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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Food Avoidance and Food Modification Practices due to Oral Health Problems Linked to the Dietary Quality of Older Adults</title>
<author><name sortKey="Savoca, Margaret R" sort="Savoca, Margaret R" uniqKey="Savoca M" first="Margaret R." last="Savoca">Margaret R. Savoca</name>
<affiliation><nlm:aff id="A1"> Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arcury, Thomas A" sort="Arcury, Thomas A" uniqKey="Arcury T" first="Thomas A." last="Arcury">Thomas A. Arcury</name>
<affiliation><nlm:aff id="A2"> Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leng, Xiaoyan" sort="Leng, Xiaoyan" uniqKey="Leng X" first="Xiaoyan" last="Leng">Xiaoyan Leng</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Haiying" sort="Chen, Haiying" uniqKey="Chen H" first="Haiying" last="Chen">Haiying Chen</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bell, Ronny A" sort="Bell, Ronny A" uniqKey="Bell R" first="Ronny A." last="Bell">Ronny A. Bell</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Anderson, Andrea M" sort="Anderson, Andrea M" uniqKey="Anderson A" first="Andrea M." last="Anderson">Andrea M. Anderson</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kohrman, Teresa" sort="Kohrman, Teresa" uniqKey="Kohrman T" first="Teresa" last="Kohrman">Teresa Kohrman</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gilbert, Gregg H" sort="Gilbert, Gregg H" uniqKey="Gilbert G" first="Gregg H." last="Gilbert">Gregg H. Gilbert</name>
<affiliation><nlm:aff id="A4"> School of Dentistry, University of Alabama at Birmingham, Birmingham, AL</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quandt, Sara A" sort="Quandt, Sara A" uniqKey="Quandt S" first="Sara A." last="Quandt">Sara A. Quandt</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">20533966</idno>
<idno type="pmc">3098620</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3098620</idno>
<idno type="RBID">PMC:3098620</idno>
<idno type="doi">10.1111/j.1532-5415.2010.02909.x</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">002152</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002152</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Food Avoidance and Food Modification Practices due to Oral Health Problems Linked to the Dietary Quality of Older Adults</title>
<author><name sortKey="Savoca, Margaret R" sort="Savoca, Margaret R" uniqKey="Savoca M" first="Margaret R." last="Savoca">Margaret R. Savoca</name>
<affiliation><nlm:aff id="A1"> Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Arcury, Thomas A" sort="Arcury, Thomas A" uniqKey="Arcury T" first="Thomas A." last="Arcury">Thomas A. Arcury</name>
<affiliation><nlm:aff id="A2"> Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leng, Xiaoyan" sort="Leng, Xiaoyan" uniqKey="Leng X" first="Xiaoyan" last="Leng">Xiaoyan Leng</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chen, Haiying" sort="Chen, Haiying" uniqKey="Chen H" first="Haiying" last="Chen">Haiying Chen</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bell, Ronny A" sort="Bell, Ronny A" uniqKey="Bell R" first="Ronny A." last="Bell">Ronny A. Bell</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Anderson, Andrea M" sort="Anderson, Andrea M" uniqKey="Anderson A" first="Andrea M." last="Anderson">Andrea M. Anderson</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kohrman, Teresa" sort="Kohrman, Teresa" uniqKey="Kohrman T" first="Teresa" last="Kohrman">Teresa Kohrman</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gilbert, Gregg H" sort="Gilbert, Gregg H" uniqKey="Gilbert G" first="Gregg H." last="Gilbert">Gregg H. Gilbert</name>
<affiliation><nlm:aff id="A4"> School of Dentistry, University of Alabama at Birmingham, Birmingham, AL</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Quandt, Sara A" sort="Quandt, Sara A" uniqKey="Quandt S" first="Sara A." last="Quandt">Sara A. Quandt</name>
<affiliation><nlm:aff id="A3"> Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of the American Geriatrics Society</title>
<idno type="ISSN">0002-8614</idno>
<idno type="eISSN">1532-5415</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>OBJECTIVES</title>
<p id="P1">1) quantify the association between food avoidance and modification due to oral health problems; 2) quantify the relationship between these nutritional self-management strategies and dietary quality; and 3) determine foods associated with these self-management strategies.</p>
</sec>
<sec id="S2"><title>DESIGN</title>
<p id="P2">Cross-sectional</p>
</sec>
<sec id="S3"><title>SETTING</title>
<p id="P3">Rural North Carolina</p>
</sec>
<sec id="S4"><title>PARTICIPANTS</title>
<p id="P4">Six hundred thirty-five community-dwelling adults aged 60 years and older.</p>
</sec>
<sec id="S5"><title>MEASUREMENTS</title>
<p id="P5">Demographic and food frequency data and oral health assessments were obtained during home visits. Avoidance (none, 1–2 foods, 3–14 foods) and modification (0–3 foods, 4–5 foods) was assessed for foods representing oral health challenges. Food frequency data were converted into Healthy Eating Index-2005 (HEI-2005) scores. Linear regression models tested the significance of associations between HEI-2005 measures and food avoidance and modification.</p>
</sec>
<sec id="S6"><title>RESULTS</title>
<p id="P6">Thirty-five percent of the sample avoided 3–14 foods and 28% modified 4–5 foods. After adjusting for age, sex, ethnicity, poverty, education, and tooth loss, the total HEI-2005 score was lower (<italic>P</italic>
<0.001) for persons avoiding more foods and higher for persons modifying more foods (<italic>P</italic>
