Oral and nutritional status - : Is the MNA® a useful tool for dental clinics. Discussion : The MNA® (mini nutritional assessment
Identifieur interne : 007060 ( Main/Exploration ); précédent : 007059; suivant : 007061Oral and nutritional status - : Is the MNA® a useful tool for dental clinics. Discussion : The MNA® (mini nutritional assessment
Auteurs : H. Soini [Finlande] ; S. Muurinen [Finlande] ; P. Routasalo [Finlande] ; E. Sandelin [Finlande] ; N. Savikko [Finlande] ; M. Suominen [Finlande] ; A. Ainamo [Finlande] ; K. H. Pitk L [Finlande] ; Riva Touger-Decker [États-Unis] ; Bruno Vellas [France] ; Cameron Chumlea [États-Unis] ; Cornel Sieber [Allemagne] ; Helena Soini [Finlande] ; David Thomas [États-Unis] ; Phillip Garry [États-Unis] ; Tommy Cederholm [Suède] ; Yves Guigoz [Suisse] ; Gordon Jensen [États-Unis]Source :
- The Journal of nutrition, health & aging [ 1279-7707 ] ; 2006.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée, Nutrition.
English descriptors
- KwdEn :
Abstract
Objectives: To determine the oral status of elderly residents in nursing homes (NH) and long term care wards (LT) and to describe associations between oral status and nutritional status among institutionalized elderly residents. Design: Descriptive, cross-sectional study. Setting: All elderly residents in all NH and LT in Helsinki, the capital of Finland. Participants: The study included 2036 out of 2424 (84 %) eligible subjects in NH, 1052 out of 1444 (73%) eligible subjects in LT, and all wards in NH (N=92) and LT (N=53). Measurements: A structured questionnaire, oral examination, and Mini Nutritional Assessment (MNA®) were completed by ward nurses for all participating residents. The structured questionnaire included information on oral status and oral health problems, demographic characteristics, functional status, diseases and medication. One questionnaire for each ward was used to evaluate the daily ward routines related to nutritional care and meal management. Results: 11 % of the NH residents and 3 % of LH patients were well nourished. Of NH residents 60 % were at risk of malnutrition and 29 % were malnourished. The respective figures for LT patients were 40 % and 57 %. Nutritional status was significantly associated with oral status and with the number of oral health problems. Those with mixed dentition or complete dentures tended to have better nutritional status than those totally edentulous without prosthesis. Malnutrition increased consistently with the increasing number of oral health problems (including chewing problems, swallowing difficulties, pain in mouth and xerostomia). Conclusion: In the population of institutionalized frail elderly, malnutrition was related to both poor oral status and oral health problems.
Affiliations:
- Allemagne, Finlande, France, Suisse, Suède, États-Unis
- Midi-Pyrénées, Missouri (État), New Jersey, Nouveau-Mexique, Occitanie (région administrative), Ohio, Svealand, Tennessee, Uusimaa
- Helsinki, Stockholm, Toulouse
- Université d'Helsinki
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Discussion : The MNA® (mini nutritional assessment</title><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="01"><s1>Section of Social and Health Services, Elderly Care</s1><s2>City of Espoo</s2><s3>FIN</s3><sZ>1 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>City of Espoo</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>The University of Tartu, Department of Nursing Science</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>The University of Tartu, Department of Nursing Science</wicri:noRegion></affiliation></author><author><name sortKey="Muurinen, S" sort="Muurinen, S" uniqKey="Muurinen S" first="S." last="Muurinen">S. Muurinen</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>City of Helsinki, Social Services Department</s1><s3>FIN</s3><sZ>2 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>City of Helsinki, Social Services Department</wicri:noRegion></affiliation></author><author><name sortKey="Routasalo, P" sort="Routasalo, P" uniqKey="Routasalo