Nutritional status, dietary intake and oral quality of life in elderly complete denture wearers

Cousson, Pierre Yves; Bessadet, Marion; Naline, Emmanuel; Veyrune, Jean-Luc; Lesourd, B.; Lassauzay, Claire

doi:10.1111/j.1741-2358.2011.00545.x

Cited by 103 publications

(85 citation statements)

References 44 publications

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“…These results are similar to those of Cousson in France, who reported that the control group with no chewing difficulty had a greater fat intake than that in their chewing difficulty group [34]. In contrast, Hung et al [35] suggested that edentulous US women had a significantly high intake of saturated fat, trans-fat, and cholesterol.…”

Section: Discussionsupporting

confidence: 86%

Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th)

et al. 2017

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BACKGROUND/OBJECTIVESChewing difficulty is a factor contributing to a poor nutritional status in the elderly. The aim of this study was to examine disparities in food and nutrition intakes among Korean elderly people with and without chewing difficulty.SUBJECTS/METHODSThis study utilized data from the sixth Korea National Health and Nutrition Examination Survey conducted in 2013. The study subjects included males and females over 65 years of age who were not required to adhere to a special diet due to disease or sickness. They were divided into groups according to their chewing ability. Those who found chewing “very difficult” or “difficult”, were combined to form the chewing difficulty group. Similarly, those who found chewing “moderately difficult”, “easy”, and “very easy” were combined to form the normal chewing group.RESULTSOf the 999 subjects, 47.7% had chewing difficulties and the prevalence of chewing difficulty was higher in females than in males (P = 0.03) and higher in those 75 years of age and over than in younger individuals (P < 0.001). The chewing difficulty group had a significantly lower intake of fruits and vegetables (P < 0.05) and lower vitamin C and potassium intake than those in the normal group. Comparison of the percentages of Dietary Reference Intakes for Koreans (KDRIs) in the two groups indicated that the intake of most nutrients (energy, vitamin C, thiamin, riboflavin, niacin, calcium, phosphorus, sodium, potassium, and iron) were significantly lower in the chewing difficulty group than in the normal group. In particular, calcium intake was inadequate (51% of KDRIs) in the chewing difficulty group.CONCLUSIONSThe results indicate that chewing difficulty is closely related to food and nutrient intake in the elderly and can result in vitamin and mineral intake deficiencies. It is evident that the care of elderly subjects with chewing difficulty is essential for maintaining a healthy lifestyle.

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Section: Discussionsupporting

confidence: 86%

Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th)

et al. 2017

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“…After taking into account all these considerations, the GOHAI was used for this study. The methodology used in the present study is similar to that of previous studies [26-28], though it presents some biases and weaknesses. First, the lack of investigator calibration could be a limitation.…”

Section: Discussionmentioning

confidence: 99%

The impact of implant treatment on oral health related quality of life in a private dental practice: a prospective cohort study

Fillion¹,

Aubazac²,

Bessadet

et al. 2013

Health and Quality of Life Outcomes

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BackgroundVery few studies on the impact of implant therapy on Oral Health Related Quality of Life (OHRQoL) in partially edentulous patients have been published.AimThis study aimed at analysing the improvement of OHRQoL of patients who underwent dental implant treatment using the “functional”, “psychosocial” and “pain and discomfort” categories of the Geriatric Oral Health Assessment Index (GOHAI).MethodsWithin a prospective cohort of patients rehabilitated with Straumann dental implants, the OHRQoL of 176 patients (104 women and 72 men) was assessed using the GOHAI questionnaire, at two different times, before and after implant placement. The degree of oral treatment was categorised into three classes: “Single Tooth Implant” (n = 77), “Fixed Partial Denture” (n = 75), “Fixed or Retained Full Prostheses” (n = 24). The participants’ characteristics (gender, age, tobacco habits, periodontal treatment, time between both evaluations) were assessed.ResultsBefore treatment, the GOHAI score was lower for participants with fewer teeth (F = 19, P < 0.001). After treatment, no difference was observed between participants; significant improvements were observed in the GOHAI scores obtained (repeated measures, analysis, (F = 177, P < 0.001)) for each of the GOHAI fields studied (functional, psychosocial and pain & discomfort), regardless of the degree of treatment. The best improvement was observed in patients who needed complete treatment (P < 0.001). The presence of preliminary periodontal treatment, tobacco habits, age and gender of the participants did not have a significant impact on OHRQoL. Changing the time between the two evaluations (before and after treatment) had no impact on the changes in the GOHAI score.ConclusionsImplants enhanced the OHRQoL of participants that needed oral treatment.

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“…Consequently, it could be expected that patients with multiple untreated carious lesions would be at higher risk of developing metabolic diseases and diabetes than persons with healthy teeth. Many reports suggest that an impaired masticatory function favours inappropriate diet [N'gom and Woda, 2002] and poor oral health status is associated with the selection of soft food, easy to chew and with avoidance of foods rich in dietary fibre and nutrients [Johansson et al, 1994;Sheiham et al, 2002;Nowjack-Raymer and Sheiham, 2003;de Oliveira and Frigerio, 2004;Cousson et al, 2012]. Such diets increase the risks for cardiovascular diseases.…”

Section: Effects Of Carious Process On Nutritionmentioning

confidence: 99%

Chewing Deficiencies in Adults with Multiple Untreated Carious Lesions

2013

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Persons who have multiple untreated carious lesions are at high risk of chewing difficulties and consequently an unhealthy diet, but few data are available on the impact of untreated caries on mastication in adults. This study in adults with multiple untreated caries lesions aimed to evaluate chewing deficiencies using physiological and psychosocial indicators. Forty-five patients, mean (±SD) decayed teeth 11.5 (±5.2), and 20 fully dentate caries-free subjects were observed during mastication of raw carrot and two jelly model foods differing in hardness. Criteria for chewing evaluation were carrot bolus granulometry, food refusals, chewing activity (chewing time, number of chewing cycles, chewing frequency) and oral health-related quality of life (GOHAI). Dental status was characterized by caries experience (DMFT) and posterior functional pairs of teeth. Adults with multiple untreated caries lesions suffered from chewing deficiencies, demonstrated by a decrease in food comminution related to the number of posterior functional teeth, food selection and functional alterations in oral health-related quality of life. The ability to adapt chewing activity to food hardness was preserved in this group. Further studies should be conducted to determine whether chewing function could be improved after dental treatment.

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Nutritional status, dietary intake and oral quality of life in elderly complete denture wearers

Cited by 103 publications

References 44 publications

Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th)

Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th)

The impact of implant treatment on oral health related quality of life in a private dental practice: a prospective cohort study

Chewing Deficiencies in Adults with Multiple Untreated Carious Lesions

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