Relationship between oral health and nutrition in very old people

Mojon, Philippe; Budtz-Jørgensen, E; Rapin, Charles‐Henri

doi:10.1093/ageing/28.5.463

Cited by 201 publications

(166 citation statements)

References 25 publications

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“…There are several well-known patient-related causes for eating only a small part of the offered food portion such as difficulties in swallowing (Morley, 2001), aversive eating behavior, restlessness and anxiety related to dementia (Blandford et al, 1998). In addition, diseases and symptoms in the mouth can cause poor appetite and are common among institutionalized residents (Hildebrandt et al, 1997;Lamy et al, 1999;Mojon et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…With advanced dementia behavioral disturbances such as aversive eating behavior, restlessness and depression may cause weight loss (Blandford et al, 1998). Several other illnesses are known to be associated with malnutrition, such as stroke, Parkinson's disease and diseases of the mouth and throat (Hildebrandt et al, 1997;Lamy et al, 1999;Mojon et al, 1999;Wells et al, 2003). Alterations in smell and taste that come with aging may cause the feeling of early satiation.…”

Section: Introductionmentioning

confidence: 99%

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Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

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Objective: To acquire information about nutritional problems and factors associated with them in all nursing homes in Helsinki, Finland. Design: Descriptive, cross-sectional study. The residents were assessed by the Mini Nutritional Assessment test (MNA) and information was gathered about residents' backgrounds, functional status, diseases and about daily routines in institutions providing nutritional care. Setting: All nursing homes in Helsinki community, the capital of Finland. Subjects: Of 2424 eligible subjects, 2114 (87%) aged residents, mean age 82 y, were examined. Results: One-third (29%) of the studied residents suffered from malnutrition (MNAo17), and 60% were at risk (MNA 17-23.5). Malnutrition was associated with the female gender, a longer stay in the nursing home, functional impairment, dementia, stroke, constipation and difficulties in swallowing. In addition, eating less than half of the offered food portion, not eating snacks and resident's weight control at long intervals were associated with malnutrition. In logistic regression analysis mainly patientrelated factors predicted malnutrition: impaired functioning (OR 3.71, 95% CI 2.76-4.99), swallowing difficulties (OR 3.03, 95% CI 2.10-4.37), dementia (OR 2.06, 95% CI 1.45-2.93), constipation (OR 1.84, 95% CI 1.38-2.47), but also eating less than half of the offered food portion (OR 3.03, 95% CI 2.21-4.15). Conclusions: Although internal factors explain most about the poor nutritional status of aged residents in nursing homes, the factors related to nutritional care need further investigation to clarify their role in maintaining the nutritional status of aged residents.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

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“…A saúde bucal deve ser observada, pois a perda dos dentes e outras afecções da cavidade oral causando dor e dificuldade para mastigar e deglutir estão associadas com desnutrição (65,72). Esta avaliação se reveste de importância, pois medidas preventivas e procedimentos odontológicos simples podem resolver o problema (72), além do que a habilidade de mastigar comida eficientemente, não influencia a capacidade de digestão com as dietas modernas (73).…”

Section: Aspectos Peculiares Do Idosounclassified

“…Esta avaliação se reveste de importância, pois medidas preventivas e procedimentos odontológicos simples podem resolver o problema (72), além do que a habilidade de mastigar comida eficientemente, não influencia a capacidade de digestão com as dietas modernas (73).…”

Section: Aspectos Peculiares Do Idosounclassified

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Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira

