The Relationship among Dental Status, Nutrient Intake, and Nutritional Status in Older People

Sheiham, Aubrey; Steele, Julie R.; Marcenes, Wagner; Lowe, Charles U.; Finch, Stephen J.; Bates, CJ; Prentice, Ann; Walls, Angus

doi:10.1177/00220345010800020201

Cited by 500 publications

(512 citation statements)

References 23 publications

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“…Vol 44 No 6 and 178 women remained to be studied. Number of teeth was still found to be significantly inversely associated with heart rate (P = 0.034).…”

Section: Resultsmentioning

confidence: 99%

“…Data collection: The examination included completion of a medical questionnaire including questions regarding smoking history, physical activity, and alcohol consumption. All subjects except those who lived in two cities (Buzen City Vol 44 No 6 and Yukuhashi City; 130 subjects) were questioned as to any medications they were currently taking. Serum total cholesterol and creatinine concentrations were measured.…”

Section: Study Populationmentioning

confidence: 99%

“…3,4) On the other hand, although associations have been shown between calcium intake and dental status or bone mineral density, 5,6) associations between cardiovascular variables (blood pressure and heart rate) and dental status or bone mineral density have not yet been determined.…”

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confidence: 99%

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Association of Dental Status With Blood Pressure and Heart Rate in 80-Year-old Japanese Subjects.

et al. 2003

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SUMMARYPeriodontal disease is one of the main reasons for the loss of teeth in elderly subjects, and it has been reported that periodontal disease is a potential risk factor for cardiovascular disease. However, little data is available regarding the association between dental status and blood pressure or heart rate in elderly individuals, particularly in subjects over 80 years old. We studied the cross-sectional association between dental status and blood pressure or heart rate in 499 Japanese (195 men and 304 women) who were 80 years old. The subjects were divided into 4 groups according to the number of original teeth; ie, edentulous (n = 176), 1 to 9 teeth (n = 141), 10 to 19 teeth (n = 109), and more than 20 teeth (n = 73). Mean systolic and diastolic blood pressures did not differ among the groups. However, heart rate decreased from 71.6 and 72.2 /min in the edentulous and 1 to 9 teeth groups, respectively, to 67.3 and 67.4 /min in the 10 to 19 teeth and more than 20 teeth groups, respectively (test for trend, P = 0.0008). In multiple regression analysis, the inverse association between the number of teeth and heart rate was statistically significant independently of other confounding factors. These results are the first to show a close inverse relationship between the number of teeth and heart rate in octogenariars, although the underlying mechanisms have not been determined. (Jpn Heart J 2003; 44: 943-951)

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“…Vol 44 No 6 and 178 women remained to be studied. Number of teeth was still found to be significantly inversely associated with heart rate (P = 0.034).…”

Section: Resultsmentioning

confidence: 99%

Section: Study Populationmentioning

confidence: 99%

See 1 more Smart Citation

Association of Dental Status With Blood Pressure and Heart Rate in 80-Year-old Japanese Subjects.

et al. 2003

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“…The findings of this study have important implications for public health policy. Previous analyses of these data have shown that people with fewer than 20 teeth had dietary restrictions 3 and nutritional deficiency 5 when compared with those with 20 or more teeth. The findings reported here provide further scientific evidence for 20 or more natural teeth being a reasonable threshold for acceptable oral health and a functional dentition into old age.…”

Section: Discussionmentioning

confidence: 99%

The relationship between oral health status and Body Mass Index among older people: a national survey of older people in Great Britain

