Food Avoidance and Food Modification Practices of Older Rural Adults: Association With Oral Health Status and Implications for Service Provision

Quandt, Sara A.; Chen, Haiying; Bell, Ronny A.; Savoca, Margaret R.; Anderson, Andrea; Leng, Xiaoyan; Kohrman, Teresa; Gilbert, Gregg H.; Arcury, Thomas A.

doi:10.1093/geront/gnp096

Cited by 61 publications

(77 citation statements)

References 36 publications

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“…Food avoidance measures were developed based on 10 years of research regarding the nutritional self-management of the study population (22–26) and are described in detail elsewhere (12, 27). Generally the instrument consists of a list of foods commonly consumed by the population and those which represent specific eating challenges (27).…”

Section: Methodsmentioning

confidence: 99%

“…These data have shown that older adults who avoided the greatest number of foods were more likely to have dentures, that those dentures were more likely to be ill-fitting (11) than those of persons who avoided fewer foods, and that dietary quality was lower among persons who avoided the greatest number of foods (18). This analysis considers types of removable dentures and whether or not individuals wore their dentures while eating.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Denture Usage Patterns on Dietary Quality and Food Avoidance Among Older Adults

Savoca

Arcury

Leng

et al. 2011

Journal of Nutrition in Gerontology and Geriatrics

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This study categorizes older adults living in rural areas by denture status, assesses the frequency of wearing dentures during meals, and determines whether denture status or use is associated with dietary quality or the number of foods avoided. A multi-ethnic population-based sample of adults ≥60 years (N=635) in the rural US was interviewed. Survey included denture use, removing dentures before eating, and foods avoided due to oral health problems. Dietary intakes were converted into Healthy Eating Index-2005 scores. Sixty percent wore removable dentures of some type; 55% never, 27% sometimes, and 18% always removed dentures when eating. More frequent removal was associated with lower dietary quality and more foods avoided. Those with severe tooth loss had the lowest dietary quality and avoided the most foods. Many rural older adults wear dentures. Learning how they adapt to denture use will offer insight into their nutritional self-management and help explain differences in dietary quality.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Denture Usage Patterns on Dietary Quality and Food Avoidance Among Older Adults

Savoca

Arcury

Leng

et al. 2011

Journal of Nutrition in Gerontology and Geriatrics

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“…Other factors not considered here may be more related to Nutrition. For example, the type and number of medications taken, as well as oral health, can affect eating behaviors of the elderly (Pender, Murdaugh, & Parsons, 2006;Quandt et al, 2010). Also, the availability of someone who can shop and cook healthy meals may be a key factor that should be addressed in future health promotion interventions.…”

Section: Discussionmentioning

confidence: 99%

Health Promotion Among Older Cancer Survivors With Prior Disabling Conditions

Becker

Kang

2012

J Gerontol Nurs

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Older cancer survivors, who often cope with multiple disabling conditions, can find health promotion challenging. This study’s purpose was to explore predictors of health promotion for older cancer survivors with a disabling condition that existed prior to their cancer diagnosis. The 92 cancer survivors were predominantly women with preexisting neuromuscular impairments and an average age of 69. Half were breast cancer survivors, and 58% were 6 or more years since their cancer diagnosis. In hierarchical regression analyses, self-efficacy for health promotion and social support were the strongest predictors of total scores on the Health-Promoting Lifestyle Profile II and its subscales. The findings suggest that nursing interventions to assist older cancer survivors with multiple chronic conditions in building their social support and perceived self-efficacy may help them lead healthier lives.

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“…Gender, age, race/ ethnicity, place of birth, education and income influence dietary quality 17 . Quandt et al 18 recently reported that among older rural adults in North Carolina, whole fruits and raw vegetables were the most commonly avoided. They reported that food avoidance was associated with a number of poor oral health indicators, including having dentures and fewer occlusal contacts.…”

Section: Discussionmentioning

confidence: 99%

“…Complete natural dentition (presence of [21][22][23][24][25][26][27][28] natural teeth only -no replaced teeth present); 2. Incomplete natural dentition (presence of [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] natural teeth -no replaced teeth). 3.…”

Section: Predictor and Confounding Variablesmentioning

confidence: 99%

Number of natural and prosthetic teeth impact nutrient intakes of older adults in the United States

Ervin

Dye

2011

Gerodontology

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Objective: To examine the relationship between the number and type of teeth and nutrient intakes in adults, aged 60 years and above, in the National Health and Nutrition Examination Survey 1999-2004 using linear regression. Methods: Four discrete dental status groups were created: complete natural dentition (reference group), incomplete natural dentition, complete mixed (natural and restored) dentition and incomplete mixed dentition. We ran both unadjusted and adjusted models, controlling for age, race/ethnicity, education and smoking status to examine the effect of these covariates on the association between dentition status and nutrient intakes. Separate models were run for men and women. Results: There were significant associations between dental status and all the examined nutrients for men and for the carotenes and folate for women in the unadjusted model. Only caloric and vitamin C intakes were significant for men, and b-carotene was significant for women in the adjusted model. For men for kilocalories and women for b-carotene, those with a complete dentition had higher mean intakes than those with an incomplete dentition, regardless of the tooth type. Among men with an incomplete dentition, those with a mixed dentition had a significantly lower vitamin C intake than those with a natural dentition; there were no significant differences between the natural and mixed complete dentition groups. Conclusions: Demographic and behavioural variables explained many of the differences seen in nutrient intakes. After controlling for these variables, we found that a numeric threshold of teeth (i.e. a functional dentition) influenced some nutrient intakes while the number and type of teeth present affected other nutrient intakes.

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Food Avoidance and Food Modification Practices of Older Rural Adults: Association With Oral Health Status and Implications for Service Provision

Abstract: Food services for older adults should consider their oral health status. Policy changes are needed to provide oral health care in benefits for older adults.

Cited by 61 publications

References 36 publications

Impact of Denture Usage Patterns on Dietary Quality and Food Avoidance Among Older Adults

Impact of Denture Usage Patterns on Dietary Quality and Food Avoidance Among Older Adults

Health Promotion Among Older Cancer Survivors With Prior Disabling Conditions

Number of natural and prosthetic teeth impact nutrient intakes of older adults in the United States

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