Acuña

Cruz

2004

Arq Bras Endocrinol Metab

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RESUMOAs alterações do estado nutricional (desnutrição e obesidade) são relacionadas com sérios agravos para a saúde. O presente trabalho de revisão da literatura tem por objetivo descrever os principais métodos de avaliação do estado nutricional, com finalidade de facilitar o diagnóstico dos problemas nutricionais e acompanhar intervenções dietoterápicas. Descreve o método clínico, detalha aspectos da antropometria e os exames laboratoriais utilizados em avaliação do estado nutricional. Relaciona alguns dos principais índices múltiplos, utilizados tanto com fins diagnósticos e prognósticos. Informa a respeito da impedância bioelétrica, completando abordagem sobre os méto-dos convencionais, além de descrever as principais vantagens e desvantagens dos métodos não-convencionais. Finaliza com revisão sobre a situação nutricional da população brasileira, através da análise de dados obtidos em três inquéritos populacionais (1974, 1989, 1997). Nutritional disorders (undernutrition and obesity) are associated to increases in morbidity and mortality. This paper consists on a review of literature with the purpose of describing the main methods of nutritional assessment, in order to facilitate the diagnosis of nutritional disorders and the follow-up of dietetics interventions. It describes the clinical method, details procedures of anthropometry and laboratory evaluation and enrolls some of the multiple indices used for diagnosis and prognosis. Information about bioelectric impedance is given. Some aspects of non-conventional methods are reminded. Nutritional status of the Brazilian population is discussed, using the analysis of data collected from three populational surveys (1974, 1989, and 1997). (1), para manter a composição e funções adequadas do organismo (2), resultando do equilíbrio entre ingestão e necessidade de nutrientes (1). As alterações do estado nutricional contribuem para aumento da morbi-mortalidade. Assim sendo, a desnutrição predispõe a uma série de complicações graves, incluindo tendência à infecção, deficiência de cicatrização de feridas, falência respi- ratória (3), insuficiência cardíaca, diminuição da sín-tese de proteínas a nível hepático com produção de metabólitos anormais, diminuição da filtração glomerular e da produção de suco gástrico (4). Por outro lado, o sobrepeso e a obesidade são fatores de risco para variado número de agravos à saúde, dos quais os mais freqüentes são doença isquêmica do coração, hipertensão arterial, acidente vascular cerebral, diabetes mellitus tipo 2, colelitíase, osteoartrite (especialmente de joelhos), neoplasia maligna de mama pós-menopausa e de endométrio, esofagite de refluxo, hér-nia de hiato e problemas psicológicos (5,6). AVALIAÇÃO DO ESTADO NUTRICIONALOs objetivos da avaliação do estado nutricional são: a) identificar os pacientes com risco aumentado de apresentar complicações associadas ao estado nutricional (CAN), para que possam receber terapia nutricional adequada (1,7-9); b) monitorizar a eficácia da intervenção dietoterápica (1,9).Esta avaliação pode...

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Nutritional Management of the Elderly Person with Diabetes

Hickson

Wright

2003

Nutritional Management of Diabetes Mellitus

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Current European recommendations are based on studies in younger age groups, which have then been extrapolated to the elderly. The quality of evidence for the specific effects of dietary intervention in older age groups is poor.The most recent European recommendations for adults with diabetes are shown in Table 10.1 (15). They emphasise energy balance and weight control, and recognise a wide variation in carbohydrate intake as being compatible with good diabetic control. The target of nutritional management is to help optimise glycaemic control and reduce the risk of cardiovascular disease and nephropathy. However, the quality of life of the individual person must be considered when defining nutritional objectives and health care providers must achieve a balance between the demands of metabolic control, risk factor management, patient well-being and safety. Compliance with all treatment modalities is likely to be compromised by increasing physical and mental disabilities, which occur more frequently in the ageing population.If beneficial changes to the diet of an elderly person with diabetes are to be achieved, access to dietetic services is needed. The following topics should be considered: body weight, physical activity and the specific micronutrient composition of the diet including carbohydrates, protein, alcohol, sodium, vitamins and minerals.

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Relationship between oral health and nutrition in very old people

Abstract: Specific detrimental oral conditions are associated with nutritional deficiency in very old people.

Cited by 201 publications

References 25 publications

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Avaliação do estado nutricional de adultos e idosos e situação nutricional da população brasileira

Nutritional Management of the Elderly Person with Diabetes

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