P" first="P." last="Routasalo">P. Routasalo</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>The University of Tartu, Department of Nursing Science</s1><s3>FIN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>The University of Tartu, Department of Nursing Science</wicri:noRegion></affiliation></author><author><name sortKey="Sandelin, E" sort="Sandelin, E" uniqKey="Sandelin E" first="E." last="Sandelin">E. Sandelin</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>City of Helsinki, Department of Health Care</s1><s3>FIN</s3><sZ>4 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>City of Helsinki, Department of Health Care</wicri:noRegion></affiliation></author><author><name sortKey="Savikko, N" sort="Savikko, N" uniqKey="Savikko N" first="N." last="Savikko">N. Savikko</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>The Central Union for the Welfare of the Aged</s1><s3>FIN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>The Central Union for the Welfare of the Aged</wicri:noRegion></affiliation></author><author><name sortKey="Suominen, M" sort="Suominen, M" uniqKey="Suominen M" first="M." last="Suominen">M. Suominen</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>The Central Union for the Welfare of the Aged</s1><s3>FIN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>The Central Union for the Welfare of the Aged</wicri:noRegion></affiliation></author><author><name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A." last="Ainamo">A. Ainamo</name><affiliation wicri:level="4"><inist:fA14 i1="06"><s1>University of Helsinki, Institute of Dentistry</s1><s3>FIN</s3><sZ>7 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>University of Helsinki, Institute of Dentistry</wicri:noRegion><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation></author><author><name sortKey="Pitk L, K H" sort="Pitk L, K H" uniqKey="Pitk L K" first="K. H." last="Pitk L">K. H. Pitk L</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>The Central Union for the Welfare of the Aged</s1><s3>FIN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>The Central Union for the Welfare of the Aged</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="07"><s1>University of Helsinki, Department of General Practise and Primary Health Care</s1><s3>FIN</s3><sZ>8 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>University of Helsinki, Department of General Practise and Primary Health Care</wicri:noRegion><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Helsinki University Hospital, Clinics of General International Medicien and Geriatrics</s1><s3>FIN</s3><sZ>8 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Helsinki University Hospital, Clinics of General International Medicien and Geriatrics</wicri:noRegion></affiliation></author><author><name sortKey="Touger Decker, Riva" sort="Touger Decker, Riva" uniqKey="Touger Decker R" first="Riva" last="Touger-Decker">Riva Touger-Decker</name><affiliation wicri:level="2"><inist:fA14 i1="09"><s1>University of Medicine & Densitry of New Jersey</s1><s2>Newark, NJ</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">New Jersey</region></placeName></affiliation></author><author><name sortKey="Vellas, Bruno" sort="Vellas, Bruno" uniqKey="Vellas B" first="Bruno" last="Vellas">Bruno Vellas</name><affiliation wicri:level="3"><inist:fA14 i1="10"><s1>Toulouse University</s1><s2>Toulouse</s2><s3>FRA</s3><sZ>10 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Chumlea, Cameron" sort="Chumlea, Cameron" uniqKey="Chumlea C" first="Cameron" last="Chumlea">Cameron Chumlea</name><affiliation wicri:level="2"><inist:fA14 i1="11"><s1>Wright State University</s1><s2>Dayton, OH</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Sieber, Cornel" sort="Sieber, Cornel" uniqKey="Sieber C" first="Cornel" last="Sieber">Cornel Sieber</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Erlangen-Nürnberg University</s1><s2>Nurnberg</s2><s3>DEU</s3><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Nurnberg</wicri:noRegion><wicri:noRegion>Erlangen-Nürnberg