Relation between number of teeth, malnutrition, and 3‐year mortality in elderly individuals ≥85 years

Nishio, Kensuke; Arai, Yasumichi; Abe, Yukiko; Takayama, M.; Fukasawa, Mai; Oikawa, Daichi; Ito, Tomoka; Takatsu, Masaki; Iinuma, Toshimitsu

doi:10.1111/odi.14023

Cited by 4 publications

(1 citation statement)

References 51 publications

(43 reference statements)

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“…Three-year mortality was related to malnutrition with an adjusted hazard ratio of 2.32 (95% CI 1.43–3.75). Although the number of teeth were related to age, disability and cognition, it did not relate to neither malnutrition nor mortality [24].…”

Section: Resultsmentioning

confidence: 69%

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Cederholm

Barazzoni

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of reviewEarly 2019, the Global Leadership Initiative on Malnutrition (GLIM) concept offered a clinically applicable and objective procedure for diagnosing malnutrition. This review summarizes 40 publications from August 2021 to August 2022 that applied the GLIM criteria in older populations from various clinical settings for criterion and predictive validation. Recent findingsCriterion validity studies, by comparing the GLIM construct with various semi-gold standards such as SGA, PG-SGA, MNA-FF/SF and ESPEN criteria, indicate by sensitivity, specificity and agreement that GLIM performs at least as well as the other tools to capture malnutrition. One meta-analysis of 20 studies with various comparators reports high accuracy for distinguishing malnutrition. GLIM-malnutrition prevalence figures vary with screening tool. Predictive validity of GLIM for mortality, and other outcomes, is good in all settings reported. Sarcopenia and GLIM show some expected overlapping.

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Section: Resultsmentioning

confidence: 69%

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Cederholm

Barazzoni

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Factors associated with malnutrition among older people in Swedish short‐term care: Poor oral health, dysphagia and mortality

Lindqvist,

Olai,

Hägglund

2024

Int J Dental Hygiene

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ObjectivesTo investigate the relationship between malnutrition and potential contributing factors such as poor oral health, dysphagia and mortality among older people in short‐term care.MethodsThis cross‐sectional study is a part of the multidisciplinary multicentre project SOFIA (Swallowing function, Oral health and Food Intake in old Age), which includes older people (≥65 years) in 36 short‐term care units in five regions of Sweden. Nutritional status was measured with version II of the Minimal Eating Observation and Nutrition Form (MEONF‐II), oral health with the Revised Oral Assessment Guide (ROAG), dysphagia with a water swallow test, and the mortality rate was followed for 1 year. Data were analysed using descriptive analysis and logistic regression models to calculate odds ratios for the association between malnutrition and these factors.ResultsAmong the 391 participants, the median age was 84 years and 53.3% were women. Mortality rate was 25.1% within 1 year in the total group, and was higher among malnourished participants than among their well‐nourished counterparts. Severe dysphagia (OR: 6.51, 95% CI: 2.40–17.68), poor oral health (OR: 5.73, 95% CI: 2.33–14.09) and female gender (OR: 2.2, 95% CI: 1.24–3.93) were independently associated with malnutrition.ConclusionMortality rate was higher among malnourished people than those who were well nourished. Severe dysphagia, poor oral health and female gender was predictors of malnutrition among older people in short‐term care. These health risks should be given more attention in short‐term care with early identification.

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Relation between number of teeth, malnutrition, and 3‐year mortality in elderly individuals ≥85 years

et al. 2021

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Objective The number of teeth has been shown to affect mortality. However, it is unclear why the number of teeth is associated with mortality. We focused on the number of teeth and malnutrition and examined whether these differences affect 3‐year all‐cause mortality among very elderly individuals. Methods This analysis was conducted using data from the Tokyo Oldest Old Survey on Total Health study. Altogether 513 participants ≥85 years were categorized based on remaining teeth (0, 1–7, 8–18, ≥19). All‐cause mortality was determined by calculating the cumulative 3‐year survival rate according to the remaining number of teeth and the presence/absence of malnutrition. Further, hazard ratios (HRs) were analyzed using Cox regression analyses. Results No difference was observed according to the number of teeth (p = 0.638), but the presence/absence of malnutrition was significantly associated with mortality (p < 0.001). Malnutrition was independently associated with higher HRs, even after adjusting for confounding factors associated with mortality. (HR: 2.315, 95% CI: 1.431–3.746). Additionally, adjusting for the number of teeth, HR remained significant (HR: 2.365, 95% CI: 1.449–3.853). Conclusion In the very elderly, malnutrition—but not the number of teeth—was independently associated with 3‐year all‐cause mortality after adjusting for various health issues.

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Relation between number of teeth, malnutrition, and 3‐year mortality in elderly individuals ≥85 years

Cited by 4 publications

References 51 publications

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Validity and feasibility of the global leadership initiative on malnutrition diagnostic concept in older people: a literature review from August 2021 to August 2022

Factors associated with malnutrition among older people in Swedish short‐term care: Poor oral health, dysphagia and mortality

Relation between number of teeth, malnutrition, and 3‐year mortality in elderly individuals ≥85 years

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