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Cascaes AM, Constante HM, Vaz JDS, Ferreira de Mello ALS, Bomfim RA. Tooth loss severity and core and non-core food consumption among older Brazilian adults. Gerodontology 2023; 40:127-134. [PMID: 35332939 DOI: 10.1111/ger.12630] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 02/01/2022] [Accepted: 03/09/2022] [Indexed: 12/23/2022]
Abstract
OBJECTIVE To investigate the association between tooth loss severity and core and non-core food consumption in the older Brazilian population. METHODS We analysed data from 20 756 people aged 60 years or older who participated in the 2019 Brazilian National Health Survey. The average consumption days a week of core (8-item) and non-core (4-item) foods were the outcomes, measured using a Food Frequency Questionnaire. Tooth loss severity was the main exposure, using a four-category ordinal variable: mild (1-12 teeth missing), moderate (13-22), severe (23-31) and edentulous (all 32). Sociodemographic, tobacco smoking, use of dental prosthesis, difficulty in chewing and systemic conditions were among the covariates. Linear regression models estimated the association between tooth loss and food consumption. RESULTS Almost two-thirds of participants had moderate or worse levels of tooth loss. Older adults with more severe tooth loss reported an overall lower consumption of core and higher non-core foods than those with mild tooth loss. Worse tooth loss severity was associated with lower consumption of vegetables and/or legumes and fruits, and higher consumption of beans, artificial fruit juices and confectionery. CONCLUSIONS Older Brazilian adults with more severe tooth loss are consuming lower core and higher non-core foods. Our findings reinforce the importance of the common risk factor approach to tackle the adverse effects of tooth loss on diet.
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Affiliation(s)
- Andreia Morales Cascaes
- Department of Public Health, Graduate Program in Public Health, Graduate Program in Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Helena Mendes Constante
- Department of Public Health, Graduate Program in Public Health, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Juliana Dos Santos Vaz
- Faculty of Nutrition, Graduate Program in Nutrition and Foods, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Ana Lúcia Schaefer Ferreira de Mello
- Department of Dentistry, Graduate Program in Dentistry, Graduate Program in Nursing, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Rafael Aiello Bomfim
- School of Dentistry, Graduate Program in Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
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Relationship between maximum occlusal force and gastrointestinal cancer in community-dwelling older Japanese adults. Sci Rep 2022; 12:440. [PMID: 35013438 PMCID: PMC8748517 DOI: 10.1038/s41598-021-04158-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 12/15/2021] [Indexed: 11/24/2022] Open
Abstract
Globally, the cancer burden is expected to increase as populations are ageing. Therefore, cancer prevention among older age groups is important. This prospective cohort study examined the relationship between the number of remaining teeth, maximum occlusal force, and incidence of gastrointestinal cancer in community-dwelling older Japanese individuals using data from the Tsurugaya project; 847 participants were included. The exposure variables were the number of remaining teeth and the maximum occlusal force, with the outcome being the incidence of gastrointestinal cancer. Covariates were age, sex, medical history, smoking, alcohol consumption, educational attainment, and physical function. The Cox proportional hazard model was used to examine the relationship between the number of remaining teeth, maximum occlusal force, and incidence of gastrointestinal cancer. With a median follow-up of 7.6 years, 63 participants were confirmed to have gastrointestinal cancer. The risk of gastrointestinal cancer was significantly higher in those with an occlusal force lower than the median (hazard ratio, 2.80; 95% confidence interval, 1.54–5.10). No significant risk difference was found according to the number of remaining teeth. Low maximum occlusal force was associated with the incidence of gastrointestinal cancer in community-dwelling older Japanese adults.
