Oral Health and nutritional status in nursing home residents—results of an explorative cross-sectional pilot study
Identifieur interne : 006D86 ( Ncbi/Merge ); précédent : 006D85; suivant : 006D87Oral Health and nutritional status in nursing home residents—results of an explorative cross-sectional pilot study
Auteurs : Dirk Ziebolz [Allemagne] ; Christine Werner [Allemagne] ; Gerhard Schmalz [Allemagne] ; Ina Nitschke [Allemagne, Suisse] ; Rainer Haak [Allemagne] ; Rainer F. Mausberg [Allemagne] ; Jean-François Chenot [Allemagne]Source :
- BMC Geriatrics [ 1471-2318 ] ; 2017.
Abstract
This study was performed to assess oral and nutritional status of nursing home residents in a region of Lower Saxony, Germany. The aim was to show potential associations between oral status (dentate or edentulous), further anamnestic factors (dementia, age, smoking) and the risk for malnutrition in this population.
In this observational cross-sectional pilot study of residents from four nursing homes Mini Nutritional Assessment (MNA), Body-Mass-Index (BMI), dental status (DMF-T) and periodontal situation (PSR®/PSI) were recorded. Associations of recorded factors with oral health and nutritional status were examined in univariate and multivariate analysis.
Eighty-seven residents participated in the study (mean age: 84.1 years; female: 72%, demented: 47%). Average BMI was 26.2 kg/m2; according MNA 52% were at risk for malnutrition. 48% of the residents were edentulous, and the average DMF-T of dentulous was 25.0 (3.7) (D-T: 2.0 [3.1], M-T: 15.0 [8.3], F-T: 8.0 [7.4]); PSR®/PSI 3 and 4 (need for periodontal treatment) showed 79% of residents. In univariate analysis dementia (OR 2.5 CI95 1.1–5.6) but not being edentulous (OR 2.0 CI95 0.8–5.8) were associated with being at risk for malnutrition. Dementia remained associated in multivariate analysis adjusting for age and sex, (OR 3.1 CI95 1.2–8.2) and additionally being edentulous (OR 2.8 CI95 1.1–7.3) became associated significantly. Furthermore, nursing home residents with dementia had more remaining teeth (OR 2.5 CI95 1.1–5.9).
Dementia was a stronger predictor for risk of malnutrition in nursing home residents than being edentulous. Further studies to elucidate the possible role of oral health as cofactor for malnutrition in dementia are needed.
Url:
DOI: 10.1186/s12877-017-0429-0
PubMed: 28143415
PubMed Central: 5282867
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type="wicri:Area/Ncbi/Merge">006D86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral Health and nutritional status in nursing home residents—results of an explorative cross-sectional pilot study</title><author><name sortKey="Ziebolz, Dirk" sort="Ziebolz, Dirk" uniqKey="Ziebolz D" first="Dirk" last="Ziebolz">Dirk Ziebolz</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2230 9752</institution-id><institution-id institution-id-type="GRID">grid.9647.c</institution-id><institution>Department of Cariology, Endodontology and Periodontology,</institution><institution>University of Leipzig,</institution></institution-wrap>Liebigstr. 12, D 04103 Leipzig, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Liebigstr. 12, D 04103 Leipzig</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Leipzig</region><settlement type="city">Leipzig</settlement></placeName></affiliation></author><author><name sortKey="Werner, Christine" sort="Werner, Christine" uniqKey="Werner C" first="Christine" last="Werner">Christine Werner</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Dental practice, Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dental practice, Goettingen</wicri:regionArea><wicri:noRegion>Goettingen</wicri:noRegion><wicri:noRegion>Goettingen</wicri:noRegion><wicri:noRegion>Goettingen</wicri:noRegion></affiliation></author><author><name sortKey="Schmalz, Gerhard" sort="Schmalz, Gerhard" uniqKey="Schmalz G" first="Gerhard" last="Schmalz">Gerhard Schmalz</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2230 9752</institution-id><institution-id institution-id-type="GRID">grid.9647.c</institution-id><institution>Department of Cariology, 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xml:lang="fr">Allemagne</country><wicri:regionArea>Leipzig</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0650</institution-id><institution-id