et al. 2002

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Aims To assess the relationship between oral health status and Body Mass Index. Material and methods This paper relates to the free-living sample (participants who lived in their own home, rather than an institution) of the National Diet and Nutrition Survey: people aged 65 years and older. Subjects 629 adults. Data collection A probability random national sample of adults who had a dental examination, an interview and an anthropometric examination. Data analysis Fisher's exact test and multivariate logistic modeling. Findings Being underweight was relatively uncommon in this population. People without teeth were significantly (P=0.05) more likely to be underweight than those with 11 or more teeth; 12.3% and 2.9%. A highly statistically significant (P=0.001) difference was observed in BMI between dentate people with 1-10 teeth and with more than 10 teeth; 24% and 2.9% were underweight. Dentate people with less than 21 natural teeth were on average more than 3 times more likely to be obese than those with 21-32 teeth (P=0.036). There was no significant difference in both the proportion of overweight and obese adults between those who were edentulous and dentate with 21 or more teeth. A similar pattern was observed when the number of posterior occluding pairs was compared with BMI categories. Results of multiple logistic regression were adjusted for the confounding effects of age, social class, region of origin and partial denture wearing. Conclusions Older people in Britain with more than 20 teeth are more likely to have a normal Body Mass Index.Dental status can affect diet, nutrition and health by changes in the types of food eaten. 1-3 Tooth loss has been associated with changes in food preference and nutritional deficiency. 4 dence that people whose mastication is impaired by tooth loss are more likely to be underweight is conflicting. In the 1967-1968 DHSS 6 study of elderly people in Britain, Berry found that inefficient mastication was associated with being underweight and leanness. They also had 20% less energy intake. Further evidence for an association between edentulousness and under-nutrition comes from the British DHSS survey 6 of nutrition and health in old age. Conversely, differences in body weight by dental status were not found by Elwood and Bates. 7 Halling, Bengtsson and Avridsson, 8 on the other hand, found that body weight was higher in edentulous people and in those with 1-15 teeth compared with those with more than 15 teeth. A similar trend was reported by Nowjack-Raymer 9 in a large national survey in the USA.Overall it appears that edentulousness and chewing problems are related to being underweight, 10-12 but the true relationship is far from clear. Whilst relationships between dental state, chewing ability and food choice have been explored, these studies often suffer from being small scale, non-representative or insufficiently rigorous in the collection of nutritional data. There are only very limited data linking nutrition or general health with dental state. From the point of view b...

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“…3,4 Tooth loss has been associated with changes in diet preference and nutritional deficiency. 5,6 In previous reports, [7][8][9] researchers demonstrated that 80-yearolds who were physically active retained a higher number of their teeth and had a higher bone density than 80-year-olds who were not active. Tooth loss appears to be a predictor of abnormal electrocardiography findings, including ST depression, T-wave abnormalities, and arrhythmias.…”

Section: Introductionmentioning

confidence: 99%

Malnutrition due to bisphosphonate-related osteonecrosis of the jaw in a chronic dialysis patient: case report

Akar

Efeoğlu

Alp³

et al. 2013

Renal Failure

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Adequate nutrition is imperative for a successful outcome in dialysis patients. Excellent oral hygiene and an efficient mastication can help to correct several metabolic and endocrine disturbances as well as delay initiation of dialysis in patients with chronic renal failure. However, concerns exist about the risk of malnutrition and protein depletion. On the other hand, intravenous bisphosphonates are the current standard of care for the treatment of hypercalcemia of malignancy and for the prevention of skeletal complications associated with bone metastases. Recently, retrospective case studies have reported an association between long-term bisphosphonate therapy and osteonecrosis of the jaws. This complication occurs either spontaneously or after minor dento-alveolar surgery including extraction of teeth. A malnourished dialysis patient who showed the typical clinical features of bisphosphonaterelated osteonecrosis of the jaw (BRONJ) without any obvious radiological changes in his panoramic radiograph is reported. To minimize the risk of BRONJ, patients initiated on bisphosphonates should optimize routine dental care and have their baseline oral health evaluated by both clinical and radiographic examinations before initiation of bisphosphonate therapy.

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The Relationship among Dental Status, Nutrient Intake, and Nutritional Status in Older People

Cited by 500 publications

References 23 publications

Association of Dental Status With Blood Pressure and Heart Rate in 80-Year-old Japanese Subjects.

Association of Dental Status With Blood Pressure and Heart Rate in 80-Year-old Japanese Subjects.

The relationship between oral health status and Body Mass Index among older people: a national survey of older people in Great Britain

Malnutrition due to bisphosphonate-related osteonecrosis of the jaw in a chronic dialysis patient: case report

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