<0.001). Those avoiding 3–14 foods consumed more saturated fat and energy from solid fat and added sugar and lower intake of non-hydrogenated fats than those avoiding <3 foods. Those who modified 4–5 foods consumed less saturated fat and solid fat and added sugar but more total grains than those modifying <4 foods.</p>
</sec>
<sec id="S7"><title>CONCLUSION</title>
<p id="P7">Food avoidance and modification due to oral health problems are associated with significant differences in dietary quality. Approaches to minimize food avoidance and promote food modification by persons having eating difficulties due to oral health conditions are needed.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7503062</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4443</journal-id>
<journal-id journal-id-type="nlm-ta">J Am Geriatr Soc</journal-id>
<journal-title-group><journal-title>Journal of the American Geriatrics Society</journal-title>
</journal-title-group>
<issn pub-type="ppub">0002-8614</issn>
<issn pub-type="epub">1532-5415</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20533966</article-id>
<article-id pub-id-type="pmc">3098620</article-id>
<article-id pub-id-type="doi">10.1111/j.1532-5415.2010.02909.x</article-id>
<article-id pub-id-type="manuscript">NIHMS292195</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Food Avoidance and Food Modification Practices due to Oral Health Problems Linked to the Dietary Quality of Older Adults</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Savoca</surname>
<given-names>Margaret R.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Arcury</surname>
<given-names>Thomas A.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leng</surname>
<given-names>Xiaoyan</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Haiying</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bell</surname>
<given-names>Ronny A.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Anderson</surname>
<given-names>Andrea M.</given-names>
</name>
<degrees>MS</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kohrman</surname>
<given-names>Teresa</given-names>
</name>
<degrees>BA</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gilbert</surname>
<given-names>Gregg H.</given-names>
</name>
<degrees>DDS, MBA</degrees>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Quandt</surname>
<given-names>Sara A.</given-names>
</name>
<degrees>PhD</degrees>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Nutrition, University of North Carolina at Greensboro, Greensboro, NC</aff>
<aff id="A2"><label>2</label>
Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC</aff>
<aff id="A3"><label>3</label>
Division of Public Health Sciences, Wake Forest School of Medicine, Winston Salem, NC</aff>
<aff id="A4"><label>4</label>
School of Dentistry, University of Alabama at Birmingham, Birmingham, AL</aff>
<author-notes><corresp id="FN1">Corresponding Author: Margaret R. Savoca, PhD, Assistant Professor, Department of Nutrition, University of North Carolina at Greensboro, 309 Stone Building Greensboro, NC 27402, 336-256-0322, 336-334-4129, <email>mrsavoca@uncg.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>27</day>
<month>4</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>1</day>
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>7</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>20</day>
<month>5</month>
<year>2011</year>
</pub-date>
<volume>58</volume>
<issue>7</issue>
<fpage>1225</fpage>
<lpage>1232</lpage>
<abstract><sec id="S1"><title>OBJECTIVES</title>
<p id="P1">1) quantify the association between food avoidance and modification due to oral health problems; 2) quantify the relationship between these nutritional self-management strategies and dietary quality; and 3) determine foods associated with these self-management strategies.</p>
</sec>
<sec id="S2"><title>DESIGN</title>
<p id="P2">Cross-sectional</p>
</sec>
<sec id="S3"><title>SETTING</title>
<p id="P3">Rural North Carolina</p>
</sec>
<sec id="S4"><title>PARTICIPANTS</title>
<p id="P4">Six hundred thirty-five community-dwelling adults aged 60 years and older.</p>
</sec>
<sec id="S5"><title>MEASUREMENTS</title>
<p id="P5">Demographic and food frequency data and oral health assessments were obtained during home visits. Avoidance (none, 1–2 foods, 3–14 foods) and modification (0–3 foods, 4–5 foods) was assessed for foods representing oral health challenges. Food frequency data were converted into Healthy Eating Index-2005 (HEI-2005) scores. Linear regression models tested the significance of associations between HEI-2005 measures and food avoidance and modification.</p>
</sec>
<sec id="S6"><title>RESULTS</title>
<p id="P6">Thirty-five percent of the sample avoided 3–14 foods and 28% modified 4–5 foods. After adjusting for age, sex, ethnicity, poverty, education, and tooth loss, the total HEI-2005 score was lower (<italic>P</italic>
<0.001) for persons avoiding more foods and higher for persons modifying more foods (<italic>P</italic>
<0.001). Those avoiding 3–14 foods consumed more saturated fat and energy from solid fat and added sugar and lower intake of non-hydrogenated fats than those avoiding <3 foods. Those who modified 4–5 foods consumed less saturated fat and solid fat and added sugar but more total grains than those modifying <4 foods.</p>
</sec>
<sec id="S7"><title>CONCLUSION</title>
<p id="P7">Food avoidance and modification due to oral health problems are associated with significant differences in dietary quality. Approaches to minimize food avoidance and promote food modification by persons having eating difficulties due to oral health conditions are needed.</p>
</sec>
</abstract>
<kwd-group><kwd>dietary behaviors</kwd>
<kwd>minority health</kwd>
<kwd>oral health</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source>
<award-id>R01 DE017092-09 || DE</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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