Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities

Saarela, Riitta K. T.; Lindroos, Eeva; Soini, Helena; Hiltunen, Kaija; Muurinen, Seija; Suominen, Merja; Pitkälä, Kaisu H.

doi:10.1111/ger.12144

Cited by 43 publications

(64 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, understanding both dental status and dysphagia risk may be helpful in devising strategies intended to prevent malnutrition. In contrast to previous studies [52, 53], no significant association between dental status and malnutrition risk status was observed in the current study. However, as expected, we observed that with increasing risk of dysphagia (increasing EAT-10 scores), the prevalence ratio of malnutrition risk also increased.…”

Section: Discussioncontrasting

confidence: 99%

Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults at hospital admission

et al. 2018

View full text Add to dashboard Cite

BackgroundMalnutrition in patients admitted to hospital may have detrimental effects on recovery and healing. Malnutrition is preceded by a state of malnutrition risk, yet malnutrition risk is often not detected during admission. The aim of the current study was to investigate the magnitude and potential predictors of malnutrition risk in older adults, at hospital admission.MethodsA cross-sectional was study conducted in 234 older adults (age ≥ 65 or ≥ 55 for Māori or Pacific ethnicity) at admission to hospital in Auckland, New Zealand. Assessment of malnutrition risk status was performed using the Mini Nutritional Assessment Short-Form (MNA®-SF), dysphagia risk by the Eating Assessment Tool (EAT-10), muscle strength by hand grip strength and cognitive status by the Montreal Cognitive Assessment (MoCA) tool.ResultsAmong 234 participants, mean age 83.6 ± 7.6 years, 46.6% were identified as at malnutrition risk and 26.9% malnourished. After adjusting for age, gender and ethnicity, the study identified [prevalence ratio (95% confidence interval)] high dysphagia risk [EAT-10 score: 0.98 (0.97–0.99)], low body mass index [kg/m2: 1.02 (1.02–1.03)], low muscle strength [hand grip strength, kg: 1.01 (1.00–1.02)] and decline in cognition [MoCA score: 1.01 (1.00–1.02)] as significant predictors of malnutrition risk in older adults at hospital admission.ConclusionAmong older adults recently admitted to the hospital, almost three-quarters were malnourished or at malnutrition risk. As the majority (88%) of participants were admitted from the community, this illustrates the need for routine nutrition screening both at hospital admission and in community-dwelling older adults. Factors such as dysphagia, unintentional weight loss, decline in muscle strength, and poor cognition may indicate increased risk of malnutrition.

show abstract

Section: Discussioncontrasting

confidence: 99%

Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults at hospital admission

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Another cross-sectional study in 197 community-dwelling elderly individuals showed that the reduction in perioral muscle strength due to sarcopenia results in reduced jaw opening force and tongue pressure [ 7 ]. The reduction in masseter muscle thickness (MMT) has also been shown to be related to a reduction in occlusal force and chewing ability [ 8 ], leading to difficulties in eating [ 9 ], and consequently, risk of malnutrition [ 10 ]. A previous study showed that 25% of community-dwelling elderly individuals were at risk of malnutrition [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship of aging, skeletal muscle mass, and tooth loss with masseter muscle thickness

et al. 2018

View full text Add to dashboard Cite

BackgroundPrevious studies have reported a relationship between masseter muscle thickness and tooth loss or limb muscle thickness. However, it is not yet known whether masseter muscle thickness is related to appendicular skeletal muscle mass, and grip strength. The purpose of this study was to determine which of the two variables—tooth loss or appendicular skeletal muscle mass index—is more strongly related to masseter muscle thickness, and to identify a suitable indicator of decreasing masseter muscle thickness in healthy elderly individuals.MethodsGrip strength, walking speed, body weight, skeletal muscle mass index, tooth loss, and masseter muscle thickness at rest and during contraction were determined in 97 community-dwelling elderly individuals aged ≥65 years (men: 44, women: 53). Masseter muscle thickness was chosen as the dependent variable, while age, skeletal muscle mass index, body weight, grip strength, and tooth loss were chosen as the independent variables. Multiple regression analysis was conducted using the stepwise regression method.ResultsIn men, grip strength was the only independent predictor of masseter muscle thickness at rest. Tooth loss and grip strength were independent predictor of masseter muscle thickness during contraction. In women, tooth loss was the independent predictor of masseter muscle thickness both at rest and during contraction, while grip strength and body weight were the independent predictor of masseter muscle thickness at rest only.ConclusionsWe confirmed that in healthy elderly individuals, tooth loss has a stronger relationship with masseter muscle thickness than aging and skeletal muscle mass index do. Masseter muscle thickness in both elderly men and women is also associated with grip strength, suggesting that grip strength can be used as an indicator of masseter muscle thickness in this population.

show abstract

“…Weakening of oral muscles with aging might diminish swallowing and chewing ability and thus reduce adequate nutrition. In addition, loss of teeth, ill-fitted dentures, and dry mouth further diminishes the initial step of digestion, which starts in the mouth and requires adequate masticatory ability to form bolus of food prior to swallowing [26]. A recent study by Hiramatsu et al [27] compared swallowing and chewing ability in a group of healthy older adults (OAs, n = 23, age∼76 y) with a group of younger healthy adults (YAs, n = 23, age∼29 y).…”

Section: Impaired Digestion In Older Adults Impacts Nutrients Intake mentioning

confidence: 99%

Nutritional supplementations and administration considerations for sarcopenia in older adults

Farshidfar

Shulgina

Myrie

2016

NUA

View full text Add to dashboard Cite

Abstract. Sarcopenia is a progressive degenerative disorder affecting ≥40% of older adults over the age of 70 years. It is characterized by involuntary muscle loss leading to functional disability, weakness, and frailty in the elderly. Numerous mechanisms have been suggested as potential contributors to sarcopenia onset, including anorexia of aging, protein imbalances, and oxidative stress. While consensus preventive and management approaches for sarcopenia are not yet clearly defined, it is unquestionable that nutrition plays a critical role. This review focuses on the more widely studied, potent nutrients used to attenuate sarcopenia: protein/amino acids, vitamin D and calcium, antioxidants and omega-3 fatty acids. In efforts to achieve optimum delivery of these nutrients to target tissues in older adults it is important to also consider the issue of compromised digestive system that occurs with aging, which will contribute to suboptimal nutrients absorption and utilization. Therefore, this review aims to summarize key sarcopenia-attenuating nutrients and to distinguish for each identified nutrient whether a dietary or a supplemental form is the most effective therapy for nutrient delivery in sarcopenic older adults.

show abstract

Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities

Abstract: Malnutrition and inadequate protein intake were very common and associated with dentition among older people with multiple disabilities in assisted living facilities. Assessment of dental status should be part of good nutritional care in long-term care.

Cited by 43 publications

References 51 publications

Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults at hospital admission

Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults at hospital admission

Relationship of aging, skeletal muscle mass, and tooth loss with masseter muscle thickness

Nutritional supplementations and administration considerations for sarcopenia in older adults

Contact Info

Product

Resources

About