TY - JOUR
T1 - Effect of oral health status and oral function on malnutrition in community-dwelling older adult dental patients
T2 - A two-year prospective cohort study
AU - Sawada, Nanami
AU - Takeuchi, Noriko
AU - Ekuni, Daisuke
AU - Morita, Manabu
N1 - Publisher Copyright:
© 2023 Gerodontology Association and John Wiley & Sons Ltd.
PY - 2024/9
Y1 - 2024/9
N2 - Objectives: To survey oral status in detail and clarify the factors associated with nutritional status as evaluated by the Mini Nutritional Assessment. Background: Malnutrition is common in older adults and increases the risk of frailty, sarcopenia, and mortality. However, few longitudinal studies have been performed to investigate the causal effect of oral status on malnutrition in detail, and the information reported in those longitudinal studies has been limited to dentition status and swallowing ability. Materials and Methods: The participants in this prospective cohort study were patients who visited the Preventive Dentistry Clinic at Okayama University Hospital from November 2017 to January 2021. The number of teeth, periodontal condition, oral function (oral diadochokinesis, masticatory ability, number of bacteria in tongue coating, occlusal force, oral moisture, tongue pressure, swallowing function), nutritional status, the number of comorbidities, and mental health status were examined. These variables were analysed using structural equation modelling (SEM). Results: The final analysis included 141 participants (40 males and 101 females; mean age, 73.5 ± 6.3 years; follow-up rate: 79.7%). The results of the SEM revealed that oral status (number of teeth present and swallowing function) was positively associated with nutritional status 2 years later. In addition, age was negatively associated with oral status. Conclusion: In community-dwelling older adult dental patients (age ≥60 years), oral function at baseline was associated with nutritional status two years later.
AB - Objectives: To survey oral status in detail and clarify the factors associated with nutritional status as evaluated by the Mini Nutritional Assessment. Background: Malnutrition is common in older adults and increases the risk of frailty, sarcopenia, and mortality. However, few longitudinal studies have been performed to investigate the causal effect of oral status on malnutrition in detail, and the information reported in those longitudinal studies has been limited to dentition status and swallowing ability. Materials and Methods: The participants in this prospective cohort study were patients who visited the Preventive Dentistry Clinic at Okayama University Hospital from November 2017 to January 2021. The number of teeth, periodontal condition, oral function (oral diadochokinesis, masticatory ability, number of bacteria in tongue coating, occlusal force, oral moisture, tongue pressure, swallowing function), nutritional status, the number of comorbidities, and mental health status were examined. These variables were analysed using structural equation modelling (SEM). Results: The final analysis included 141 participants (40 males and 101 females; mean age, 73.5 ± 6.3 years; follow-up rate: 79.7%). The results of the SEM revealed that oral status (number of teeth present and swallowing function) was positively associated with nutritional status 2 years later. In addition, age was negatively associated with oral status. Conclusion: In community-dwelling older adult dental patients (age ≥60 years), oral function at baseline was associated with nutritional status two years later.
KW - nutrition
KW - oral function
KW - oral health
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U2 - 10.1111/ger.12718
DO - 10.1111/ger.12718
M3 - Article
AN - SCOPUS:85174313222
SN - 0734-0664
VL - 41
SP - 393
EP - 399
JO - Gerodontology
JF - Gerodontology
IS - 3
ER -