Serveur d'exploration sur le patient édenté

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Oral and nutritional status in frail elderly.

Identifieur interne : 011065 ( Main/Exploration ); précédent : 011064; suivant : 011066

Oral and nutritional status in frail elderly.

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

Source :

RBID : pubmed:15085957

Descripteurs français

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).

PubMed: 15085957


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Le document en format XML

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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Dental Care for Aged</term>
<term>Dental Caries (physiopathology)</term>
<term>Dental Health Surveys</term>
<term>Dentures</term>
<term>Eating</term>
<term>Female</term>
<term>Finland</term>
<term>Frail Elderly</term>
<term>Home Care Services</term>
<term>Homebound Persons</term>
<term>Humans</term>
<term>Male</term>
<term>Mouth Diseases (physiopathology)</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Nutritional Status</term>
<term>Oral Hygiene</term>
<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
<term>Xerostomia (physiopathology)</term>
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<term>Appareils de prothèse dentaire</term>
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<term>Caries dentaires (physiopathologie)</term>
<term>Consommation alimentaire</term>
<term>Enquêtes de santé dentaire</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Finlande</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Maladies de la bouche (physiopathologie)</term>
<term>Mâle</term>
<term>Personne âgée fragile</term>
<term>Personnes dépendantes à domicile</term>
<term>Services de soins à domicile</term>
<term>Soins dentaires pour personnes âgées</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Xérostomie (physiopathologie)</term>
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<term>Dental Care for Aged</term>
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<term>Dentures</term>
<term>Eating</term>
<term>Female</term>
<term>Frail Elderly</term>
<term>Home Care Services</term>
<term>Homebound Persons</term>
<term>Humans</term>
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<term>Nutritional Status</term>
<term>Oral Hygiene</term>
<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
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<term>Services de soins à domicile</term>
<term>Soins dentaires pour personnes âgées</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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