Oral health matters for the nutritional status of older persons—A population‐based study

Lindmark, Ulrika; Jansson, Henrik; Lannering, Christina; Johansson, Linda

doi:10.1111/jocn.14146

Cited by 27 publications

(39 citation statements)

References 41 publications

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“…In addition, almost one-fifth of the long-term care residents were malnourished according to MNA, which is in line with a recent meta-analysis by Cerada and colleaques (35). The association between OS and poor nutritional status found in the current study has also been found in previous studies (23)(24)33,36). For example, a recent Dutch study (23) showed that older nursing home residents, who suffered from at least one oral health problem (artificial teeth problems, chewing problems,…”

Section: Discussionsupporting

confidence: 93%

“…In the present study, 42% of the residents suffered from at least one OS, which is in line with previous Finnish research in institutional settings (33,34) and with a Swedish population-based study (24). The latter found that 42% of the older population had oral health problems with their voices, lips, oral mucosa, tongues, gums, teeth, saliva or swallowing.…”

Section: Discussionsupporting

confidence: 92%

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Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland

Saarela¹,

Savikko

Soini³

et al. 2019

The Journal of nutrition, health and aging

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Objectives: Poor oral health may complicate eating and deteriorate nutritional status. However, little is known about how the burden of oral symptoms (OS) is associated with the health-related quality of life (HRQoL) of vulnerable older people in institutional settings. This study explores how the burden of certain OS (chewing problems, swallowing difficulties, dry mouth) is associated with functioning, morbidity, nutritional status and eating habits. It also examines the association between the OS burden and HRQoL. Design: A cross-sectional study in 2017. Setting: All long-term care wards in Helsinki, Finland. Participants: 2401 older residents (74% females, mean age 83.9). Measurements: Nurses assessed the residents and completed questionnaires on the participants' demographics, functional status, diagnoses, OS and eating habits. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) and HRQoL with a 15-dimensional instrument (15D). Results: Of the residents, 25.4% had one OS and 16.6% two or three OS. OS burden was associated linearly with poorer cognitive and physical functioning and a higher number of comorbidities, edentulousness without dentures, and less frequent teeth brushing/denture cleaning. OS burden was also associated with malnutrition, lower BMI and eating less during main meals. In the multivariate analyses adjusted for various confounding factors, a higher number of OS was associated with lower HRQoL. OS burden correlated with nearly all dimensions of HRQoL. Conclusion: Oral symptoms are associated with generic HRQoL. Therefore, OS should be regularly assessed and managed in daily care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland

Saarela¹,

Savikko

Soini³

et al. 2019

The Journal of nutrition, health and aging

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“…A recent study using ROAG‐J established relationship between oral health problems and nutritional status in older people with nursing care needs. The authors highlight the importance of routine oral health check‐ups in nursing care for older people (Lindmark, Janssonn, Lannering, & Johansson, ). However, in daily nursing care, there is limited knowledge about the extent to which measures are planned.…”

Section: Introductionmentioning

confidence: 99%

Occurrence of oral health problems and planned measures in dependent older people in nursing care

Rantzow

Andersson

Lindmark

2018

Journal of Clinical Nursing

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“…Oral care is a neglected part of essential nursing care at home, in nursing homes and hospitals (Coker, Ploeg, Kaasalainen, & Carter, ; Everaars, Jerkovic‐Cosic, van der Putten, Pretty, & Brocklehurst, ; Lewis, Edwards, Whiting, & Donnelly, ; de Lugt‐Lustig et al, ; Miegel & Wachtel, ; Sloane et al, ). Impaired oral health has a negative impact on nursing‐sensitive outcomes such as food intake and subsequently undernutrition (De Marchi, Hugo, Hilgert, & Padilha, ; Huppertz, van der Putten, Halfens, Schols, & de Groot, ; Lindmark, Jansson, Lannering, & Johansson, ; Sheiham et al, ), perform communication and subsequent quality of life (Coleman, ), and infections (Bartzokas et al, ; Quinn et al, ; Sato et al, ; Sjogren, Nilsson, Forsell, Johansson, & Hoogstraate, ). To diminish these negative consequences and increase nutritional status and quality of life, oral health should be improved in hospitalised patients.…”

Section: Introductionmentioning

confidence: 99%

“…Impaired oral health limits people's ability to eat, smile and speak, psychosocial well‐being and quality of life (Coleman, ). Furthermore, several studies have shown the association between undernutrition and oral health problems (De Marchi et al, ; Huppertz et al, ; Lindmark et al, ; Sheiham et al, ). When patients experience pain or limitations throughout chewing and swallowing, a lower nutritional intake can be a consequence.…”

Section: Introductionmentioning

confidence: 99%

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

Noort

Witteman

Hertog-Voortman

et al. 2019

Journal of Clinical Nursing

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Aims and Objectives:To analyse oral care delivery in one hospital through exploring experiences from both nurses' and patients' perspectives and examining patients' oral health.Background: Oral health problems are associated with undernutrition and other general health outcomes. Although oral care belongs to the essentials of nursing, it is often neglected. Improving oral health may require behaviour change of both nurses and patients. Defining tailored strategies need a clear view on the context. Design:A context analysis in one hospital using a convergent parallel mixed-methods design was reported following the EQUATOR guidelines using two checklists:COnsolidated criteria for REporting Qualitative research (qualitative research) and STROBE (observational research).Methods: Semi-structured interviews were conducted with 19 nurses and 11 patients. The topic list was based on the Integrated Change Model. Prospective oral examination was performed among 91 surgical patients using the Oral Health Assessment Tool (OHAT).Results: Nurses acknowledged that they did not prioritise oral care in daily practice. Furthermore, they lacked knowledge and skills to identify and provide care for oral problems. Nurses mentioned helpful resources to perform oral care, like standardised language and instruments. However, they had no access to or were unaware of them. Patients admitted that they did not prioritise oral care due to their sickness during hospitalisation, were unaware of the importance of oral care, but felt responsible for their oral care. The most prominent oral problems identified with the OHAT were unclean mouths (n = 75, 82%), unhealthy gum and tissues (n = 55, 60%) and dry mouth (n = 42, 46%). Conclusions:This context analysis identified inadequate oral care due to lack of positive attitude and knowledge in both nurses and patients, skills for nurses, and resources. S U PP O RTI N G I N FO R M ATI O NAdditional supporting information may be found online in the Supporting Information section. How to cite this article: van Noort HHJ, Witteman BJM, den Hertog-Voortman R, Everaars B, Vermeulen H, Huismande Waal G. A context analysis on how oral care is delivered in hospitalised patients: A mixed-methods study. J Clin Nurs.

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Oral health matters for the nutritional status of older persons—A population‐based study

Abstract: Nursing staff involved in care for older people should be aware of the importance of including regular oral health check-ups in their work. There is also a need for nursing staff members and oral health professionals to exchange knowledge.

Cited by 27 publications

References 41 publications

Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland

Burden of Oral Symptoms and Health-Related Quality of Life in Long-Term Care Settings in Helsinki, Finland

Occurrence of oral health problems and planned measures in dependent older people in nursing care

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

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