The relationship between oral health status and Body Mass Index among older people: a national survey of older people in Great Britain

Sheiham, Aubrey; Steele, J G; Marcenes, Wagner; Finch, Stephen J.; Walls, Angus

doi:10.1038/sj.bdj.4801461

Cited by 164 publications

(137 citation statements)

References 11 publications

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“…Six of these articles support the argument that obese adults have fewer teeth compared to normal weight individuals 24,26,27,29,30,31 , however a case control study found no significant difference between the number of teeth in normal weight and obese individuals 23 . Two of the articles quote the significance of having less than 21 teeth which obesity.…”

Section: Reduced Number Of Teethmentioning

confidence: 86%

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Marshall

Loescher²,

Marshman³

2016

Br Dent J

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Section: Reduced Number Of Teethmentioning

confidence: 86%

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Marshall

Loescher²,

Marshman³

2016

Br Dent J

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“…While using the same instrument for nutritional evaluation, the Spanish Geriatric Oral Health Research Group studied 3460 institutionalized and noninstitutionalized older adults, and nutritional risk was identified in similar proportions in both edentulous and non-edentulous subjects (43 and 39%, respectively) 38 . Sheiham et al 16 examined data from 629 seniors in England, including institutionalized individuals, and observed that the edentulous elderly had a higher risk of presenting low weight according to BMI than those with 10 or more teeth. Marcenes et al 17 investigated a similar population to that studied by Sheiham et al 16 , and concluded that the presence of 20 teeth or more was associated with normal BMI.…”

Section: Discussionmentioning

confidence: 99%

“…Sheiham et al 16 examined data from 629 seniors in England, including institutionalized individuals, and observed that the edentulous elderly had a higher risk of presenting low weight according to BMI than those with 10 or more teeth. Marcenes et al 17 investigated a similar population to that studied by Sheiham et al 16 , and concluded that the presence of 20 teeth or more was associated with normal BMI. However, the populations examined in both studies presented heterogeneous characteristics, including people with advanced age and functional limitations, which possibly limited comparison with elderly in a good functional state and up to 74 years old, as were those selected for the present study.…”

Section: Discussionmentioning

confidence: 99%

“…However, most authors considered the worsening nutritional state as the low weight according to the Body Mass Index (BMI) [16][17][18][19] . To date, only one study has been published that has used a measurement capable of identifying nutritional risk, such as the Mini Nutritional Assessment (MNA) 14 , with noninstitutionalized elderly Brazilians and demonstrated an association between the number of remaining teeth and nutritional status.…”

Section: Introductionmentioning

confidence: 99%

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Salud oral y déficit nutricional en adultos mayores no institucionalizados en Londrina, Paraná, Brasil

Mesas

Andrade

Cabrera

et al. 2010

Rev. bras. epidemiol.

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OBJETIVO: Examinar la asociación entre el déficit nutricional y problemas de salud oral en adultos mayores no institucionalizados de una comunidad en Brasil. MÉTODOS: En este estudio transversal fueron obtenidos datos de 267 adultos mayores (160 mujeres y 107 hombres) con edad entre los 60 y 74 años provenientes del censo del área de cobertura de un Equipo del Programa Salud de la Familia de Londrina, Brasil. El déficit nutricional fue identificado con la Mini Evaluación Nutricional (< 24 puntos). La valoración odontológica incluyó exploración bucodental, medición del flujo salivar estimulado y aplicación del Geriatric Oral Health Assessment Index para la percepción oral. Los análisis multivariantes fueron ajustados por variables sociodemográficas, depresión y consumo de medicamentos. RESULTADOS: El déficit nutricional fue detectado en 58 ancianos (21,7%). Entre las variables odontológicas, la ausencia de oclusión posterior (Odds Ratio, OR: 2,18; Intervalo de Confianza, IC95%: 1,06 - 4,45), el flujo salivar estimulado < 0,7 ml/minuto (OR: 2,18, IC95%: 1,06 - 4,50), la enfermedad periodontal avanzada (OR: 6,54; IC95%: 2,03 -21,00) y la percepción negativa de la salud oral (OR: 3,41; IC95%: 1,59 - 7,33) se asociaron al déficit nutricional de modo independiente del sexo, edad, clase económica, escolaridad, consumo de tabaco, depresión y uso de medicamentos. CONCLUSIONES: El deterioro de la salud oral se asoció al déficit nutricional, y por lo tanto se requiere mayor integración entre odontología y nutrición en la promoción de salud en adultos mayores, especialmente en la prevención de la pérdida dental y en la rehabilitación oclusal posterior, evitándose obstáculos para una dieta adecuada.

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“…Whereas the number of teeth is of importance for masticatory function, having premolar and molar teeth (which help to occlude) is especially important for nutritional status. The increased periodontitis and dental caries rates of CKD patients lead to tooth loss, which may result in chewing difficulties because of inadequate occlusive surfaces or the limitations of prostheses (80).…”

Section: Poor Oral Health As a Contributor To Protein-energy Wastingmentioning

confidence: 99%

Systemic Consequences of Poor Oral Health in Chronic Kidney Disease Patients

Akar

Carrero

et al. 2011

Clinical Journal of the American Society of Nephrology

156

131

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SummaryChanges in the oral cavity, such as periodontitis and other manifestations of poor oral health, are common in patients with chronic kidney disease (CKD) and may contribute to increased morbidity and mortality because of systemic consequences such as inflammation, infections, protein-energy wasting, and atherosclerotic complications. Poor oral health in CKD patients may thus represent an important, but often overlooked, problem. Several studies show that uremic patients have higher rates of decayed, missing, and filled teeth, loss of attachment, and periapical and mucosal lesions than the general population. The consequences of poor oral health may be more severe in CKD patients because of advanced age, common comorbidities such as diabetes, concurrent medications, and a state of immune dysfunction that may increase the risk for systemic consequences of periodontitis and other oral and dental pathologic conditions. Poor dentition and other signs of poor oral health should be an alarm clock also at early stages of CKD. However, it remains to be determined whether more successful management of poor oral health and periodontitis will reduce the risk of inflammation, infection, protein-energy wasting, and atherosclerotic complications in CKD patients. This review explores etiological factors and potential systemic consequences of poor oral health in CKD patients as well as possible preventive and therapeutic strategies.

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The relationship between oral health status and Body Mass Index among older people: a national survey of older people in Great Britain

Abstract: Older people in Britain with more than 20 teeth are more likely to have a normal Body Mass Index.

Cited by 164 publications

References 11 publications

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Salud oral y déficit nutricional en adultos mayores no institucionalizados en Londrina, Paraná, Brasil

Systemic Consequences of Poor Oral Health in Chronic Kidney Disease Patients

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