institution-id-type="GRID">grid.7400.3</institution-id><institution>Clinic of Geriatric and Special Care Dentistry, Center of Dentistry,</institution><institution>University of Zurich,</institution></institution-wrap>Zurich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Zurich</wicri:regionArea></affiliation></author><author><name sortKey="Haak, Rainer" sort="Haak, Rainer" uniqKey="Haak R" first="Rainer" last="Haak">Rainer Haak</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2230 9752</institution-id><institution-id institution-id-type="GRID">grid.9647.c</institution-id><institution>Department of Cariology, Endodontology and Periodontology,</institution><institution>University of Leipzig,</institution></institution-wrap>Liebigstr. 12, D 04103 Leipzig, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Liebigstr. 12, D 04103 Leipzig</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Leipzig</region><settlement type="city">Leipzig</settlement></placeName></affiliation></author><author><name sortKey="Mausberg, Rainer F" sort="Mausberg, Rainer F" uniqKey="Mausberg R" first="Rainer F." last="Mausberg">Rainer F. Mausberg</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0482 5331</institution-id><institution-id institution-id-type="GRID">grid.411984.1</institution-id><institution>Deptartment of Preventive Dentistry, Periodontology and Cariology,</institution><institution>University University Medical Center,</institution></institution-wrap>Goettingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Goettingen</wicri:regionArea></affiliation></author><author><name sortKey="Chenot, Jean Francois" sort="Chenot, Jean Francois" uniqKey="Chenot J" first="Jean-François" last="Chenot">Jean-François Chenot</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="GRID">grid.5603.0</institution-id><institution>Department of General Practice,</institution><institution>Institute for Community Medicine, University Medicine Greifswald,</institution></institution-wrap>Greifswald, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Greifswald</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Geriatrics</title><idno type="eISSN">1471-2318</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>This study was performed to assess oral and nutritional status of nursing home residents in a region of Lower Saxony, Germany. The aim was to show potential associations between oral status (dentate or edentulous), further anamnestic factors (dementia, age, smoking) and the risk for malnutrition in this population.</p></sec><sec><title>Methods</title><p>In this observational cross-sectional pilot study of residents from four nursing homes Mini Nutritional Assessment (MNA), Body-Mass-Index (BMI), dental status (DMF-T) and periodontal situation (PSR<sup>®</sup>/PSI) were recorded. Associations of recorded factors with oral health and nutritional status were examined in univariate and multivariate analysis.</p></sec><sec><title>Results</title><p>Eighty-seven residents participated in the study (mean age: 84.1 years; female: 72%, demented: 47%). Average BMI was 26.2 kg/m<sup>2</sup>; according MNA 52% were at risk for malnutrition. 48% of the residents were edentulous, and the average DMF-T of dentulous was 25.0 (3.7) (D-T: 2.0 [3.1], M-T: 15.0 [8.3], F-T: 8.0 [7.4]); PSR<sup>®</sup>/PSI 3 and 4 (need for periodontal treatment) showed 79% of residents. In univariate analysis dementia (OR 2.5 CI<sub>95</sub> 1.1–5.6) but not being edentulous (OR 2.0 CI<sub>95</sub> 0.8–5.8) were associated with being at risk for malnutrition. Dementia remained associated in multivariate analysis adjusting for age and sex, (OR 3.1 CI<sub>95</sub> 1.2–8.2) and additionally being edentulous (OR 2.8 CI<sub>95</sub> 1.1–7.3) became associated significantly. Furthermore, nursing home residents with dementia had more remaining teeth (OR 2.5 CI<sub>95</sub> 1.1–5.9).