Factors Related to Depression Associated with Chewing Problems in the Korean Elderly Population

Chun, Hyejin; Doo, Miae

doi:10.3390/ijerph18116158

Cited by 4 publications

(7 citation statements)

References 31 publications

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“…If dentures were used, the subjects were asked to answer while wearing their dentures. Subjects were divided into "chewing difficulty (CD)" for "very uncomfortable" and "uncomfortable" and "no chewing (NCD)" for "moderate", "not uncomfortable", and "not at all uncomfortable" according to the question of mastication discomfort [20].…”

Section: Measurements 221 Chewing Statusmentioning

confidence: 99%

The Risk of Cardiovascular Disease According to Chewing Status Could Be Modulated by Healthy Diet in Middle-Aged Koreans

Chun

Doo

2022

Nutrients

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To assess whether a healthy diet could change the risk of cardiovascular disease (CVD)-related chewing difficulty (CD) in relation to age distribution. In a cross-sectional study of 9411 middle-aged Koreans from the KNHANES VII. In this study, the Framingham 10-year general CVD risk prediction equations and the Korean Heathy Eating index (KHEI) were used to assess the 10-year estimated risk of CVD and dietary quality, respectively. CD was experienced by 16.7% of the total subjects. Among subjects with CD, the 10-year estimated CVD risk was 8.71% of the subjects in the 30–49 years age group and 30.38% of those in the 50–64 years age group, which is a difference of approximately 3.5 times. Regardless of age distribution, the total score of the KHEI in subjects who had CD was significantly lower than in those who had no CD (NCD) (p = 0.004 for the 30–49 years age group and p < 0.001 for the 50–64 years age group, respectively). Among the subjects with poor KHEI in the 30–49-year age group, the adjusted odds ratio for the 10-year estimated CVD risk of the subjects with CD was 2.204-fold (95% CI = 1.385–3.506) higher using NCD as a reference. The findings showed that dietary quality could modify the risk for CVD according to chewing status.

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Section: Measurements 221 Chewing Statusmentioning

confidence: 99%

The Risk of Cardiovascular Disease According to Chewing Status Could Be Modulated by Healthy Diet in Middle-Aged Koreans

Chun

Doo

2022

Nutrients

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“…16 Previous studies suggested older adults who have poor chewing ability are more prone to experience insufficient nutrient intake, 17 impaired cognition, 18 and depression. 19 In addition, few community-based surveys reported chewing ability was associated with frailty. Namely, older adults with chewing difficulty or poor chewing ability were more prone to experience frailty.…”

Section: Introductionmentioning

confidence: 99%

“…Chewing ability refers to individuals' masticatory performance in chewing selected common foods 16 . Previous studies suggested older adults who have poor chewing ability are more prone to experience insufficient nutrient intake, 17 impaired cognition, 18 and depression 19 . In addition, few community‐based surveys reported chewing ability was associated with frailty.…”

Section: Introductionmentioning

confidence: 99%

Chewing difficulty and frailty trajectories in Chinese nursing home residents: A prospective cohort study

Wang,

Luo

et al. 2023

Geriatrics Gerontology Int

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AimTo investigate frailty trajectories in nursing home residents, and to test whether chewing difficulty was a significant factor associated with frailty trajectories.MethodsThis is a 1‐year prospective cohort study. Data were collected from 27 nursing home residents in China at baseline, 6 months, and 12 months. Latent class growth modeling was used to identify frailty trajectories. Multilevel multinomial logistic regression was used to test the relative risk ratios (RRRs) with 95% confidence intervals (CIs) of the chewing difficulty assessed at baseline on frailty trajectories.ResultsIn total, 269 nursing home residents were included in the analysis. Three frailty trajectories identified were non‐frailty trajectory (n = 181, 67.3%), stable frailty trajectory (n = 52, 19.3%), and progressive frailty trajectory (n = 36, 13.4%). Chewing difficulty was found among 138 (51.3%) nursing home residents. With the non‐frailty trajectory group as the reference, residents with chewing difficulty were more likely to demonstrate stable frailty trajectory (RRR = 2.55, 95% CI [1.28–5.11]) or progressive frailty trajectory (RRR = 3.46, 95% CI [1.47–8.15]).ConclusionsChanges in the frailty of nursing home residents are heterogeneous and chewing difficulty should be assessed and addressed on a routine basis in nursing homes to prevent the deterioration of frailty or reverse it. Geriatr Gerontol Int 2023; ••: ••–••.

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“…Moreover, it has been reported that these individuals at risk have a 20% higher probability of requiring acute hospital care and a 60% higher mortality rate (6). Therefore, adequate nutrition is one of the requirements of independent living and malnutrition is an important factor affecting mortality and morbidity (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…Depression creates reluctance, physical weakness, and loss of appetite; dementia on the other hand may lead to malnutrition due to reasons such as not feeling hungry as a result of brain atrophy, eating behavior disorder, and difficulty in swallowing (12)(13)(14)(15). As a result, all these changes affect each other negatively and bring along many problems such as a decrease in life expectancy, the need for care from others, and an increase in the burden on health services (8).…”

Section: Introductionmentioning

confidence: 99%

Geriatrik Hastalarda Malnütrisyon, Depresif Belirtiler Ve Bilişsel Bozulma Arasındaki İlişki

Cansel

Yakaryılmaz

2022

Medical Records

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Aim: Malnutrition is an important health problem that is frequently seen in elderly individuals and has cognitive and psychological effects. In this study, it was aimed to evaluate the frequencies of malnutrition, cognitive impairment and depression in the elderly population and the relationship between these three variables. Material and Methods: In this retrospective study, data of 433 patients aged 65 and over who applied to a university hospital geriatrics outpatient clinic in Turkey were included. Nutritional status was evaluated with the Mini Nutritional Assessment Short Form (MNA-SF), depressive symptoms with the Geriatric Depression Scale-Short Form (GDS-15) and cognitive functions with the Mini Mental State Examination results (MMSE). Results: According to the MNA-SF results, 13.6% of the elderly were malnourished, 30% were at risk of malnutrition. Of all patients, 45.0% had a GDS-15 score of ≥5, 12.5% had severe dementia, and 24.7% had mild dementia. The frequency of depressive symptoms was 62.7% in malnourished patients, and 42.3% in those with malnutrition risk. Malnutrition and malnutrition risk were observed in 70.4% of patients diagnosed with severe dementia. There was a correlation between the severity of malnutrition and depressive symptoms and cognitive dysfunction. Conclusion: Malnutrition was common in the older population sample and was associated with cognitive impairment and depressive symptoms. These findings emphasize that counseling and psychiatry services should be provided to risky groups and they should be evaluated regularly for early diagnosis.

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Factors Related to Depression Associated with Chewing Problems in the Korean Elderly Population

Cited by 4 publications

References 31 publications

The Risk of Cardiovascular Disease According to Chewing Status Could Be Modulated by Healthy Diet in Middle-Aged Koreans

The Risk of Cardiovascular Disease According to Chewing Status Could Be Modulated by Healthy Diet in Middle-Aged Koreans

Chewing difficulty and frailty trajectories in Chinese nursing home residents: A prospective cohort study

Geriatrik Hastalarda Malnütrisyon, Depresif Belirtiler Ve Bilişsel Bozulma Arasındaki İlişki

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