DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS
Identifieur interne : 002070 ( Main/Exploration ); précédent : 002069; suivant : 002071DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS
Auteurs : R. K. T. Saarela [Finlande] ; H. Soini [Finlande] ; K. Hiltunen [Finlande] ; S. Muurinen [Finlande] ; M. Suominen [Finlande] ; K. Pitkala [Finlande]Source :
- The Journal of nutrition, health & aging [ 1279-7707 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Malnutrition, Mortalité, Homme, Nutrition, Personne âgée.
English descriptors
- KwdEn :
Abstract
Background: Oral health status and oral health problems can affect eating habits and thus consequently the nutritional status of frail older people. Objectives: To assess older service house residents' dentition and its associations with nutritional status and eating habits, and as well as to explore the prognostic value of dentition status for mortality. Design: A cross-sectional study with a three-year follow-up. Methods: In 2007, we assessed the nutritional status of all residents in service houses in the two cities of Helsinki and Espoo in Finland (N=2188). Altogether 1475 subjects (67%) participated in the study; dentition status data were available for 1369 of them. Using a personal interview and assessment, trained nurses familiar to the resident collected the subjects' demographic data, medical history, functional and cognitive status, information on dentition status, oral symptoms, eating habits and diets. We assessed nutritional status with the Mini Nutritional Assessment (MNA), and retrieved information on mortality from central registers on 6 July 2010. Results: Edentulousness was common; more than half of the residents (52%) had lost all their teeth: 7% (n=94) were totally edentulous without prosthesis (Group 1), 45% (n=614) had removable dentures (Group 2), and 48% (n = 661) of the residents, had some natural teeth left (Group 3). Dentition status was associated with age, gender, education and disability. According to the MNA, 13% were malnourished, 65% were at risk for malnutrition, and 22% were well nourished. Edentulousness without prosthesis was associated with malnutrition, oral symptoms and infrequent use of oral care services. In Group 1, 52% were deceased during follow-up period. The respective figures for Groups 2 and 3 were 48% and 40% (p=0.004). However, in Cox regression analysis adjusted for age, gender, comorbidity and MNA score, dentition status no longer predicted mortality. Conclusion: Edentulousness is still common among older service housing residents. Edentulousness without prosthesis was associated with poor nutritional status, oral symptoms and infrequent use of dental services. These findings suggest the need for co-operation between nursing staff and oral care services.
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K. T." last="Saarela">R. K. T. Saarela</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>City of Helsinki, Department of social services and health care, Oral Health Care</s1><s3>FIN</s3><sZ>1 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>City of Helsinki, Department of social services and health care, Oral Health Care</wicri:noRegion></affiliation></author><author><name sortKey="Soini, H" sort="Soini, H" uniqKey="Soini H" first="H." last="Soini">H. Soini</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>City of Helsinki, Department of social services and health care, Developmental and operational support</s1><s3>FIN</s3><sZ>2 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>City of Helsinki, Department of social services and health care, Developmental and operational support</wicri:noRegion></affiliation></author><author><name sortKey="Hiltunen, K" sort="Hiltunen, K" uniqKey="Hiltunen K" first="K." last="Hiltunen">K. 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Suominen</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Society of Memory Disorders Expertise in Finland</s1><s2>Helsinki</s2><s3>FIN</s3><sZ>5 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Society of Memory Disorders Expertise in Finland</wicri:noRegion></affiliation></author><author><name sortKey="Pitkala, K" sort="Pitkala, K" uniqKey="Pitkala K" first="K." last="Pitkala">K. Pitkala</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Helsinki University Central Hospital, Unit of Primary Health Care and University of Helsinki, Department of General Practice</s1><s3>FIN</s3><sZ>6 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Central Hospital, Unit of Primary Health Care and University of Helsinki, Department of General Practice</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">The Journal of nutrition, health & aging</title><title level="j" type="abbreviated">J. nutr. health aging</title><idno type="ISSN">1279-7707</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of nutrition, health & aging</title><title level="j" type="abbreviated">J. nutr. health aging</title><idno type="ISSN">1279-7707</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dentition</term><term>Elderly</term><term>Epidemiology</term><term>Feeding</term><term>Human</term><term>Malnutrition</term><term>Metabolic diseases</term><term>Mortality</term><term>Nutrition</term><term>Resident</term><term>Resident (student)</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Malnutrition</term><term>Dentition</term><term>Mortalité</term><term>Epidémiologie</term><term>Résident</term><term>Homme</term><term>Interne (étudiant)</term><term>Nutrition</term><term>Alimentation</term><term>Personne âgée</term><term>Maladie métabolique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Malnutrition</term><term>Mortalité</term><term>Homme</term><term>Nutrition</term><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Oral health status and oral health problems can affect eating habits and thus consequently the nutritional status of frail older people. Objectives: To assess older service house residents' dentition and its associations with nutritional status and eating habits, and as well as to explore the prognostic value of dentition status for mortality. Design: A cross-sectional study with a three-year follow-up. Methods: In 2007, we assessed the nutritional status of all residents in service houses in the two cities of Helsinki and Espoo in Finland (N=2188). Altogether 1475 subjects (67%) participated in the study; dentition status data were available for 1369 of them. Using a personal interview and assessment, trained nurses familiar to the resident collected the subjects' demographic data, medical history, functional and cognitive status, information on dentition status, oral symptoms, eating habits and diets. We assessed nutritional status with the Mini Nutritional Assessment (MNA), and retrieved information on mortality from central registers on 6 July 2010. Results: Edentulousness was common; more than half of the residents (52%) had lost all their teeth: 7% (n=94) were totally edentulous without prosthesis (Group 1), 45% (n=614) had removable dentures (Group 2), and 48% (n = 661) of the residents, had some natural teeth left (Group 3). Dentition status was associated with age, gender, education and disability. According to the MNA, 13% were malnourished, 65% were at risk for malnutrition, and 22% were well nourished. Edentulousness without prosthesis was associated with malnutrition, oral symptoms and infrequent use of oral care services. In Group 1, 52% were deceased during follow-up period. The respective figures for Groups 2 and 3 were 48% and 40% (p=0.004). However, in Cox regression analysis adjusted for age, gender, comorbidity and MNA score, dentition status no longer predicted mortality. Conclusion: Edentulousness is still common among older service housing residents. Edentulousness without prosthesis was associated with poor nutritional status, oral symptoms and infrequent use of dental services. These findings suggest the need for co-operation between nursing staff and oral care services.</div></front></TEI><affiliations><list><country><li>Finlande</li></country><region><li>Uusimaa</li></region><settlement><li>Helsinki</li></settlement><orgName><li>Université d'Helsinki</li></orgName></list><tree><country name="Finlande"><noRegion><name sortKey="Saarela, R K T" sort="Saarela, R K T" uniqKey="Saarela R" first="R. K. T." last="Saarela">R. K. T. Saarela</name></noRegion><name sortKey="Hiltunen, K" sort="Hiltunen, K" uniqKey="Hiltunen K" first="K." last="Hiltunen">K. Hiltunen</name><name sortKey="Muurinen, S" sort="Muurinen, S" uniqKey="Muurinen S" first="S." last="Muurinen">S. Muurinen</name><name sortKey="Pitkala, K" sort="Pitkala, K" uniqKey="Pitkala K" first="K." last="Pitkala">K. Pitkala</name><name sortKey="Soini, H" sort="Soini, H" uniqKey="Soini H" first="H." last="Soini">H. Soini</name><name sortKey="Suominen, M" sort="Suominen, M" uniqKey="Suominen M" first="M." last="Suominen">M. Suominen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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