Association between underweight and overweight/obesity with oral health among independently living Brazilian elderly

Nascimento, Tôrres Luísa Helena do; da, Silva Débora Dias; Liberalesso, Neri Anita; Balbinot, Hilgert Juliana; Hugo, Fernando Neves; de, Sousa Maria da Luz Rosário

doi:10.1016/j.nut.2012.05.011

Cited by 46 publications

(20 citation statements)

References 37 publications

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“…Conflicting results have been reported regarding the relationship between number of teeth and BMI. In several studies lower intake of recommended nutrients has been reported in edentate subjects in comparison to dentate subjects [40–42]. Sheiham and Steele [1] reported that having any number of remaining teeth is better than having none when comparing the nutrient intake of individuals with very few teeth as opposed to edentulous subjects.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Risk Factors of Tooth Loss among Iranian Adults: Findings from a Large Community-Based Study

Khazaei

Keshteli

Feizi

et al. 2013

BioMed Research International

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Objectives. To investigate the prevalence of tooth loss and different prosthetic rehabilitations among Iranian adults, as well as the potential determinants of tooth loss. Methods. In a cross-sectional community-based study conducted among 8094 Iranian adults living in Isfahan province, a self-administered questionnaire was used to assess epidemiologic features of tooth loss. Results. Thirty-two percent of subjects had all their teeth, 58.6% had lost less than 6, and 7.2% of participants had lost more than 6 teeth. One hundred and sixty-nine individuals (2.2%) were edentulous. Among participants, 2.3% had single jaw removable partial denture, 3.6% had complete removable denture in both jaws, and 4.6% had fixed prosthesis. Others reported no prosthetic rehabilitation (89.5%). In the age subgroup analysis (≤35 and >35 years old) tooth loss was more prevalent among men than women (OR = 2.8 and 1.9, resp., P < 0.01). Also, in both age groups, current and former smokers had higher levels of tooth loss than nonsmokers (P < 0.001 and P < 0.05, resp.). In addition, tooth loss was positively related to metabolic abnormality for age group >35 years (adjusted OR = 1.29, P < 0.01). Conclusions. Tooth loss is highly prevalent in Iranian adult population. Community programs promoting oral health for prevention of tooth loss should be considered taking into account its major determinants including lower educational level, male gender, smoking, and metabolic abnormality.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and Risk Factors of Tooth Loss among Iranian Adults: Findings from a Large Community-Based Study

Khazaei

Keshteli

Feizi

et al. 2013

BioMed Research International

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“…Furthermore, an association between edentulism and obesity was found in several studies [14, 75]. When edentulism was not rehabilitated with complete dentures, it was associated with both underweight and overweight/obesity in an elderly population [76]. …”

Section: Impact Of Edentulism On General Healthmentioning

confidence: 99%

The Impact of Edentulism on Oral and General Health

Emami

Souza

Kabawat

et al. 2013

International Journal of Dentistry

350

294

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An adequate dentition is of importance for well-being and life quality. Despite advances in preventive dentistry, edentulism is still a major public health problem worldwide. In this narrative review, we provide a perspective on the pathways that link oral to general health. A better understanding of disease indicators is necessary for establishing a solid strategy through an organized oral health care system to prevent and treat this morbid chronic condition.

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“…Previous studies have shown that life expectancy of edentulous persons is lower than in those who retain at least some teeth until late in life, and some studies have shown an association between mortality in people aged 70, and chewing ability [2] [7]. The poorer the general health the less natural teeth are present, and a study on community-dwelling elderly persons revealed that cognitive decline is related to few or no natural teeth [2] [5].…”

Section: Discussionmentioning

confidence: 99%

“…In the present study 40.8% complained of problems with their denture, and two of these patients had more serious problem as they admitted constant pain when questioned. 44.1% (18 of these patients) complained of a badly fitting prosthesis that may cause discomfort and thereby prevent the patient from chewing the food properly with the complications that follow [1] [2] [5]. The chewing efficiency is closely related to the condition of the teeth, and chewing problems may give rise to digestive symptoms, most probably because of the larger particles of swallowed food [1].…”

Section: Discussionmentioning

confidence: 99%

“…In general very little data exist on the oldest old, and the patient's own experience of his or her dental health is usually not taken into account. The importance of a good dental health has been described in various studies, and generally the relations between tooth loss and the phycho-social well being, general health, chewing efficiency, digestive problems, and mortality are well documented but the underlying mechanisms are not fully understood [1]- [5]. It has been shown that oral care intervention in elderly in a nursing home kept the patients nutritional state stable during the year of the study, whereas all indicators declined in the intervention group that did not receive dental care [3].…”

Section: Introductionmentioning

confidence: 99%

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Self Reported Dental Health, BMI, and Albumin in a Geriatric Population

Midttun¹,

Zahir²

2014

AAR

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Method: 99 patients, 70 women and 29 men, mean age 84.2, were included. They were all hospitalized in the geriatric department between June and September 2010. The study was a questionnaire, and the questions were read out loud by one of the investigators. The answers were the patient's own experience. The patient's mouth and teeth were not examined. BMI and albumin were taken from the patient's medical record. Results: There was no statistical difference in albumin (mean: 31.2, 22.5) or BMI (mean: 29.3, 23.8) between patients with natural teeth, and a denture, (p = 0.12, and 0.23), but mean albumin was slightly higher in patients with natural teeth. Patients with a denture were significantly older than patients with natural teeth (p = 0.02). Conclusion: In general the patients were happy with their teeth even though 71.7% had a denture, and 44.1% said that it caused problems. All patients with natural teeth except one consulted the dentist frequently. 15% answered that they had bad dental health, but there was no significant difference in BMI and albumin between the groups. Still it is of great importance to bear in mind that when dealing with patients with digestive problems, malnutrition, infections, wounds etc. the fact that these symptoms could possibly be caused by a poor dental state should be considered, especially in geriatric patients, a group of patients that are still getting older.

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Association between underweight and overweight/obesity with oral health among independently living Brazilian elderly

Cited by 46 publications

References 37 publications

Epidemiology and Risk Factors of Tooth Loss among Iranian Adults: Findings from a Large Community-Based Study

Epidemiology and Risk Factors of Tooth Loss among Iranian Adults: Findings from a Large Community-Based Study

The Impact of Edentulism on Oral and General Health

Self Reported Dental Health, BMI, and Albumin in a Geriatric Population

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