Occlusal Support, Dysphagia, Malnutrition, and Activities of Daily Living in Aged Individuals Needing Long-Term Care: A Path Analysis

Wakabayashi, Hidetaka; Matsushima, Masato; Ichikawa, Hiroko; Murayama, Shinichi; Yoshida, Shuhei; Kaneko, Mitsunobu; Mutai, Rieko

doi:10.1007/s12603-017-0897-0

Cited by 30 publications

(28 citation statements)

References 17 publications

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“…However, rehabilitation and nutritional interventions alone are not sufficient, and oral and dental approaches might also be important. 30 There were several potential limitations to the present study. First, despite adjusting for many potential confounders, because of the retrospective nature of the study we could not adjust for some potential confounding factors related to sarcopenia, OHRQoL and oral health status, such as depression.…”

Section: Discussionmentioning

confidence: 87%

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Prevalence of sarcopenia and association with oral health‐related quality of life and oral health status in older dental clinic outpatients

Takahashi¹,

Maeda

Wakabayashi

2018

Geriatrics Gerontology Int

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Section: Discussionmentioning

confidence: 87%

“…For the prevention and treatment of sarcopenia, a treatment known as rehabilitation nutrition, combining both rehabilitative training and nutrition management, is required. However, rehabilitation and nutritional interventions alone are not sufficient, and oral and dental approaches might also be important …”

Section: Discussionmentioning

confidence: 99%

Prevalence of sarcopenia and association with oral health‐related quality of life and oral health status in older dental clinic outpatients

Takahashi¹,

Maeda

Wakabayashi

2018

Geriatrics Gerontology Int

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“…Moreover, given the relative short time required to perform the whole CGA, all these tests, including dysphagia, can be easily performed and adapted in all Geriatric Labs. To our knowledge, no specific relationship has been described between dysphagia and SPPB in aged population, but some studies showed a significant association between dysphagia and frailty measurements [22,32,36], or activities of daily living (ADL) [23].…”

Section: Tablementioning

confidence: 99%

The risk of dysphagia is associated with malnutrition and poor functional outcomes in a large population of outpatient older individuals

et al. 2019

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Oropharyngeal dysphagia (OD) is a widespread clinical condition among older adults. Although it represents a risk factor for malnutrition, dehydration and aspiration pneumonia, its assessment and contribution to functional decline is often ignored. The aim of the present study was to estimate the prevalence of OD in a large population of non-institutionalized older people and to evaluate its relationship with malnutrition and physical function. 10-item Eating Assessment Tool (EAT-10) and Mini Nutritional Assessment Short Form (MNA-SF) were used to identify the risk of dysphagia and malnutrition. Short Physical Performance Battery (SPPB) and hand-grip strength were used as functional endpoints. The relationship between risk of dysphagia and functional outcomes was tested in a multivariate regression analysis adjusted for age and sex (Model 1) and for other confounders including Mini Mental State Examination (MMSE) and polypharmacy (Model 2). Mean age of 773 subjects (61.3% female) was 81.97 years. The percentage of participants at risk of dysphagia (EAT ! 3) was 30.1%, 37.8% of subjects was malnourished (MNA-SF < 8), 46.2% was at risk of malnutrition (MNA-SF:8e11). EAT-10 was significantly and negatively associated to MNA-SF (b ¼ À0.47 ± 0.06, p < 0.0001) and the strength of the relationship was attenuated but still statistically significant in the multivariate model (b ¼ À0.28 ± 0.07, p < 0.0001). A significant and negative relationship was found between EAT-10 and SPPB and hand-grip strength in Model 1 (b ¼ À0.25 ± 0.05, p < 0.0001) and Model 2 (b ¼ À0.07 ± 0.03, p < 0.0001). After categorization of risk of dysphagia in two groups (at risk and not at risk), MNA-SF, SPPB and hand-grip strength were independently associated with higher risk of dysphagia (OR ¼ 0.91, 95%CI ¼ 0.83e0.99, p ¼ 0.03; OR ¼ 0.83, 95%CI ¼ 0.77e0.89, p < 0.0001; OR ¼ 0.96, 95%CI ¼ 0.92e0.99, p ¼ 0.02, respectively). In a large group of outpatient older individuals, we observed a significant negative association between risk of dysphagia and nutritional and physical performance, suggesting that the screening of OD, possibly supported by its assessment, should be implemented in the geriatric setting to potentially prevent the functional decline.

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“…Although studies support that dentures can reduce the complications of tooth loss [18,19], it also promotes some problems such as the high risk of candida, denture stomatitis [20,21] and pneumonia [22,23], especially if the dental plates are not kept clean, which should be considered.…”

Section: Tooth Loss and Dysphagiamentioning

confidence: 99%

Dysphagia and Oral Health in Older People

Farpour¹,

Smithard²,

Farpour³

2020

OBM Geriatrics

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Dysphagia is a term that is used for the difficulty in moving liquid/food from mouth to the stomach. Dysphagia is very common in elders, which makes them susceptible to malnutrition, infection, institutionalization, and death. Consequently, it is categorized as a geriatric syndrome. Therefore, multidisciplinary teams need to work together to determine the correct etiology and implement an appropriate care plan. Oral care is crucial in managing dysphagia and dental hygienists and dentists serve as the key members. In some regions, the roles of dental professionals are not fully understood. Hence, the aim of this article is to review oral problems that are prevalent in older people and their relationship to dysphagia as well as the roles of dental professionals in dysphagia diagnosis and management.

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Occlusal Support, Dysphagia, Malnutrition, and Activities of Daily Living in Aged Individuals Needing Long-Term Care: A Path Analysis

Abstract: In aged individuals needing long-term care, occlusal support is associated directly with dysphagia and indirectly with malnutrition and activities of daily living via dysphagia.

Cited by 30 publications

References 17 publications

Prevalence of sarcopenia and association with oral health‐related quality of life and oral health status in older dental clinic outpatients

Prevalence of sarcopenia and association with oral health‐related quality of life and oral health status in older dental clinic outpatients

The risk of dysphagia is associated with malnutrition and poor functional outcomes in a large population of outpatient older individuals

Dysphagia and Oral Health in Older People

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