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Milledge K, Cumming RG, Wright FA, Naganathan V, Blyth FM, Le Couteur DG, Waite LM, Handelsman DJ, Hirani V. Associations between the composition of functional tooth units and nutrient intake in older men: the Concord Health and Ageing in Men Project. Public Health Nutr 2021; 24:6335-6345. [PMID: 34412721 PMCID: PMC11148599 DOI: 10.1017/s1368980021003566] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Inadequate nutrient intakes have been linked with poor dentition in older adults. The aim of this study was to investigate the associations between the composition of functional tooth units (FTU) and nutrient intakes in older men. DESIGN A cross-sectional study with a standardised validated diet history assessment and comprehensive oral health assessments. FTU were categorised by dentition type: (i) Group A (Natural FTU Only), (ii) Group B (Natural and Replaced FTU) and (iii) Group C (No Natural FTU). Attainment of nutrient reference values (NRV) for sixteen micronutrients was incorporated into a micronutrient risk variable, dichotomised 'good' (≥ 12) or 'poor' (≤ 11), and for seven macronutrients into a macronutrient risk variable, dichotomised 'good' (≥ 5) or 'poor' (≤ 4). SETTING Subjects selected from the local Sydney geographical areas. PARTICIPANTS Community-dwelling older men (n 608). RESULTS 32 % (n 197) of participants were categorised as Group A, 27 % (n 167) as Group B and 40 % (n 244) as Group C. In adjusted logistic regression analysis, being in Group C, compared with Group A, was associated with intakes below NRV recommendations for fibre (OR: 2·30, 95 % CI 1·30, 4·05). Adjusted analysis also showed that men in Group C, compared with Group A, were more likely to have poor intake of macronutrients (OR: 2·00, 95 % CI 1·01, 3·94). CONCLUSIONS Our study shows statistically significant associations between the composition of FTU and poor macronutrient intakes. Maintaining natural pairs of occluding FTU may be important for attaining adequate nutrient intakes in older men.
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Affiliation(s)
- Kate Milledge
- Discipline of Nutrition and Dietetics, Sydney School of Nursing, Faculty of Medicine, University of Sydney, Sydney, NSW, Australia
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- The ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, NSW, Australia
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Robert G Cumming
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- The ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, NSW, Australia
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Frederick Ac Wright
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
| | - Vasi Naganathan
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- Concord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Fiona M Blyth
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - David G Le Couteur
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- ANZAC Research Institute, University of Sydney, Sydney, NSW, Australia
| | - Louise M Waite
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
| | | | - Vasant Hirani
- Discipline of Nutrition and Dietetics, Sydney School of Nursing, Faculty of Medicine, University of Sydney, Sydney, NSW, Australia
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- The ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, NSW, Australia
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Nomura Y, Kakuta E, Okada A, Otsuka R, Shimada M, Tomizawa Y, Taguchi C, Arikawa K, Daikoku H, Sato T, Hanada N. Effects of self-assessed chewing ability, tooth loss and serum albumin on mortality in 80-year-old individuals: a 20-year follow-up study. BMC Oral Health 2020; 20:122. [PMID: 32316955 PMCID: PMC7175538 DOI: 10.1186/s12903-020-01113-7] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Accepted: 04/13/2020] [Indexed: 12/16/2022] Open
Abstract
Background The association between dental status and mortality in community-dwelling older adults has been documented by several studies. The aim of this study was to analyze the contribution of self-assessed chewing ability, number of remaining teeth and serum albumin levels to mortality and the interactions between the three factors. Methods A 20-year follow-up study was conducted with 666 subjects aged 80 years (from 1996 to 2017) who resided in the 8 areas served by one health center in Iwate Prefecture. Health check-ups including physical fitness measurements were conducted at a meeting place or gymnasium. Medical interview and blood sampling were conducted by physician. Oral examination was examined by dentist. The number of remaining teeth, serum albumin levels, and self-assessed chewing ability were used as predictors of mortality. Results Among the 608 subjects (233 men and 375 women) included in this study, only 12 subjects (1.97%) survived after 20 years of follow-up. For men, dental status and serum levels of albumin were significantly associated with mortality. The hazard ratios of self-assessed chewing ability calculated by item response theory analysis and the inability to chew at least one food adjusted for serum albumin and tooth conditions were statistically significant in men. When adjusted by health status evaluated by blood tests, self-assessed chewing ability was statistically significant in men. According to path analysis, self-assessed chewing ability and serum albumin independently affected mortality in men. Conclusion Masticatory dysfunction may be an important risk factor for mortality in men, even though it was self-assessed. Retaining chewing ability might be a useful predictor of longevity in older male adults.
