“Oral Nutritional Supplements: Sugar Content and Potential Dental Implications”

Coffey, Niamh; Leary, Fiona O’; Burke, Francis; Roberts, Adrienne; Howlett, Ciara; Plant, Barry J.; Hayes, Martina

doi:10.1111/ger.12592

Cited by 6 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This would suggest that PWCF would be at higher risk of dental caries if we consider their diet in isolation without considering their oral hygiene habits, including fluoride use. Nearly a third of survey participants took oral nutritional supplements and the potential negative dental implications of these are discussed elsewhere 32 . Another dietary consideration that must be taken into account is that it is recommended that CFTR modulators are taken with a fat‐containing snack to improve absorption 33 .…”

Section: Discussionmentioning

confidence: 99%

“…Nearly a third of survey participants took oral nutritional supplements and the potential negative dental implications of these are discussed elsewhere. 32 Another dietary consideration that must be taken into account is that it is recommended that CFTR modulators are taken with a fat-containing snack to improve absorption. 33 Therefore, PWCF may have a range of dietary considerations that people without CF do not have.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Self‐reported dental attendance, oral hygiene habits, and dietary habits of adults with cystic fibrosis

Coffey

Leary

Burke

et al. 2022

Special Care in Dentistry

Self Cite

View full text Add to dashboard Cite

To evaluate the dental attendance, oral hygiene habits, and dietary habits of adults with Cystic Fibrosis in the Republic of Ireland. Methods and Results:A cross-sectional study was carried out using a structured anonymous questionnaire. A total of 71 adults with Cystic Fibrosis responded. While the majority of respondents (66.2%) saw a dentist in the preceding year, 15.5% had not attended a dentist for over 2 years. Smoking and alcohol consumption levels were low. 63.4% brushed twice or more daily, with 70.4% using a Fluoride containing toothpaste. 62% did not use any interdental cleaning aid. 5.6% changed their toothbrush at least once a month, but for 22.5% it was over 6 months. 70.4% used fluoride toothpaste. 38% snacked three or more times daily and 29.5% consumed fizzy drinks at least once daily. Conclusions:The alcohol and tobacco consumption in this study group was low.However, a large proportion frequently consumed sugar-rich foods, and they did not change their toothbrush, brush their teeth, or attend the dentist as regularly as is advised. More targeted advice may be necessary to improve the oral hygiene habits of adults with Cystic Fibrosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self‐reported dental attendance, oral hygiene habits, and dietary habits of adults with cystic fibrosis

Coffey

Leary

Burke

et al. 2022

Special Care in Dentistry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Also of note is the sugar content in ONS, which can be significant. A recent study showed that some of the most common ONS on the market can contain up to 35 g of sugar per 200 ml whole milk reconstitution [20].…”

Section: Oral Nutritional Supplementsmentioning

confidence: 99%

Dental and oral implications of prescribed Oral Nutritional Supplements for disease related malnutrition- A systematic review