University</wicri:noRegion><wicri:noRegion>Erlangen-Nürnberg University</wicri:noRegion></affiliation></author><author><name sortKey="Soini, Helena" sort="Soini, Helena" uniqKey="Soini H" first="Helena" last="Soini">Helena Soini</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Elderly Care, City of Espoo</s1><s2>Espoo</s2><s3>FIN</s3><sZ>13 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>Espoo</wicri:noRegion></affiliation></author><author><name sortKey="Thomas, David" sort="Thomas, David" uniqKey="Thomas D" first="David" last="Thomas">David Thomas</name><affiliation wicri:level="2"><inist:fA14 i1="14"><s1>Saint Louis University</s1><s2>St. Louis, MO</s2><s3>USA</s3><sZ>14 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Garry, Phillip" sort="Garry, Phillip" uniqKey="Garry P" first="Phillip" last="Garry">Phillip Garry</name><affiliation wicri:level="2"><inist:fA14 i1="15"><s1>University of New Mexico</s1><s2>Albuquerque, NM</s2><s3>USA</s3><sZ>15 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Nouveau-Mexique</region></placeName></affiliation></author><author><name sortKey="Cederholm, Tommy" sort="Cederholm, Tommy" uniqKey="Cederholm T" first="Tommy" last="Cederholm">Tommy Cederholm</name><affiliation wicri:level="3"><inist:fA14 i1="16"><s1>Karolinska University Hospital Huddinge</s1><s2>Stockholm</s2><s3>SWE</s3><sZ>16 aut.</sZ></inist:fA14><country>Suède</country><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Guigoz, Yves" sort="Guigoz, Yves" uniqKey="Guigoz Y" first="Yves" last="Guigoz">Yves Guigoz</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Nestlé Product Technology Center</s1><s2>Konolfingen</s2><s3>CHE</s3><sZ>17 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>Nestlé Product Technology Center</wicri:noRegion></affiliation></author><author><name sortKey="Jensen, Gordon" sort="Jensen, Gordon" uniqKey="Jensen G" first="Gordon" last="Jensen">Gordon Jensen</name><affiliation wicri:level="2"><inist:fA14 i1="18"><s1>Vanderbilf University</s1><s2>Nashville, TN</s2><s3>USA</s3><sZ>18 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></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="2006">2006</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>Bucco-dental health</term><term>Clinic</term><term>Dental disease</term><term>Elderly</term><term>Feeding</term><term>Frailty in elderly</term><term>Mini Nutritional Assessment</term><term>Nutrition</term><term>Nutritional status</term><term>Oral administration</term><term>Oral cavity</term><term>Tool</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dent pathologie</term><term>Voie orale</term><term>Etat nutritionnel</term><term>Outil</term><term>Clinique</term><term>Personne âgée</term><term>Cavité buccale</term><term>Nutrition</term><term>Alimentation</term><term>Fragilité personne âgée</term><term>Santé bucco-dentaire</term><term>Mini Nutritional Assessment</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term><term>Nutrition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives: To determine the oral status of elderly residents in nursing homes (NH) and long term care wards (LT) and to describe associations between oral status and nutritional status among institutionalized elderly residents. Design: Descriptive, cross-sectional study. Setting: All elderly residents in all NH and LT in Helsinki, the capital of Finland. Participants: The study included 2036 out of 2424 (84 %) eligible subjects in NH, 1052 out of 1444 (73%) eligible subjects in LT, and all wards in NH (N=92) and LT (N=53). Measurements: A structured questionnaire, oral examination, and Mini Nutritional Assessment (MNA®) were completed by ward nurses for all participating residents. The structured questionnaire included information on oral status and oral health problems, demographic characteristics, functional status, diseases and medication. One questionnaire for each ward was used to evaluate the daily ward routines related to nutritional care and meal management. Results: 11 % of the NH residents and 3 % of LH patients