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Affiliation(s)
- Yoshiaki Nomura
- Department of Translational Research, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, 230-8501, Japan.
| | - Erika Kakuta
- Department of Oral bacteriology, Tsurumi University School of Dental Medicine, Kanagawa, Japan
| | - Ayako Okada
- Department of Translational Research, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, 230-8501, Japan
| | - Ryoko Otsuka
- Department of Translational Research, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, 230-8501, Japan
| | - Mieko Shimada
- Chiba Prefecture University of Health Sciences, Chiba, Japan
| | - Yasuko Tomizawa
- Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan
| | - Chieko Taguchi
- Department of Preventive and Public Oral Health, Nihon University School of Dentistry at Matsudo, Chiba, Japan
| | - Kazumune Arikawa
- Department of Preventive and Public Oral Health, Nihon University School of Dentistry at Matsudo, Chiba, Japan
| | | | | | - Nobuhiro Hanada
- Department of Translational Research, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, 230-8501, Japan
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Association between tongue and lip motor functions and mixing ability in complete denture wearers. Aging Clin Exp Res 2019; 31:1243-1248. [PMID: 30406919 DOI: 10.1007/s40520-018-1070-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Accepted: 11/01/2018] [Indexed: 10/27/2022]
Abstract
BACKGROUND Masticatory performance of elderly complete denture wearers is low, which may lead to restriction on intakes of several foods such as fresh fruit or raw vegetables. AIM The aim of this study was to investigate the relationship between tongue motor function, lip motor function, and mixing ability in complete denture wearers. MATERIALS AND METHODS Participants comprised 54 complete denture wearers with a mean age of 77.1 years. Maximum tongue pressure and oral diadochokinesis were measured to evaluate tongue and lip motor functions. A color-changeable, chewing gum was used to evaluate mixing ability. The relationship between tongue and lip motor functions and mixing ability was assessed using stepwise multiple regression analysis. RESULTS The stepwise multiple regression analysis identified maximum tongue pressure, the number of repetitions of the syllable "ka", and gender as significant predictors for mixing ability among complete denture wearers. DISCUSSION The elderly edentulous individuals mainly used tongue motor function in oral motor functions for mixing color-changeable chewing gums, which might be ascribable to wearing complete dentures. CONCLUSIONS Under the limited conditions of this study, factors relating to tongue motor function, tongue pressure and the number of repetitions of the syllable "/ka"/ significantly contributed to the mixing ability of complete denture wearers. It was suggested that tongue motor function had positive effect on the mixing ability of complete denture wearers.
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Mendonça DD, Furtado MV, Sarmento RA, Nicoletto BB, Souza GC, Wagner TP, Christofoli BR, Polanczyk CA, Haas AN. Periodontitis and tooth loss have negative impact on dietary intake: A cross‐sectional study with stable coronary artery disease patients. J Periodontol 2019; 90:1096-1105. [DOI: 10.1002/jper.19-0036] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 03/21/2019] [Accepted: 04/17/2019] [Indexed: 12/22/2022]
Affiliation(s)
- Dayana D. Mendonça
- Post‐Graduate Program Cardiovascular ScienceSchool of MedicineUniversidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | - Mariana V. Furtado
- Cardiology and Institute for Health Technology Assessment (IATS–CNPq)Universidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | - Roberta A. Sarmento
- Division of NutritionHospital de Clínicas de Porto Alegre Porto Alegre Rio Grande do Sul Brazil
| | - Bruna B. Nicoletto
- Post‐Graduation Program in Medical Sciences: EndocrinologySchool of MedicineUniversidade Federal do Rio Grande do Sul Porto Alegre Brazil
- Knowledge Area of Life SciencesUniversidade de Caxias do Sul Caxias do Sul Brazil
| | - Gabriela C. Souza
- Department of Nutrition and Post‐Graduation Program in FoodNutrition and HealthSchool of MedicineUniversidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | - Tassiane P. Wagner
- Department of PeriodontologyUniversidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | - Barbara R. Christofoli
- Department of PeriodontologyUniversidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | - Carisi A. Polanczyk
- Cardiology and Institute for Health Technology Assessment (IATS–CNPq)Universidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | - Alex N. Haas
- Department of PeriodontologyUniversidade Federal do Rio Grande do Sul Porto Alegre Brazil
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Komagamine Y, Kanazawa M, Sato D, Minakuchi S. A preliminary comparison of masticatory performances between immediately loaded and conventionally loaded mandibular two-implant overdentures with magnetic attachments. Clin Implant Dent Relat Res 2018; 21:130-137. [DOI: 10.1111/cid.12698] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 09/14/2018] [Accepted: 10/13/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Yuriko Komagamine
