Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly

Brodeur, Jean‐Marc; Laurin, Danielle; Vallée, R; LaChapelle, Diane L.

doi:10.1016/0022-3913(93)90087-5

Cited by 122 publications

(101 citation statements)

References 6 publications

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“…Complete denture wearers tend to choose a diet that is low in protein, non-starch polysaccharides, calcium and vitamins 26 . Their inability to effectively comminute foodstuffs also has a negative effect on digestion 28,29 . On the other hand, Weiss and coworkers reported that a Body Mass Index (BMI) of 28 or above is associated with reduced morbidity and mortality in very old subjects 30 .…”

Section: The Benefits Of Retaining Natural Teeth Dietmentioning

confidence: 99%

Oral health for an ageing population: the importance of a natural dentition in older adults

Müller

Shimazaki

Kahabuka

et al. 2017

International Dental Journal

104

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Despite progress in dentistry, tooth loss in old age is still a reality, even more so in long-term-care residents. However, recent trends indicate that natural teeth are lost later in life. Functional decline and age-related pathologies have to be considered in oral health care for this vulnerable population. Retaining and restoring teeth and oral function in elders is important. Tooth loss significantly impairs masticatory performance, which cannot be fully restored by prosthodontic means. Hence an unconscious change in food intake occurs, often involving malnutrition and withdrawal from common meals. Poor oral appearance and bad breath may further impede social activities. Although a chewing activity may be beneficial for cognitive function, natural teeth can present a considerable risk for fragile elders, in whom aspiration of biofilm can lead to pneumonia and death. The presence of natural teeth is also correlated with higher life expectancy, but socio-economic confounding factors have to be considered. When evaluating oral health in the elderly population, standards and priorities for reporting oral health outcome measures have to be defined. Anatomical indicators such as the number of natural teeth or the presence of prostheses might be one option for reporting. However, functional indicators such as masticatory performance and patient-centred outcome measures may be more relevant. In conclusion, there is an overwhelming body of evidence that maintaining a healthy natural dentition in old age is beneficial from a structural, functional and psycho-social point of view.

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Section: The Benefits Of Retaining Natural Teeth Dietmentioning

confidence: 99%

Oral health for an ageing population: the importance of a natural dentition in older adults

Müller

Shimazaki

Kahabuka

et al. 2017

International Dental Journal

104

View full text Add to dashboard Cite

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“…Chewed foods are more easily cleared from the oesophagus (Pouderoux et al 1999) and Marciani et al (2000a,b) showed that the consistency of an ingested meal also modulated the emptying of the stomach. In addition to this direct relationship between mastication and digestion, poor chewing efficiency is related to various gastrointestinal disorders (Mercier & Poitras, 1992;Brodeur et al 1993).…”

Section: Relationship Between Mastication Digestion and Nutritionmentioning

confidence: 99%

Influence of age on mastication: effects on eating behaviour

Mioche¹,

Bourdiol²,

Peyron³

2004

Nutr. Res. Rev.

111

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The present review covers current knowledge about the ageing of oral physiology related to mastication and its effects on eating behaviour. Mastication is the first process undergone by a food during feeding. It has a key role in the maintenance of nutritional status in two respects. First, the perceptions of food's sensory properties elicited during chewing and swallowing are one of the major determinants of the pleasure which drives us to eat; second, the properties of the swallowed bolus are affected by oral conditions and this may modulate the subsequent phases of digestion. Ageing in healthy dentate subjects induces moderate changes in oral physiology. Changes in neuromuscular activity are partly compensated by changes in chewing behaviour. No clear age effect is seen in texture perception, although this does impact on food bolus properties. In contrast, great alterations in both chewing behaviour and food bolus properties are observed when ageing is associated with a compromised dentition, general health alterations and drug intake. Eating behaviour is far more complex than just chewing behaviour and the concerns of the elderly about food cannot be explained solely by oral physiology. Discrepancies are often noticed with older subjects between various objective measurements of oral performance and corresponding measures of self-perception. In addition, although more foods are recognised as hard to chew with increasing age, there is no clear shift in preference towards food that is easy to chew. Food choices and food consumption are also driven by memory, psychology and economic factors. Advances in the understanding of food choice in the elderly need a sustained collaborative research effort between sensory physiologists, nutritionists, and food scientists.

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“…Posttreatment, daily dietary and nutritional records of the patients were maintained. Nutritional status of the patients was measured and all the collected data were tabulated in terms of energy and nutritional values, which include fats, proteins, carbohydrates, kilocalories consumed, calcium, vitamin A, B, and C. [11][12][13][14][15] Measurement of the anthropometric values was done by evaluating the body mass index (BMI). 7 For biochemical assessment, 10 ml of fasting blood samples was taken from all the patients at initial assessment time and after 5 months.…”

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confidence: 99%

Assessment of Various Nutritional Parameters in Geriatric Patients Who underwent Different Prosthodontic Treatments

Aneja¹,

Jeergal

Patel

et al. 2016

The Journal of Contemporary Dental Practice

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Background: Some relation exists between oral and general health with progressive aging. Certain risk factors are common between oral and systemic diseases. Absence of teeth also affects the oral health by altering the quality of life. Hence, the nutritional changes occurring in elderly patients following prosthodontic rehabilitation are evaluated. Materials and methods:A total of 250 patients who underwent prosthodontic treatment for missing teeth were included for the study. Twice measurement of nutritional parameters was done: Initially at the time of diagnosis and then 5 months following commencement of the prosthodontic treatment. Dental analysis, evaluation of the diet, anthropometric assessment, and analysis of serum biochemical values were done in all the patients and tabulated records were maintained. Independent Student's t test and Tukey's test were done to assess the level of significance.Results: A total of 250 patients were included for the study. The complete denture (CD) group showed the highest alteration in the mean values of the nutritional parameters followed by the removable partial denture group. A significant change was seen in the body mass index, protein, carbohydrate, and iron levels +919414509596, e-mail: drsaritaaneja@gmail.com among the different patients who were grouped based on the mode of treatment modality. The CD group showed significantly higher mean change in carbohydrates value compared with mean change in patients receiving fixed treatment. Assessment of Various Nutritional Parameters in Geriatric Conclusion:Both nutrition and diet form an integral part of the prosthodontic treatment to maintain the health of elderly population.Clinical significance: With the advancement in the level of edentulism, rehabilitation by prosthetic treatment has become progressively important to restore and improve dietary parameters.

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Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly

Cited by 122 publications

References 6 publications

Oral health for an ageing population: the importance of a natural dentition in older adults

Oral health for an ageing population: the importance of a natural dentition in older adults

Influence of age on mastication: effects on eating behaviour

Assessment of Various Nutritional Parameters in Geriatric Patients Who underwent Different Prosthodontic Treatments

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