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Oral and nutritional status in frail elderly

Identifieur interne : 007F03 ( Main/Exploration ); précédent : 007F02; suivant : 007F04

Oral and nutritional status in frail elderly

Auteurs : Helena Soini [Finlande] ; Pirkko Routasalo [Finlande] ; Sirkka Lauri [Finlande] ; Anja Ainamo [Finlande]

Source :

RBID : ISTEX:B06F4B88FFC2D9A6A6BBD06C1B77378A561083B3

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English descriptors

Abstract

This article describes associations between oral health and nutritional status among chronically ill older adults who were living at home and receiving regular professional home care services. A structured questionnaire, oral examination, and Mini‐Nutritional Assessment were completed for 51 subjects (mean age 83.7 years). Two‐thirds of the sample were edentulous, and one‐third had between 2 and 23 teeth (mean 10.59, SD ± 6.92). Sixty percent of subjects complained of xerostomia, while dentists found only 48% to have clinical signs of dry mouth. More than half of the subjects had stimulated saliva rates of < 0.8 ml/min. Stimulated saliva secretion rates were lower for persons with no functional natural dentition or prostheses (p= 0.012). Subjects assessed their dentures to be more functional than did the dentist (Kappa 0.338). No one was considered malnourished, 47% were at risk of malnutrition, and 52% were well nourished. The dentist's estimation of dry mouth and eating problems were significantly associated to lower MNA scores (p= 0.049 and p = 0.015, respectively). Subjects with a natural functioning dentition had higher BMI scores (p= 0.0485).

Url:
DOI: 10.1111/j.1754-4505.2003.tb00314.x


Affiliations:


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Le document en format XML

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<term>Dental status</term>
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<term>Dentate</term>
<term>Dentate subjects</term>
<term>Dentition</term>
<term>Denture</term>
<term>Denture stomatitis</term>
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<term>Full denture</term>
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<term>Masticatory ability</term>
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<term>Natural dentition</term>
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<term>Nutritional</term>
<term>Nutritional status</term>
<term>Nutritional survey</term>
<term>Older adults</term>
<term>Older people</term>
<term>Oral dryness</term>
<term>Oral examination</term>
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<term>Saliva rates</term>
<term>Saliva secretion</term>
<term>Salivary flow rate</term>
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<div type="abstract" xml:lang="en">This article describes associations between oral health and nutritional status among chronically ill older adults who were living at home and receiving regular professional home care services. A structured questionnaire, oral examination, and Mini‐Nutritional Assessment were completed for 51 subjects (mean age 83.7 years). Two‐thirds of the sample were edentulous, and one‐third had between 2 and 23 teeth (mean 10.59, SD ± 6.92). Sixty percent of subjects complained of xerostomia, while dentists found only 48% to have clinical signs of dry mouth. More than half of the subjects had stimulated saliva rates of < 0.8 ml/min. Stimulated saliva secretion rates were lower for persons with no functional natural dentition or prostheses (p= 0.012). Subjects assessed their dentures to be more functional than did the dentist (Kappa 0.338). No one was considered malnourished, 47% were at risk of malnutrition, and 52% were well nourished. The dentist's estimation of dry mouth and eating problems were significantly associated to lower MNA scores (p= 0.049 and p = 0.015, respectively). Subjects with a natural functioning dentition had higher BMI scores (p= 0.0485).</div>
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