Occlusal support is associated with nutritional improvement and recovery of physical function in patients recovering from hip fracture

Sawa, Yukiko; Kayashita, Jun; Nikawa, Hiroki

doi:10.1111/ger.12446

Cited by 3 publications

(4 citation statements)

References 47 publications

(61 reference statements)

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“…Tooth loss is associated with an accelerated decline in walking speed in older adults (57). Occlusal support is associated with improved nutrition, dysphagia, and ADL recovery in patients recovering from hip fractures (58) and among older adults needing long-term care (59). Improving occlusion by wearing an occlusal splint improves trunk balance and lower extremity muscle strength (60).…”

Section: Oral Status and Rehabilitation Outcomesmentioning

confidence: 99%

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

Shiraishi¹,

Wakabayashi

Yoshimura³

2020

The Journal of nutrition, health and aging

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Oral health is a crucial but often neglected aspect of rehabilitation medicine. Approximately 71% of hospitalized rehabilitation patients and 91% of hospitalized acute care patients have impaired oral health. Poor oral condition in hospitalized patients can be attributed to factors such as age, physical dependency, cognitive decline, malnutrition, low skeletal muscle mass and strength, and multimorbidity. Another major factor is a lack of knowledge and interest in oral problems among health care workers. Recently, new concepts have been proposed, such as oral frailty, oral sarcopenia, and hospital-associated oral problems. Oral frailty, the accumulation of a slightly poor status of oral conditions and function, strongly predicts physical frailty, dysphagia, malnutrition, need for long-term care, and mortality in community-dwelling older adults. Oral sarcopenia refers to sarcopenia associated with oral conditions and function, although its definition has not yet been fully discussed. Hospital-associated oral problems are caused by disease, disease treatment, surgery, endotracheal intubation, poor self-care abilities, lack of care by medical staff, drugs, and iatrogenic factors during hospitalization. Furthermore, oral problems have negative impacts on rehabilitation outcomes, which include functional recovery, length of hospital stay, discharge home, and in-hospital mortality. Oral health management provided by dental hygienists improves not only oral status and function, swallowing function, and nutritional status but also activities of daily living, discharge home, and in-hospital mortality in post-acute rehabilitation. Oral rehabilitation, promotion, education, and medical-dental collaboration can be effective interventions for oral problems and therefore are necessary to improve rehabilitation outcomes.

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Section: Oral Status and Rehabilitation Outcomesmentioning

confidence: 99%

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

Shiraishi¹,

Wakabayashi

Yoshimura³

2020

The Journal of nutrition, health and aging

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“…Several studies demonstrated the direct effect of oral functions on physical condition [ 37 , 38 ]. Above all, the effect of occlusal support on physical condition has been reported [ 27 , 28 , 29 , 30 , 31 , 32 ]. However, these studies were conducted as observational studies.…”

Section: Discussionmentioning

confidence: 99%

“…This suggestion may imply that rehabilitation of occlusal support has a positive effect on the prevention of accidental falls through the rehabilitation of mastication and nutritional status. Recent observational studies also demonstrated the association between occlusal support and physical function [ 27 , 28 , 29 , 30 , 31 , 32 ]. However, comparative studies that evaluate the effect of occlusal support and its rehabilitation on physical functions are still scarce.…”

Section: Introductionmentioning

confidence: 99%

The Significance of Posterior Occlusal Support of Teeth and Removable Prostheses in Oral Functions and Standing Motion

Oki

Ogino

Takamoto

et al. 2021

IJERPH

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The purpose of this study was to evaluate the effect of posterior occlusal support of natural teeth and artificial teeth on oral functions and standing motion. Patients who had been treated with removable prostheses were enrolled as the subjects. Their systemic conditions (body mass index (BMI) and skeletal muscle mass index (SMI)) were recorded. The subjects were classified into two groups according to a modified Eichner index: B1–3 (with posterior occlusal support) and B4C (without posterior occlusal support). Maximum occlusal force (MOF), masticatory performance (MP), and standing motion (sway and strength) were evaluated for cases with and without removable prostheses. There were no significant differences in BMI and SMI between the B1–3 group and the B4C group. The subjects with removable prostheses demonstrated significantly higher values in MOF, MP, and sway and strength than the subjects without removable prostheses. The comparison of oral functions between the B1–3 group and the B4C group revealed that the positive effect of posterior occlusal support of natural teeth and removable prostheses and the significant positive effects of posterior occlusal support on standing motion were partly observed in these comparisons. Posterior occlusal support of natural teeth and even of removable prostheses may contribute to the enhancement of oral functions and standing motion.

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“…Indeed, the crude OR of sarcopenia for dysphagia (both dichotomised variables) was reported as being 6.17 [47]. Additionally, occlusal support (an indicator of oral function) showed 4.00 of OR for nutritional improvement [48].…”

Section: Potentially Associated Factors Of the Co-msmentioning

confidence: 99%

Prevalence and Associated Factors of Coexistence of Malnutrition and Sarcopenia in Geriatric Rehabilitation

Nishioka¹,

Matsushita²,

Yamanouchi³

et al. 2021

Nutrients

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Malnutrition and sarcopenia often coexist in rehabilitation patients, although they are often overlooked and undertreated in clinical practice. This cross-sectional study aimed to clarify the prevalence of the coexistence of malnutrition and sarcopenia (Co-MS) and its associated factors in convalescent rehabilitation wards in Japan. Consecutive patients aged ≥ 65 years in convalescent rehabilitation wards between November 2018 and October 2020 were included. Malnutrition and sarcopenia were determined by the Global Leadership Initiative on Malnutrition (GLIM) criteria and the Asian Working Group for Sarcopenia (AWGS 2019) criteria, respectively. Patients who presented both with malnutrition and sarcopenia were classified as Co-MS. Potentially associated factors included age, sex, days from onset to admission of rehabilitation wards, reason for admission, pre-morbid functional dependency, comorbidity, activities of daily living, swallowing ability, and oral function and hygiene. The prevalence of malnutrition, sarcopenia, and Co-MS was calculated. Binary logistic regression analyses were performed to compute odds ratios (ORs) and the 95% confidence interval (CI) of possible associated factors for each condition. Overall, 601 patients were eligible for the analysis (median 80 years old, 355 female patients, 70% cerebrovascular disease). Co-MS, malnutrition, and sarcopenia were found in 23.5%, 29.0%, and 62.4% of the enrolled patients, respectively. After adjustment, onset–admission interval (OR = 1.04; 95%CI = 1.02 to 1.06), hospital-associated deconditioning (OR = 4.62; 95%CI = 1.13 to 18.8), and swallowing ability (Food Intake LEVEL Scale) (OR = 0.83; 95%CI = 0.73 to 0.93) were identified as independent explanatory factors of Co-MS. In conclusion, Co-MS was prevalent in geriatric rehabilitation patients; thus, healthcare professionals should be aware of the associated factors to detect the geriatric rehabilitation patients who are at risk of both malnutrition and sarcopenia, and to provide appropriate treatments.

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Occlusal support is associated with nutritional improvement and recovery of physical function in patients recovering from hip fracture

Cited by 3 publications

References 47 publications

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems

The Significance of Posterior Occlusal Support of Teeth and Removable Prostheses in Oral Functions and Standing Motion

Prevalence and Associated Factors of Coexistence of Malnutrition and Sarcopenia in Geriatric Rehabilitation

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