Association between oral health and body cell mass in hospitalised elderly

Solemdal, Kirsten; Sandvik, Leiv; Møinichen-Berstad, Christina; Skog, Karina; Willumsen, Tiril; Mowé, Morten

doi:10.1111/j.1741-2358.2011.00607.x

Cited by 21 publications

(10 citation statements)

References 39 publications

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“…Body cell mass differs from body mass index in that body mass index includes body fluids as well as muscle mass; body cell mass includes only muscle mass. A significant association between poor oral health status/reduced oral hygiene and low body cell mass was observed, and the results remained significant after adjusting for confounders such as age, gender, smoking, education level and number of medications . The findings were important for demonstrating that there was a lower number of remaining teeth in patients with reduced body cell mass.…”

Section: Oral Health Status Aging and Loss Of Teethmentioning

confidence: 78%

Tooth loss as a predictor of shortened longevity: exploring the hypothesis

Friedman¹,

Lamster²

2016

Periodontology 2000

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Many factors contribute to human tooth loss, including oral hygiene practices, trauma, smoking, health status, socio-economic status and individual preferences. Loss of teeth impairs quality-of-life measures, including the eating of most foods that require full masticatory function. A recent study of centenarians found that at age 65-74 years, those who lived to be 100 had a lower rate of edentulism than did younger members of their birth cohort at ages 65-74 years. Oral health was consistent with compression of morbidity toward the end of life. This article explores the hypothesis that factors associated with oral disease and noncommunicable diseases may increase the risk of tooth loss and lead to diminished longevity as a result of multifactorial interactions. It specifically addresses two critical questions. The first is: 'Can we conclude that the number of teeth in aging humans can affect longevity and life expectancy?' The answer is yes. The second is: 'Is tooth loss a predictor of shortened longevity?' Again, the answer is yes. Edentulism and partial edentulism are discussed as a disability, and how the philosophy/belief systems of dental providers and patients toward retaining teeth influences the outcome of tooth loss is also examined. Osteoporosis and cognitive impairment provide examples of modifying risk factors.

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Section: Oral Health Status Aging and Loss Of Teethmentioning

confidence: 78%

Tooth loss as a predictor of shortened longevity: exploring the hypothesis

Friedman¹,

Lamster²

2016

Periodontology 2000

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“… 18 Moreover, oral hygiene has usually deteriorated in the sarcopenia group, and the risk of infection is higher when oropharyngeal material has been aspirated. 19 Juthani-Mehta et al 20 showed that the body composition and oral hygiene are important factors in pneumonia. In the present study, the authors have also shown that the decrease in BMI resulted in pneumonia, which would indicate hospitalisation.…”

Section: Discussionmentioning

confidence: 99%

Anthropometric measurements may be informative for nursing home-acquired pneumonia

Yardımcı¹,

Aksoy²,

Özkaya³

et al. 2016

Pak J Med Sci

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Objective:To evaluate the relationship between anthropometric measurements and Nursing Home-Acquired Pneumonia (NHAP) risk.Methods:Consecutive patients of 65 years or elderly who were living in the Balikli Rum Hospital Nursing Homes were included in this prospective study. At the beginning of this study, the patients’ anthropometrics values were measured. The patients were followed for one year, and any incidences of pneumonia attacks were recorded. The relationship between the anthropometric measurements and pneumonia occurrences was analyzed.Results:There were 133 inmates at the initial assessments. Of 108 patients who were eligible for the study, 77 (72.2%) were female and 37 (27.8%) were male. The mean age of the group was 79.8±10.5. Patients were assigned to a group according to the presence of pneumonia during the one -year follow-up. There were 74 (55.6%) patients who had suffered from at least one attack of pneumonia during the follow-up period. The mean triceps skinfold was significantly thinner in the pneumonia group, and the mean handgrip measurements in both the dominant and non-dominant hands were significantly weaker in the pneumonia group. Furthermore, the frequency of Chronic Obstructive Pulmonary Diseases (COPD) was significantly higher in this group (p < 0.001).Conclusions:The risk of pneumonia was high in the elderly population who live in nursing homes. Simple anthropometric values may be predictive of the potential for Nursing Home-Acquired Pneumonia.

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“…Low BCM was found to be associated with poor nutrition, low muscle strength, and reduced functional performance 27. A positive relationship has been shown to occur between BCM and HGS,26,28 and a negative correlation has been detected between the BCM and the number of medications 26. Lauretani et al found correlations between HGS and the parameters determined by measurements of electric bioimpedance adjusted for body height 29…”

Section: Discussionmentioning

confidence: 99%

Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland

Gaszyńska

Godala

Szatko

et al. 2014

CIA

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BackgroundMaintaining good physical fitness and oral function in old age is an important element of good quality of life. Disability-related impairment of oral function contributes to a deterioration of the diet of older people and to the reduction of their social activity.ObjectivesInvestigate the association between masseter muscle tension, dental status, and physical fitness parameters.Materials and methodsTwo hundred fifty-nine elderly care home residents (97 men, 162 women; mean age, 75.3±8.9 years) were involved in this cross-sectional study. Their chewing ability was evaluated by masseter muscle tension palpation, differences of masseter muscle thickness, self-reported chewing ability, number of present and functional teeth, and number of posterior tooth pairs. Masseter muscle thickness was measured by ultrasonography. To assess physical fitness, hand grip strength and the timed up-and-go test were performed. Nutritional status was assessed using body mass index and body cell mass index (BCMI), calculated on the basis of electrical bioimpedance measurements. Medical records were used to collect information on systemic diseases and the number of prescribed medications. Subjects were also evaluated for their ability to perform ten activities of daily living.ResultsNinety-seven percent of the subjects suffered from systemic diseases. The three most prevalent illnesses were cardiac/circulatory 64.5%, musculoskeletal 37.3%, and endocrine/metabolic/nutritional 29.3%. Of the participants, 1.5% were underweight and more than one third (34.4%) were overweight. Malnutrition (BCMI below normal) was found in almost half (45.2%) of the subjects. Only 5.8% had a sufficient number of functional natural teeth. Statistically significant correlations were found between palpation of masseter muscle tension and perceived chewing ability, number of present teeth, number of functional teeth, number of posterior tooth pairs, timed up-and-go, hand grip strength, body mass index, BCMI, and activities of daily living. In a multivariate model, after adjusting for age, sex, and education, subjects with higher BCMI, higher hand grip strength, and more present teeth had a significantly higher chance of strong masseter muscle tension.ConclusionThere is a relationship between chewing ability and physical fitness in elderly people. Efficiency of masseter muscles is related to physical fitness in the elderly. Masseter muscle tension examined by palpation can be used in public dentistry as one of the indicators of quality of life.

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Association between oral health and body cell mass in hospitalised elderly

Cited by 21 publications

References 39 publications

Tooth loss as a predictor of shortened longevity: exploring the hypothesis

Tooth loss as a predictor of shortened longevity: exploring the hypothesis

Anthropometric measurements may be informative for nursing home-acquired pneumonia

Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland

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