5 ± 7.2 Kg vs. 12.8 ± 5.9 Kg (p < 0.01), respectively. Gait speed test showed that only 20.8% of the participants had a speed of more than 0.8 m/s. A strong negative correlation between masticatory performance and the number of missing teeth was detected (r = −0.84, 95% C.I. [−0.92; −0.69], p < 0.01). Overall, a high percentage of institutionalized older adults were diagnosed as being sarcopenic. Poor oral health in older adults is a major general health problem as it may restrict both food selection and nutrient intake, representing a risk factor for sarcopenia, although longitudinal studies are needed to confirm this relationship.

2019 ◽  
Vol 39 (5) ◽  
pp. 491-496
Author(s):  
Lorenzo Bevilacqua ◽  
Angelica Severin ◽  
Erika Russi ◽  
Daniele Angerame ◽  
Giuliano Ceschia ◽  
...  

2021 ◽  
Author(s):  
Mayson Salih ◽  
Raouf Ali ◽  
Elwalid Nasir

Abstract Background As the number of older adults is growing worldwide, understanding the extension of the oral health problems of the older population is important for the determination of treatment needs and for future planning of dental services. This study assessed the oral health status and prosthetic needs among a group of older adults living in Khartoum State, Sudan. Methods A cross sectional study among individuals ≥ 60 years attending Health Care Centers. The clinical examination was based on the WHO oral health examination form for adults, 2013, which includes dentition status, periodontal conditions, oral mucosal lesions, tooth wear, prosthetic status and prosthetic needs. Results 249 older adults participated in the study, 64.3% were males and the mean age was 68.4 years (SD ± 6.7). The mean (DMFT) was 15.9 (SD ± 9.1), with 85.3%, 94.8%, and 19.3% of the participants had decayed, missed or filled teeth, respectively. Periodontal pockets were present in 41.9% of the participants and attachment loss was in 84.2%. Only 14.9% had mucosal lesions while 46.2% showed signs of tooth wear. Although only 5.2% were completely edentulous, 93.2% of the participants need at least one unit prosthesis while only 10% had removable dentures. The main predicting factors of poor oral health were being female, poor oral hygiene practices, frequency and reason of dental visits, and poor perceived poor oral health. Conclusion Despite the low level of edentulism, the oral health of older adults of the studied Sudanese population was poor. They showed high prevalence and severity of missed and decayed teeth, periodontal disease and high prosthetic treatment needs.


2019 ◽  
Vol Volume 14 ◽  
pp. 219-224 ◽  
Author(s):  
Horacio Islas-Granillo ◽  
Socorro Aída Borges-Yañez ◽  
José de Jesús Navarrete-Hernández ◽  
Miriam Alejandra Veras-Hernández ◽  
Juan Fernando Casanova-Rosado ◽  
...  

Author(s):  
Hee-Eun Kim

While appropriate nutrient intake is important for older adults, various oral problems cause decreased masticatory function. This cross-sectional study aimed to identify the factors associated with decreased masticatory performance in older adults. Oral examinations were performed on 80 participants (mean age: 75.10 ± 5.64 years) to determine the number of functional tooth units (FTUs). Symptoms of periodontal and temporomandibular diseases were evaluated via a questionnaire. The tone, elasticity, and dynamic stiffness of the masseter muscle were measured using the Myoton® PRO device. The mixing ability test was used to assess the masticatory performance, and the mixing ability index (MAI) was calculated. The analysis of covariance test was performed to adjust for confounding factors, and multiple logistic regression analysis was performed to identify the risk factors affecting MAI. A lower MAI was significantly associated with higher tone (p = 0.006) and lower elasticity (p = 0.013). The number of FTUs (adjusted odds ratio (OR) = 0.724, p = 0.029), tone (adjusted OR = 1.215, p = 0.016), and elasticity (adjusted OR = 4.789, p = 0.038) were independently associated with the MAI. Muscle function training and prosthetic treatments may help increase masticatory performance in older adults, which would improve overall health.


Author(s):  
Hee-Eun Kim

While appropriate nutrient intake is important for older adults, various oral problems cause de-creased masticatory function. This cross-sectional study aimed to identify the factors associated with decreased masticatory performance in older adults. Oral examinations were performed on 80 participants (mean age: 75.10 &plusmn; 5.64 years) to determine the number of functional tooth units (FTUs). Symptoms of periodontal and temporomandibular diseases were evaluated via a ques-tionnaire. The tone, elasticity, and dynamic stiffness of the masseter muscle were measured using the Myoton&reg; PRO device. The mixing ability test was used to assess the masticatory performance and the mixing ability index (MAI) was calculated. The analysis of covariance test was performed to adjust for confounding factors and multiple logistic regression analysis was performed to identify the risk factors affecting MAI. A lower MAI was significantly associated with higher tone (p = 0.006) and lower elasticity (p = 0.013). The number of FTUs (adjusted odds ratio [OR] = 0.724, p = 0.029), tone (adjusted OR = 1.215, p = 0.016), and elasticity (adjusted OR = 4.789, p = 0.038) were independently associated with the MAI. Muscle function training and prosthetic treatments may help increase masticatory performance in older adults, which will improve overall health.


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