Dentition status, malnutrition and mortality among older service housing residents

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

doi:10.1007/s12603-013-0358-3

Cited by 56 publications

(84 citation statements)

References 34 publications

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“…Long‐term care staff perceive assisting residents with oral hygiene tasks as unpleasant, especially among residents who resist, indicating the need for staff education to manage oral hygiene in the presence of resistiveness to care among residents. Maintaining oral health and dentition status is interdisciplinary in nature and signifies cooperation between nursing and dental professionals . A team‐based approach is needed in developing and implementing oral hygiene and health interventions to improve eating performance and nutritional outcomes in residents with and without cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Liu

Shaw

Chen

2019

Special Care in Dentistry

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Aims: Despite the physiologic relationship, there is a lack of evidence on how dentalrelated function and oral health impact eating performance. This study aims to examine the association of eating performance with dental-related function and oral health among assisted living residents. Methods and results:This study was a secondary analysis of observational data collected from an instrument development study. Participants included 90 residents with normal to severely impaired cognition from three assisted livings. Multilevel mixedeffects ordered logistic models were used. The dependent variable was eating performance measured by the single "eating" item (scored from 0 to 4 on level of dependence). Independent variables were resident age, gender, dental-related function, and oral health. The resident and facility clustering effects accounted for 88% of variance in eating performance, among which 84% was explained by dental-related function and oral health. Eating performance was associated with dental-related function (coefficient = −0.10, 95% CI = −0.19, −0.01, P = .025), and was not associated with other characteristics.Conclusion: Eating performance is influenced by the complex relationship with dental-related function and oral health. Novel interventions using interdisciplinary partnerships are needed to maintain dental-related function and oral health to optimize eating performance. K E Y W O R D Sdental-related function, eating performance, oral health

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Section: Discussionmentioning

confidence: 99%

Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Liu

Shaw

Chen

2019

Special Care in Dentistry

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“…Another explanation is that after 14 years of our development and educational project in institutional settings, the nurses were more aware of their residents' chewing and nutritional problems. Edentulousness and chewing problems were reported as associated with malnutrition that may lead to functional decline, disability, and reduced health‐related quality of life …”

Section: Discussionmentioning

confidence: 99%

Changes in Institutionalized Older People's Dentition Status in Helsinki, 2003‐2017

Saarela¹,

Hiltunen

Mäntylä

et al. 2019

J American Geriatrics Society

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“…In line with previous studies, these results support the hypothesis that regular use of dentures might blunt the risk of earlier mortality associated with MD. 12,27 Thus, it would be advisable to include the provision of dentures as a preventive intervention in healthcare programs. Most elderly adults with dentures reported malfunctioning of the prosthesis as the cause of MD.…”

Section: Figurementioning

confidence: 99%

“…This finding is in line with previous studies that found an association between edentulism and several adverse outcomes, including cognitive and functional impairment and mortality. [26][27][28][29] Edentulism is a robust and irreversible marker of poor oral health, representing total tooth loss and reflecting longstanding, severe oral disease.…”

Section: Figurementioning

confidence: 99%

Self‐Reported Masticatory Dysfunction and Mortality in Community Dwelling Elderly Adults: A 9‐Year Follow‐Up

Laudisio

Gemma

Fontana

et al. 2016

J American Geriatrics Society

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OBJECTIVES: To evaluate the association, if any, between masticatory dysfunction (MD) and mortality in older adults. DESIGN: The Invecchiare in Chianti (InCHIANTI) Study, a cohort study with 9-year follow-up. SETTING: Tuscany, Italy. PARTICIPANTS: Individuals aged 65 and older (N = 1,155). MEASUREMENTS: MD was self-reported; Cox regression was used to assess the association between self-reported MD and 9-year all-cause mortality. This association was also evaluated after stratifying according to use of dentures. Analyses were adjusted for potential confounders, including demographic characteristics, lifestyle habits, comorbidities, nutrient intake, medications, and objective parameters. RESULTS: Four hundred five (35%) participants reported MD. Over the 9-year follow-up, 475 (41%) subjects died. According to Cox regression analysis, self-reported MD was associated with higher mortality (relative risk (RR) = 1.23, 95% confidence interval (CI) = 1.02–1.48), after adjusting for potential confounders. In participants with self-reported MD, uncorrected edentulism was the condition associated with the greatest risk of mortality (RR = 2.10, 95% CI = 1.07–4.14); use of dentures seemed to blunt this association (RR = 1.12, 95% CI = 0.87–1.44). CONCLUSION: Self-reported MD, chiefly when due to uncorrected edentulism, is associated with 9-year all-cause mortality in community-dwelling elderly adults. Further studies are needed to evaluate whether the timely correction of MD using adequate dentures can increase the survival of older adults. J Am Geriatr Soc 64:2503–2510, 2016.

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Dentition status, malnutrition and mortality among older service housing residents

Cited by 56 publications

References 34 publications

Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Dental‐related function and oral health in relation to eating performance in assisted living residents with and without cognitive impairment

Changes in Institutionalized Older People's Dentition Status in Helsinki, 2003‐2017

Self‐Reported Masticatory Dysfunction and Mortality in Community Dwelling Elderly Adults: A 9‐Year Follow‐Up

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