Coffey

Leary

Roberts

et al. 2023

Nutrition and Healthy Aging

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: The use of Oral Nutritional Supplements (ONS) is widespread among patients with long- and short-term medical conditions. Although ONS serve an important purpose in the management of malnutrition, their effect on the oral hard and soft tissues is not well understood. The aim of this article is to conduct an analysis of the available literature relating to ONS and their impact on the oral environment. METHODS: This study was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines adapted by Liberati. The PICO question is as follows: Population: Individuals (both children and adults) Intervention: Use of Oral Nutritional Supplements Comparison: Individuals not taking Oral Nutritional Supplements Outcome: Increased risk of oral disease (specifically dental caries, periodontal disease or candida) The research question was “Are people who take ONS at higher risk of oral diseases than the general population?” Eligibility criteria The results obtained from the literature search were filtered, according to these inclusion and exclusion criteria: Inclusion criteria • Individuals were prescribed Oral Nutritional Supplements • All studies were included, including, case– control, cohort, cross-sectional or case studies. • Studies were included if they directly compared the association between ONS and oral health i.e. Effect of ONS on the oral environment had to be one of the aims of the study • Studies on human subjects or in vitro experiments • Published in English language • Studies from 1960 to the present day Exclusion criteria • Studies not in English • Review articles and case series were excluded • Studies including the use of other nutritional supplements such as vitamin or herbal supplements were not included. • Other supplemental feeding methods such as enteral or parenteral feeding were not examined 4 databases were searched: Medline (via Ebsco), Embase, Web of Science Core Collection, Google Scholar. Risk of bias was assessed using the ROBINS-I tool. RESULTS: A total of 58 records were identified through databases and searching bibliographies. 50 publications were excluded from the review, based on study title and abstract. The full text of eight articles were assessed for eligibility. No article answered the primary aim of the systematic review. Three articles discussed the secondary aim of the systematic review and these were included in the qualitative systematic review. The main outcome of the first study showed that the ONS had higher cariogenic potential than milk due to it’s higher acidogenicity. However, there was no statistical difference in dentine demineralisation and no significant difference in viable micro-organisms present. The main outcome of the second study showed that Escherichia coli, Staphylococcus aureus and C. albicans all grew at room temperature in the dairy-based ONS collected, and that C. albicans also grew in the juice which was milk protein-free and lipid-free. The third study showed that ONS were “potentially cariogenic” on enamel. DISCUSSION: Two studies were deemed as being at “low” of bias, however another study was deemed to be at “serious” level of bias. All studies stressed the possibility of dental disease caused by oral nutritional supplements, however there is not enough research available to imply causation. Due to the high sugar content of these supplements, and the known dental implications of this, it would be beneficial to carry out more research into this area.

show abstract

“…33 Ready-to-drink ONS have been reported to range between 6.6-27.2 g of sugar/serving; powder mixed with 200 ml full-fat milk ranged between 16.4-35 g sugar/serving; and ONS 'shots' ranged between 0-4 g of sugar/serving. 34 ONS 'shots' can therefore be a good option alongside oral diet/ready-to-drink ONS/ powder, as they are lower in sugar. However, they are not generally recommended in volumes aiming to meet a significant proportion of estimated nutritional requirements (≥50%) as they are not nutritionally complete, are often considered less palatable by patients affecting compliance and can have adverse gastrointestinal effects.…”

Section: Fig 2 Decision-making For Commencing Forms Of Nutrition Supportmentioning

confidence: 99%

Malnutrition, nutrition support and dietary intervention: the role of the dietitian supporting patients with head and neck cancer

2022

View full text Add to dashboard Cite

Malnutrition is prevalent in patients with head and neck cancer (HNC) at diagnosis but can occur at any stage of the treatment pathway. The impact of disease burden and treatment side effects can lead to altered anatomy, compromised quality and quantity of saliva and impaired swallowing function, which can result in deleterious effects on nutritional status. Optimising nutrition status is critical, as malnutrition is adversely associated with treatment tolerance and outcomes, wound healing, morbidity, mortality, quality of life and survival. Dietitians are integral members of the HNC multidisciplinary team and are uniquely qualified in the assessment, management and optimisation of nutritional status across the care pathway. This includes providing informational counselling to patients and carers on the short- and long-term nutritional impact of planned treatments alongside multidisciplinary members. Dietitians lead on the recommendation, provision and monitoring of nutrition support, which can be via the oral, enteral or parenteral route. Oral nutrition support includes dietary counselling, nourishing dietary, food fortification advice and high energy/protein oral nutritional supplements. Enteral nutrition support, or tube feeding, can be required on a short- and/or long-term basis and dietitians support appropriate decision-making for the type of tube and timing of placement across the care pathway.

show abstract

“Oral Nutritional Supplements: Sugar Content and Potential Dental Implications”

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 6 publications

References 24 publications

Self‐reported dental attendance, oral hygiene habits, and dietary habits of adults with cystic fibrosis

Self‐reported dental attendance, oral hygiene habits, and dietary habits of adults with cystic fibrosis

Dental and oral implications of prescribed Oral Nutritional Supplements for disease related malnutrition- A systematic review

Malnutrition, nutrition support and dietary intervention: the role of the dietitian supporting patients with head and neck cancer

Contact Info

Product

Resources

About