Validation of the Chinese version of the abnormal eating behavior questionnaire in people with dementia

Wang, Hanxiao; Chen, Siman; Wu, Jialan; Liao, Xiaoyan

doi:10.1016/j.gerinurse.2020.11.006

Cited by 2 publications

(1 citation statement)

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“…Both acidic salivary pH (<6.6) (Zhang, Kang, et al, 2021) and hyposalivation (Chapple et al, 2017) are well‐established risk factors for dental caries and periodontal diseases. Cognitive impairment has been linked to altered patterns of appetite (such as sweet preference) (Wang et al, 2021) that might contribute to lower salivary pH (Manchery et al, 2022). Hyposalivation has also been identified as a correlate of age‐related cognitive decline in middle‐aged males (Sorensen et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Improving oral hygiene for better cognitive health: Interrelationships of oral hygiene habits, oral health status, and cognitive function in older adults

Yang

Liang

Cai³

et al. 2023

Journal of Advanced Nursing

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ObjectivesTo explore the interrelationships between oral hygiene habits, oral health status and cognitive function in older adults.DesignA cross‐sectional study.Setting and ParticipantsA total of 371 participants (age 76.79 [7.99] years) were enrolled from June 2020 to November 2021 in an aged care facility.MethodsCognitive function was screened using the mini‐mental state examination (MMSE) with adjusted cut‐off points for age and education. Periodontal status (Biofilm‐Gingival Interface index based on periodontal probing depth and bleeding on probing), dental status (plaque, calculus, and caries), and tooth loss were assessed through full‐mouth examination. Oral hygiene habits were based on self‐ or informant‐reporting.ResultsPoor periodontal status was an associated factor for MCI (OR = 2.89, 95% CI = 1.20–6.95), while multiple tooth loss (OR = 4.90, 95% CI = 1.06 ~ 22.59), brushing teeth less than once a day (OR = 2.88, 95% CI = 1.12 ~ 7.45) and delayed dental visits (OR = 2.45, 95% CI = 1.05 ~ 5.68) were associated factors for cognitive impairment. An indirect effect of brushing teeth ≥2 daily on MMSE score through periodontal status was observed only in older adults without cognitive impairment (Bootstrap‐corrected B = 0.17, 95%CI = 0.03 ~ 0.36, SE = 0.08, β = 0.08).Conclusions and ImplicationsAdequate toothbrushing might prevent cognitive decline indirectly by improving periodontal health only in older adults without cognitive impairment. Multiple tooth loss, infrequent toothbrushing, and delayed dental visits were associated factors for cognitive impairment. Nursing professionals and health care policymakers should advocate for the improvement of basic oral hygiene in older adults, and provide regular professional oral hygiene care for older adults with cognitive impairment.Patient or Public ContributionThe information on oral health habits of this study was based on an interview with the participants or their caregivers during the study period.

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