</p></sec><sec><title>Conclusion</title><p>Dementia was a stronger predictor for risk of malnutrition in nursing home residents than being edentulous. Further studies to elucidate the possible role of oral health as cofactor for malnutrition in dementia are needed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Muller, F" uniqKey="Muller F">F Müller</name></author><author><name sortKey="Nitschke, I" uniqKey="Nitschke I">I Nitschke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saunders, Mj" uniqKey="Saunders M">MJ Saunders</name></author><author><name sortKey="Stattmiller, Sp" uniqKey="Stattmiller S">SP Stattmiller</name></author><author><name sortKey="Kirk, Km" uniqKey="Kirk K">KM Kirk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kluge, F" uniqKey="Kluge F">F Kluge</name></author><author><name sortKey="Zagheni, E" uniqKey="Zagheni E">E Zagheni</name></author><author><name sortKey="Loichinger, E" uniqKey="Loichinger E">E Loichinger</name></author><author><name sortKey="Vogt, T" uniqKey="Vogt T">T 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Geriatr</journal-id><journal-id journal-id-type="iso-abbrev">BMC Geriatr</journal-id><journal-title-group><journal-title>BMC Geriatrics</journal-title></journal-title-group><issn pub-type="epub">1471-2318</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28143415</article-id><article-id pub-id-type="pmc">5282867</article-id><article-id pub-id-type="publisher-id">429</article-id><article-id pub-id-type="doi">10.1186/s12877-017-0429-0</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Oral Health and nutritional status in nursing home residents—results of an explorative cross-sectional pilot study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" equal-contrib="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-9810-2368</contrib-id><name><surname>Ziebolz</surname><given-names>Dirk</given-names></name><address><phone>+49 341 97 21211</phone><email>dirk.ziebolz@medizin.uni-leipzig.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name><surname>Werner</surname><given-names>Christine</given-names></name><address><email>info@zahnarzt-praxis-werner.de</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Schmalz</surname><given-names>Gerhard</given-names></name><address><email>gerhard.schmalz@medizin.uni-leipzig.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Nitschke</surname><given-names>Ina</given-names></name><address><email>ina.nitschke@dgaz.org</email></address><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name><surname>Haak</surname><given-names>Rainer</given-names></name><address><email>rainer.haak@medizin.uni-leipzig.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Mausberg</surname><given-names>Rainer F.</given-names></name><address><email>rainer.mausberg@med.uni-goettingen.de</email></address><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Chenot</surname><given-names>Jean-François</given-names></name><address><email>jchenot@uni-greifswald.de</email></address><xref ref-type="aff" rid="Aff5">5</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2230 9752</institution-id><institution-id institution-id-type="GRID">grid.9647.c</institution-id><institution>Department of Cariology, Endodontology and Periodontology,</institution><institution>University of Leipzig,</institution></institution-wrap>Liebigstr. 12, D 04103 Leipzig, Germany</aff><aff id="Aff2"><label>2</label>Dental practice, Goettingen, Germany</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2230 9752</institution-id><institution-id institution-id-type="GRID">grid.9647.c</institution-id><institution>Department of Prosthodontics and Materials Science,</institution><institution>University of Leipzig,</institution></institution-wrap>Leipzig, Germany</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0482 5331</institution-id><institution-id institution-id-type="GRID">grid.411984.1</institution-id><institution>Deptartment of Preventive Dentistry, Periodontology and Cariology,</institution><institution>University University Medical Center,</institution></institution-wrap>Goettingen, Germany</aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="GRID">grid.5603.0</institution-id><institution>Department of General Practice,</institution><institution>Institute for Community Medicine, University Medicine Greifswald,</institution></institution-wrap>Greifswald, Germany</aff><aff id="Aff6"><label>6</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0650</institution-id><institution-id institution-id-type="GRID">grid.7400.3</institution-id><institution>Clinic