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Oral function and nutritional status in non-acute hospitalised elders.
Ohta, Midori; Imamura, Yoshiki; Chebib, Najla; Schulte-Eickhoff, Regina Maria; Allain, Sandrine; Genton, Laurence; Mojon, Philippe; Graf, Christophe; Ueda, Takayuki; Müller, Frauke.
Afiliação
  • Ohta M; Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland.
  • Imamura Y; Department of Removable Prosthodontics and Gerodontology, Tokyo Dental College, Tokyo, Japan.
  • Chebib N; Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland.
  • Schulte-Eickhoff RM; Department of Geriatric Dentistry, School of Dentistry, Showa University, Tokyo, Japan.
  • Allain S; Division of Fixed Prosthodontics, School of Dentistry, Meikai University, Saitama, Japan.
  • Genton L; Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland.
  • Mojon P; Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland.
  • Graf C; Department of Rehabilitation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland.
  • Ueda T; Clinical Nutrition, Geneva University Hospitals, Geneva, Switzerland.
  • Müller F; Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland.
Gerodontology ; 39(1): 74-82, 2022 Mar.
Article em En | MEDLINE | ID: mdl-34913521
INTRODUCTION: Malnutrition and risk of malnutrition continues to be a common finding in elders, yet its association with oral function in hospitalised patients remains unclear. MATERIAL AND METHODS: Patients aged 70 years or over who had been hospitalised for non-acute rehabilitation were recruited. Nutritional risk was screened using the Mini-Nutritional Assessment Short Form (MNA-SF) and Nutritional Risk Screening (NRS) scores. Malnutrition was assessed according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. All participants underwent the oral hypofunction test battery, evaluating oral hygiene, oral dryness, occlusal force, tongue-lip motor function, tongue pressure, masticatory and swallowing function. Statistical analyses comprised Mann-Whitney or Kruskal-Wallis tests. Bivariate associations between categorical variables were tested using the Pearson chi-square test; for continuous variables, the Spearman correlation was calculated. A P-value < .05 was considered statistically significant. RESULTS: Sixty patients aged a mean 82.5 ± 7.0 years participated. Some 88.3% were diagnosed with oral hypofunction, and this was more common in older patients (P = .020). Analysing the 7 oral hypofunction tests as an interval variable (NiOF) revealed additional correlations with number of teeth (ρ = 0.477) as well as the nutritional risk, evaluated by the MNA-SF (ρ = -0.284) and NRS (ρ = 0.317) scores. NiOF scores were higher among denture wearers (P = .003). GLIM did not confirm the correlation with NiOF. Biomarkers such as serum albumin and CRP were not associated with the NiOF score. CONCLUSION: In this sample, the association between oral function and nutritional state is more obvious in nutritional risk scores than in the malnutrition diagnosis by GLIM.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Desnutrição Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Aged / Aged80 / Humans Idioma: En Revista: Gerodontology Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Desnutrição Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Aged / Aged80 / Humans Idioma: En Revista: Gerodontology Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Suíça