Oral Health and Undernutrition in the Frail Elderly Persons

Rapp, Lucie; Sourdet, Sandrine; Lacoste-Ferré, Marie-Hélène

doi:10.1007/s12603-020-1546-6

Cited by 10 publications

(9 citation statements)

References 23 publications

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“…A total of 3032 studies were initially identified (Figure 1); the full text of one article was not accessible 42 . By the end of the selection process, 24 studies comprising 7 case control ( n = 1952), 5 cohort ( n = 1032), and 12 cross‐sectional studies ( n = 1662) were included in the analyses.…”

Section: Resultsmentioning

confidence: 99%

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Zeng

Zong

et al. 2020

Int J Geriat Psychiatry

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Objective Poor oral health is common in dementia, but findings of epidemiological studies have been inconsistent. This meta‐analysis examined oral health in patients with dementia diagnosed according to standardized diagnostic criteria. Methods Six international databases (PubMed, EMBASE, PsycINFO, Medline, Cochrane Library, and Web of Science) were searched from their commencement date until 8 November 2018. Oral health was measured by the Remaining Teeth (RT) and Decayed, Missing, and Filled Teeth (DMFT) Index. The mean differences (MD) and 95% confidence intervals (CI) of DMFT Index total and component scores were calculated using a random‐effect model. Results Twenty‐four studies were included for analyses. The pooled DMFT Index was 23.48 (95% CI: 22.34, 24.62), while the pooled score for each component was 2.38 (95% CI: 1.56, 3.20) in decayed teeth (DT), 18.39 (95% CI: 15.92, 20.87) in missing teeth (MT), 2.29 (95% CI: 0.62, 3.95) in filled teeth (FT), and 11.59 (95% CI: 9.14, 14.05) in RT. Compared to controls, people with dementia had significantly a higher DMFT Index total score (MD = 3.80, 95% CI: 2.21, 5.39, p < 0.00,001), and significantly lower number of RT (MD = −3.15, 95% CI: −4.23, −2.06, p < 0.00,001). Subgroup analyses revealed that higher DMFT Index score was significantly associated with year of survey (>2010), study design (case‐control study), percentage of females (≤54.3), and the Mini Mental State Examination score (≤18.2). Higher MT score was significantly associated with study design (cross‐sectional study), and lower FT score was significantly associated with year of survey (>2010). Conclusions Oral health was significantly poorer in people with dementia compared with controls. Regular screening and effective treatment should be implemented for this population.

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Section: Resultsmentioning

confidence: 99%

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Zeng

Zong

et al. 2020

Int J Geriat Psychiatry

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“…In addition to the impact on oral status and function, the ageing process introduces changes in physiological health, impairing senses, lifestyle and socioeconomic aspects; and ultimately influencing food choices, dietary patterns and nutritional status. [38][39][40][41] From a global perspective, intervention strategies to prevent tooth loss must be considered to maintain healthy eating during ageing as part of interprofessional care. 38 The common risk factor approach is suggested to implement educational efforts using compelling messages to the public.…”

Section: Discussionmentioning

confidence: 99%

Tooth loss severity and core and non‐core food consumption among older Brazilian adults

et al. 2022

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Objective To investigate the association between tooth loss severity and core and non‐core food consumption in the older Brazilian population. Methods We analysed data from 20 756 people aged 60 years or older who participated in the 2019 Brazilian National Health Survey. The average consumption days a week of core (8‐item) and non‐core (4‐item) foods were the outcomes, measured using a Food Frequency Questionnaire. Tooth loss severity was the main exposure, using a four‐category ordinal variable: mild (1‐12 teeth missing), moderate (13‐22), severe (23‐31) and edentulous (all 32). Sociodemographic, tobacco smoking, use of dental prosthesis, difficulty in chewing and systemic conditions were among the covariates. Linear regression models estimated the association between tooth loss and food consumption. Results Almost two‐thirds of participants had moderate or worse levels of tooth loss. Older adults with more severe tooth loss reported an overall lower consumption of core and higher non‐core foods than those with mild tooth loss. Worse tooth loss severity was associated with lower consumption of vegetables and/or legumes and fruits, and higher consumption of beans, artificial fruit juices and confectionery. Conclusions Older Brazilian adults with more severe tooth loss are consuming lower core and higher non‐core foods. Our findings reinforce the importance of the common risk factor approach to tackle the adverse effects of tooth loss on diet.

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“…In the present study, the OHAT score and saliva items of the OHAT subdomain score were predictors of frailty according to the SOF frailty criteria in the frail elderly of the rural community. The pilot study established a relationship between the OHAT and Fried frailty criteria in a population of frail elderly people; however, the distribution of various items composing the OHAT score was not explored [ 32 ]. The role of saliva in maintaining favorable oral health has received little attention in most populations; the unstimulated low flow rate of saliva not only increases an individual’s susceptibility to xerostomia but also greatly delays the clearance of food from the mouth [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Oral Health as a Predictor of Physical Frailty among Rural Community-Dwelling Elderly in an Agricultural County of Taiwan: A Cross-Sectional Study

Kuo

Chen

Chang

et al. 2021

IJERPH

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We conducted a cross-sectional study to clarify the relationship between oral health and physical frailty (PF). A sample of 903 community-dwelling individuals aged ≥ 65 years were enrolled from random communities in Chiayi County. The self-perceived oral health (SPOH) and oral health assessment tool (OHAT), which consists of eight items, was used for the evaluation of their oral health status. PF was assessed based on the Study of Osteoporotic Fracture index. Overall, 14.6% of the participants had PF. In an adjusted model, restricted food types (odds ratio (OR) = 1.59, 95% confidence interval (CI): 1.2–2.09, p = 0.001), self-reported dental status (OR = 1.61, 95% CI: 1.2–2.15, p = 0.001), number of teeth (OR = 0.98, 95% CI: 0.96–0.99, p = 0.006), frequency of tooth cleaning (OR = 0.83, 95% CI: 0.68–1.0, p = 0.049), OHAT score (OR = 1.09, 95% CI: 1.02–1.17, p < 0.017), and saliva items of OHAT (OR = 1.52, 95% CI: 1.11–2.1, p = 0.010) were significantly associated with PF. SPOH is a crucial indicator of PF; longitudinal analyses are necessary to understand the underlying pathway of risk factors for frailty onset.

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Oral Health and Undernutrition in the Frail Elderly Persons

Cited by 10 publications

References 23 publications

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Tooth loss severity and core and non‐core food consumption among older Brazilian adults

Oral Health as a Predictor of Physical Frailty among Rural Community-Dwelling Elderly in an Agricultural County of Taiwan: A Cross-Sectional Study

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