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DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS

Identifieur interne : 000010 ( PascalFrancis/Corpus ); précédent : 000009; suivant : 000011

DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS

Auteurs : R. K. T. Saarela ; H. Soini ; K. Hiltunen ; S. Muurinen ; M. Suominen ; K. Pitkala

Source :

RBID : Pascal:14-0046741

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English descriptors

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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Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 J. nutr. health aging
A05       @2 18
A06       @2 1
A08 01  1  ENG  @1 DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS
A11 01  1    @1 SAARELA (R. K. T.)
A11 02  1    @1 SOINI (H.)
A11 03  1    @1 HILTUNEN (K.)
A11 04  1    @1 MUURINEN (S.)
A11 05  1    @1 SUOMINEN (M.)
A11 06  1    @1 PITKALA (K.)
A14 01      @1 City of Helsinki, Department of social services and health care, Oral Health Care @3 FIN @Z 1 aut.
A14 02      @1 City of Helsinki, Department of social services and health care, Developmental and operational support @3 FIN @Z 2 aut.
A14 03      @1 University of Helsinki, Institute of Dentistry @3 FIN @Z 3 aut.
A14 04      @1 National Institute for Health and Welfare @3 FIN @Z 4 aut.
A14 05      @1 Society of Memory Disorders Expertise in Finland @2 Helsinki @3 FIN @Z 5 aut.
A14 06      @1 Helsinki University Central Hospital, Unit of Primary Health Care and University of Helsinki, Department of General Practice @3 FIN @Z 6 aut.
A20       @1 34-38
A21       @1 2014
A23 01      @0 ENG
A43 01      @1 INIST @2 26862 @5 354000500799960060
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 37 ref.
A47 01  1    @0 14-0046741
A60       @1 P
A61       @0 A
A64 01  1    @0 The Journal of nutrition, health & aging
A66 01      @0 FRA
C01 01    ENG  @0 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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C03 03  X  SPA  @0 Mortalidad @5 03
C03 04  X  FRE  @0 Epidémiologie @5 05
C03 04  X  ENG  @0 Epidemiology @5 05
C03 04  X  SPA  @0 Epidemiología @5 05
C03 05  X  FRE  @0 Résident @5 06
C03 05  X  ENG  @0 Resident @5 06
C03 05  X  SPA  @0 Residente @5 06
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C03 06  X  ENG  @0 Human @5 08
C03 06  X  SPA  @0 Hombre @5 08
C03 07  X  FRE  @0 Interne (étudiant) @5 09
C03 07  X  ENG  @0 Resident (student) @5 09
C03 07  X  SPA  @0 Interno (estudiante) @5 09
C03 08  X  FRE  @0 Nutrition @5 11
C03 08  X  ENG  @0 Nutrition @5 11
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C03 09  X  FRE  @0 Alimentation @5 12
C03 09  X  ENG  @0 Feeding @5 12
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C03 11  X  SPA  @0 Metabolismo patología @5 15
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Format Inist (serveur)

NO : PASCAL 14-0046741 INIST
ET : DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS
AU : SAARELA (R. K. T.); SOINI (H.); HILTUNEN (K.); MUURINEN (S.); SUOMINEN (M.); PITKALA (K.)
AF : City of Helsinki, Department of social services and health care, Oral Health Care/Finlande (1 aut.); City of Helsinki, Department of social services and health care, Developmental and operational support/Finlande (2 aut.); University of Helsinki, Institute of Dentistry/Finlande (3 aut.); National Institute for Health and Welfare/Finlande (4 aut.); Society of Memory Disorders Expertise in Finland/Helsinki/Finlande (5 aut.); Helsinki University Central Hospital, Unit of Primary Health Care and University of Helsinki, Department of General Practice/Finlande (6 aut.)
DT : Publication en série; Niveau analytique
SO : The Journal of nutrition, health & aging; ISSN 1279-7707; France; Da. 2014; Vol. 18; No. 1; Pp. 34-38; Bibl. 37 ref.
LA : Anglais
EA : 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.
CC : 002A16E; 002B22C
FD : Malnutrition; Dentition; Mortalité; Epidémiologie; Résident; Homme; Interne (étudiant); Nutrition; Alimentation; Personne âgée; Maladie métabolique
FG : Trouble de la nutrition
ED : Malnutrition; Dentition; Mortality; Epidemiology; Resident; Human; Resident (student); Nutrition; Feeding; Elderly; Metabolic diseases
EG : Nutrition disorder
SD : Malnutrición; Dentición; Mortalidad; Epidemiología; Residente; Hombre; Interno (estudiante); Nutrición; Alimentación; Anciano; Metabolismo patología
LO : INIST-26862.354000500799960060
ID : 14-0046741