of Geriatric and Special Care Dentistry, Center of Dentistry,</institution><institution>University of Zurich,</institution></institution-wrap>Zurich, Switzerland</aff></contrib-group><pub-date pub-type="epub"><day>31</day><month>1</month><year>2017</year></pub-date><pub-date pub-type="pmc-release"><day>31</day><month>1</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>17</volume><elocation-id>39</elocation-id><history><date date-type="received"><day>21</day><month>7</month><year>2016</year></date><date date-type="accepted"><day>21</day><month>1</month><year>2017</year></date></history><permissions><copyright-statement>© The Author(s). 2017</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>This study was performed to assess oral and nutritional status of nursing home residents in a region of Lower Saxony, Germany. The aim was to show potential associations between oral status (dentate or edentulous), further anamnestic factors (dementia, age, smoking) and the risk for malnutrition in this population.</p></sec><sec><title>Methods</title><p>In this observational cross-sectional pilot study of residents from four nursing homes Mini Nutritional Assessment (MNA), Body-Mass-Index (BMI), dental status (DMF-T) and periodontal situation (PSR<sup>®</sup>/PSI) were recorded. Associations of recorded factors with oral health and nutritional status were examined in univariate and multivariate analysis.</p></sec><sec><title>Results</title><p>Eighty-seven residents participated in the study (mean age: 84.1 years; female: 72%, demented: 47%). Average BMI was 26.2 kg/m<sup>2</sup>; according MNA 52% were at risk for malnutrition. 48% of the residents were edentulous, and the average DMF-T of dentulous was 25.0 (3.7) (D-T: 2.0 [3.1], M-T: 15.0 [8.3], F-T: 8.0 [7.4]); PSR<sup>®</sup>/PSI 3 and 4 (need for periodontal treatment) showed 79% of residents. In univariate analysis dementia (OR 2.5 CI<sub>95</sub> 1.1–5.6) but not being edentulous (OR 2.0 CI<sub>95</sub> 0.8–5.8) were associated with being at risk for malnutrition. Dementia remained associated in multivariate analysis adjusting for age and sex, (OR 3.1 CI<sub>95</sub> 1.2–8.2) and additionally being edentulous (OR 2.8 CI<sub>95</sub> 1.1–7.3) became associated significantly. Furthermore, nursing home residents with dementia had more remaining teeth (OR 2.5 CI<sub>95</sub> 1.1–5.9).</p></sec><sec><title>Conclusion</title><p>Dementia was a stronger predictor for risk of malnutrition in nursing home residents than being edentulous. Further studies to elucidate the possible role of oral health as cofactor for malnutrition in dementia are needed.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Oral health</kwd><kwd>Nutritional status</kwd><kwd>Nursing home</kwd><kwd>Dementia</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2017</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Allemagne</li><li>Suisse</li></country><region><li>District de Leipzig</li><li>Saxe (Land)</li></region><settlement><li>Leipzig</li></settlement></list><tree><country name="Allemagne"><region name="Saxe (Land)"><name sortKey="Ziebolz, Dirk" sort="Ziebolz, Dirk" uniqKey="Ziebolz D" first="Dirk" last="Ziebolz">Dirk Ziebolz</name></region><name sortKey="Chenot, Jean Francois" sort="Chenot, Jean Francois" uniqKey="Chenot J" first="Jean-François" last="Chenot">Jean-François Chenot</name><name sortKey="Haak, Rainer" sort="Haak, Rainer" uniqKey="Haak R" first="Rainer" last="Haak">Rainer Haak</name><name sortKey="Mausberg, Rainer F" sort="Mausberg, Rainer F" uniqKey="Mausberg R" first="Rainer F." last="Mausberg">Rainer F. Mausberg</name><name sortKey="Nitschke, Ina" sort="Nitschke, Ina" uniqKey="Nitschke I" first="Ina" last="Nitschke">Ina Nitschke</name><name sortKey="Schmalz, Gerhard" sort="Schmalz, Gerhard" uniqKey="Schmalz G" first="Gerhard" last="Schmalz">Gerhard Schmalz</name><name sortKey="Werner, Christine" sort="Werner, Christine" uniqKey="Werner C" first="Christine" last="Werner">Christine Werner</name></country><country name="Suisse"><noRegion><name sortKey="Nitschke, Ina" sort="Nitschke, Ina" uniqKey="Nitschke I" first="Ina" last="Nitschke">Ina Nitschke</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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