were well nourished. Of NH residents 60 % were at risk of malnutrition and 29 % were malnourished. The respective figures for LT patients were 40 % and 57 %. Nutritional status was significantly associated with oral status and with the number of oral health problems. Those with mixed dentition or complete dentures tended to have better nutritional status than those totally edentulous without prosthesis. Malnutrition increased consistently with the increasing number of oral health problems (including chewing problems, swallowing difficulties, pain in mouth and xerostomia). Conclusion: In the population of institutionalized frail elderly, malnutrition was related to both poor oral status and oral health problems.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Finlande</li><li>France</li><li>Suisse</li><li>Suède</li><li>États-Unis</li></country><region><li>Midi-Pyrénées</li><li>Missouri (État)</li><li>New Jersey</li><li>Nouveau-Mexique</li><li>Occitanie (région administrative)</li><li>Ohio</li><li>Svealand</li><li>Tennessee</li><li>Uusimaa</li></region><settlement><li>Helsinki</li><li>Stockholm</li><li>Toulouse</li></settlement><orgName><li>Université d'Helsinki</li></orgName></list><tree><country name="Finlande"><noRegion><name sortKey="Soini, H" sort="Soini, H" uniqKey="Soini H" first="H." last="Soini">H. Soini</name></noRegion><name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A." last="Ainamo">A. Ainamo</name><name sortKey="Muurinen, S" sort="Muurinen, S" uniqKey="Muurinen S" first="S." last="Muurinen">S. Muurinen</name><name sortKey="Pitk L, K H" sort="Pitk L, K H" uniqKey="Pitk L K" first="K. H." last="Pitk L">K. H. Pitk L</name><name sortKey="Pitk L, K H" sort="Pitk L, K H" uniqKey="Pitk L K" first="K. H." last="Pitk L">K. H. Pitk L</name><name sortKey="Pitk L, K H" sort="Pitk L, K H" uniqKey="Pitk L K" first="K. H." last="Pitk L">K. H. Pitk L</name><name sortKey="Routasalo, P" sort="Routasalo, P" uniqKey="Routasalo P" first="P." last="Routasalo">P. Routasalo</name><name sortKey="Sandelin, E" sort="Sandelin, E" uniqKey="Sandelin E" first="E." last="Sandelin">E. Sandelin</name><name sortKey="Savikko, N" sort="Savikko, N" uniqKey="Savikko N" first="N." last="Savikko">N. Savikko</name><name sortKey="Soini, H" sort="Soini, H" uniqKey="Soini H" first="H." last="Soini">H. Soini</name><name sortKey="Soini, Helena" sort="Soini, Helena" uniqKey="Soini H" first="Helena" last="Soini">Helena Soini</name><name sortKey="Suominen, M" sort="Suominen, M" uniqKey="Suominen M" first="M." last="Suominen">M. Suominen</name></country><country name="États-Unis"><region name="New Jersey"><name sortKey="Touger Decker, Riva" sort="Touger Decker, Riva" uniqKey="Touger Decker R" first="Riva" last="Touger-Decker">Riva Touger-Decker</name></region><name sortKey="Chumlea, Cameron" sort="Chumlea, Cameron" uniqKey="Chumlea C" first="Cameron" last="Chumlea">Cameron Chumlea</name><name sortKey="Garry, Phillip" sort="Garry, Phillip" uniqKey="Garry P" first="Phillip" last="Garry">Phillip Garry</name><name sortKey="Jensen, Gordon" sort="Jensen, Gordon" uniqKey="Jensen G" first="Gordon" last="Jensen">Gordon Jensen</name><name sortKey="Thomas, David" sort="Thomas, David" uniqKey="Thomas D" first="David" last="Thomas">David Thomas</name></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Vellas, Bruno" sort="Vellas, Bruno" uniqKey="Vellas B" first="Bruno" last="Vellas">Bruno Vellas</name></region></country><country name="Allemagne"><noRegion><name sortKey="Sieber, Cornel" sort="Sieber, Cornel" uniqKey="Sieber C" first="Cornel" last="Sieber">Cornel Sieber</name></noRegion></country><country name="Suède"><region name="Svealand"><name sortKey="Cederholm, Tommy" sort="Cederholm, Tommy" uniqKey="Cederholm T" first="Tommy" last="Cederholm">Tommy Cederholm</name></region></country><country name="Suisse"><noRegion><name sortKey="Guigoz, Yves" sort="Guigoz, Yves" uniqKey="Guigoz Y" first="Yves" last="Guigoz">Yves Guigoz</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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