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Pascal:14-0046741

Le document en format XML

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<s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002A16E</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B22C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Malnutrition</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Malnutrition</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Malnutrición</s0>
<s5>01</s5>
</fC03>
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<s0>Dentition</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Dentition</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Dentición</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Mortalité</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Mortality</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Mortalidad</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Epidémiologie</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Epidemiology</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Epidemiología</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Résident</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Resident</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Residente</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Homme</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Human</s0>
<s5>08</s5>
</fC03>
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<s0>Hombre</s0>
<s5>08</s5>
</fC03>
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<s0>Interne (étudiant)</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Resident (student)</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Interno (estudiante)</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Nutrition</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Nutrition</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Nutrición</s0>
<s5>11</s5>
</fC03>
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<s0>Alimentation</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Feeding</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Alimentación</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Personne âgée</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Elderly</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Anciano</s0>
<s5>14</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Maladie métabolique</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Metabolic diseases</s0>
<s5>15</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Metabolismo patología</s0>
<s5>15</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Trouble de la nutrition</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Nutrition disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Trastorno nutricíon</s0>
<s5>37</s5>
</fC07>
<fN21>
<s1>055</s1>
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<server>
<NO>PASCAL 14-0046741 INIST</NO>
<ET>DENTITION STATUS, MALNUTRITION AND MORTALITY AMONG OLDER SERVICE HOUSING RESIDENTS</ET>
<AU>SAARELA (R. K. T.); SOINI (H.); HILTUNEN (K.); MUURINEN (S.); SUOMINEN (M.); PITKALA (K.)</AU>
<AF>City of Helsinki, Department of social services and health care, Oral Health Care/Finlande (1 aut.); City of Helsinki, Department of social services and health care, Developmental and operational support/Finlande (2 aut.); University of Helsinki, Institute of Dentistry/Finlande (3 aut.); National Institute for Health and Welfare/Finlande (4 aut.); Society of Memory Disorders Expertise in Finland/Helsinki/Finlande (5 aut.); Helsinki University Central Hospital, Unit of Primary Health Care and University of Helsinki, Department of General Practice/Finlande (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Journal of nutrition, health & aging; ISSN 1279-7707; France; Da. 2014; Vol. 18; No. 1; Pp. 34-38; Bibl. 37 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002A16E; 002B22C</CC>
<FD>Malnutrition; Dentition; Mortalité; Epidémiologie; Résident; Homme; Interne (étudiant); Nutrition; Alimentation; Personne âgée; Maladie métabolique</FD>
<FG>Trouble de la nutrition</FG>
<ED>Malnutrition; Dentition; Mortality; Epidemiology; Resident; Human; Resident (student); Nutrition; Feeding; Elderly; Metabolic diseases</ED>
<EG>Nutrition disorder</EG>
<SD>Malnutrición; Dentición; Mortalidad; Epidemiología; Residente; Hombre; Interno (estudiante); Nutrición; Alimentación; Anciano; Metabolismo patología</SD>
<LO>INIST-26862.354000500799960060</LO>
<ID>14-0046741</ID>
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