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Relationship between oral health and nutrition in very old people
Author(s)Philippe Mojon, Ejvind Budtz-J_rgensen, Charles-Henri Rapin
Journal titleAge and Ageing, vol 28, no 5, September 1999
Pagespp 463-468
KeywordsDental problems ; Tooth decay ; Malnutrition ; Weight ; Residents [care homes] ; Nursing homes ; Clinical surveys ; Longitudinal surveys ; Switzerland.
Annotation324 residents (mean age 85) in a large nursing home in Switzerland were examined in this longitudinal study, in which mucosa, peridontal state, caries prevalence and denture quality were evaluated. Nutritional status was assessed using serum albumin concentration and body mass index (BMI). Physical dependence was assessed using the Barthel index, and Pearson and chi-square tests were performed to identify the association between oral health disorders and malnutrition. At least one oral disorder equated with compromised oral functional status. About two-thirds were functionally dependent, and half had either a BMI <21kg/m2 or serum albumin <33g/l. Among the edentulous, wearing dentures with defective bases or not wearing dentures were factors most associated with malnutrition. In dentate subjects, corresponding identifiers were number of occluding pairs of teeth (5 or fewer, either natural or prosthetic), the number of retained roots (4 or more), and presence of mobile teeth. On these criteria, 31% had a compromised oral functional status, and more frequently found in dependent subjects (37%) than the semi-dependent (18%). Specific detrimental oral conditions are associated with nutritional deficiency in very old people. (RH).
Accession NumberCPA-991021211 A
ClassmarkBLA: BLB: CSM: 4X6: KX: LHB: 3G: 3J: 76C

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