Dietary Consequences of Oral Health in Frail Elders

Moynihan, Paula; Bradbury, Jane; Müller, Frauke

doi:10.1002/9781118786789.ch5

Cited by 5 publications

(5 citation statements)

References 76 publications

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“…Other aspects of forceful chewing might be also be beneficial to patients with cognitive impairment, as it is well known that subjects with dementia are at risk for protein–energy malnutrition. Although restoring chewing function as sole intervention is no guarantee for improving quality and quantity of nutritional intake, several aspects of forceful chewing might help reducing weight loss in cognitively impaired patients. It may allow enlarging the food selection and avoiding mashed meals.…”

Section: Introductionmentioning

confidence: 99%

Tooth loss, chewing efficiency and cognitive impairment in geriatric patients

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Tooth loss, chewing efficiency and cognitive impairment in geriatric patients

et al. 2013

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“…It may be postulated that BMI declined because participants with lower occlusal force exhibited difficulty eating resulting in lower energy intake. However, existing data exploring the association between oral status and energy intake come from cross‐sectional studies and have shown conflicting results 33 . Moreover, it could be argued that reduced occlusal force is an early indicator of general frailty, that is independent of nutrition.…”

Section: Discussionmentioning

confidence: 99%

“…However, existing data exploring the association between oral status and energy intake come from cross-sectional studies and have shown conflicting results. 33 Moreover, it could be argued that reduced occlusal force is an early indicator of general frailty, that is independent of nutrition. Whether the relationship between occlusal force and decline in BMI is mediated through nutrition needs to be explored through further longitudinal analysis.…”

Section: Discussionmentioning

confidence: 99%

Impact of occlusal force on decline in body mass index among older Japanese adults: Finding from the SONIC study

Fukutake

Takahashi

Gondo

et al. 2021

J American Geriatrics Society

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Objectives To determine any independent influence of occlusal force and of number of natural teeth on decline in body mass index (BMI) among older Japanese adults. Design Longitudinal study over a 3‐ to 6‐year period. Setting Urban and rural area in Japan. Participants Independently living Japanese adults aged 69–71 years and 79–81 years at baseline. This analysis excluded participants who were defined as underweight at baseline. Measurements Information was collected on age, gender, occlusal force, the number of teeth, BMI, socioeconomic factors, medical history, the number of daily prescription medications, cognitive function, depressive symptoms, hand grip strength, and physical function. Maximal occlusal force was measured with a pressure‐sensitive sheet. Nutritional status was assessed using BMI, and participants with BMI <21.5 were defined as underweight. Then, they were divided into two groups: a “BMI declined” group who were defined as underweight at either 3‐ or 6‐year follow‐up survey, and a “BMI maintained” group who were not defined as underweight at both follow‐up surveys. Logistic generalized estimating equation (GEE) models were used to assess the effect of occlusal force and the number of teeth at baseline on decline in BMI over 3 or 6 years, after adjusting for possible covariates associated with nutritional status. Results The final analysis included 704 participants. Eighty‐six (12.2%) participants were classified into the BMI declined group. Logistic GEE models showed that the number of teeth was not significantly associated with decline in BMI. However, occlusal force was significantly associated with decline in BMI (odds ratio = 0.90, 95% confidence interval = 0.83–0.97) after adjusting for covariates. Conclusion Participants with lower occlusal force were more likely to be in the BMI less than 21.5 kg/m2. The findings suggest that to prevent decline in oral function is important to maintain nutritional status.

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“…Frailty can be eased and even reversed by assets, such as wealth and social supports, or exacerbated by deficits, such as poverty and social isolation. 1,7 Dentistry can help to delay physical and cognitive decline by controlling inflammatory disorders of the mouth and repairing or replacing damaged dentitions, [8][9][10][11] however, the venue for this health service is a matter of ongoing concern. 12 This paper addresses three main themes: (1) oral health and frailty; (2) interprofessional healthcare teams; and (3) dental professionals on healthcare teams.…”

Section: Introductionmentioning

confidence: 99%

Muted dental voices on interprofessional healthcare teams

MacEntee

2011

Journal of Dentistry

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Dietary Consequences of Oral Health in Frail Elders

Cited by 5 publications

References 76 publications

Tooth loss, chewing efficiency and cognitive impairment in geriatric patients

Tooth loss, chewing efficiency and cognitive impairment in geriatric patients

Impact of occlusal force on decline in body mass index among older Japanese adults: Finding from the SONIC study

Muted dental voices on interprofessional healthcare teams

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