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Manabu Kanazawa
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
| | - Daisuke Sato
- Department of Implant Dentistry, School of Dentistry; Showa University; Tokyo Japan
| | - Shunsuke Minakuchi
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences; Tokyo Medical and Dental University; Tokyo Japan
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Vandenberghe-Descamps M, Labouré H, Septier C, Feron G, Sulmont-Rossé C. Oral comfort: A new concept to understand elderly people’s expectations in terms of food sensory characteristics. Food Qual Prefer 2018. [DOI: 10.1016/j.foodqual.2017.08.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pengpid S, Peltzer K. The prevalence of edentulism and their related factors in Indonesia, 2014/15. BMC Oral Health 2018; 18:118. [PMID: 29970051 PMCID: PMC6029125 DOI: 10.1186/s12903-018-0582-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Accepted: 06/25/2018] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Little information exists about the loss of all one's teeth (edentulism) among older adults in Indonesia. The aim of this study was to investigate the prevalence of edentulism and associated factors among older adults in Indonesia. METHOD This study examines the self-reported prevalence of edentulism and associated factors among older adults (50 years and older) in a cross-sectional national study using the Indonesia Family Life Survey IFLS-5, 2014/15. The community-based study uses a multi-stage stratified sampling design to interview and assess household members, with a household response rate of over 90%. RESULTS The overall prevalence of edentulism was 7.2, 29.8% in 80 years and older and 11.8% in those with no formal education. In adjusted Poisson regression analysis, older age, living in five major island groups and having functional disability were associated with edentulism. In addition, among men, having quit and current tobacco use and among women, having low social capital were associated with edentulism. Further, in adjusted analysis, among men, edentulism was positively associated with hypertension and negatively associated with diabetes, and among women, edentulism was associated with functional disability. CONCLUSIONS Results suggest that overall and/or among men or women that older age, living in five major island groups, having functional disability, tobacco quitters and users and those with low social capital was associated with edentulism. The identified associated factors of edentulism may be utilized in oral health programmes targeting older adults in Indonesia.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand
- Department of Research & Innovation, University of Limpopo, Turfloop, South Africa
| | - Karl Peltzer
- Department of Research & Innovation, University of Limpopo, Turfloop, South Africa
- HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Private Bag X41, Pretoria, 0001 South Africa
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Jawad S, Barclay C, Whittaker W, Tickle M, Walsh T. A pilot randomised controlled trial evaluating mini and conventional implant retained dentures on the function and quality of life of patients with an edentulous mandible. BMC Oral Health 2017; 17:53. [PMID: 28202072 PMCID: PMC5310054 DOI: 10.1186/s12903-017-0333-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 01/06/2017] [Indexed: 11/02/2022] Open
Abstract
BACKGROUND Total tooth loss (edentulism) can be a debilitating condition, impacting on ability to chew, speak and interact with others. The most common treatment is with complete removable dentures, which may be successful, but in the lower jaw, bone resorption that worsens over time makes denture-wearing difficult. Two dental implants in the mandible to retain the lower denture has been advocated as the gold standard of treatment, but has not been universally provided due largely to financial constraints and also patient fear. Mini implants (MI) are cheaper and less invasive than conventional implants (CI), but may not have equivalent longevity. Therefore, it is unknown whether they represent a cost-effective treatment modality over time. The aim of this pilot randomised controlled trial was to assess the feasibility of carrying out a trial on this cohort of patients, and to inform the study design of a large multicentre trial. METHODS Forty-six patients were randomly allocated to receive either two mini implants or two conventional implants in the mandible to retain their lower dentures. Quality of life (QoL) questionnaires, pain and anxiety scores, and an objective "gummy jelly" chewing test were carried out at multiple timepoints, along with detailed health economics information. Implants were placed one-stage, and an early loading protocol was utilised. Patients were reviewed 8 weeks post-placement, and finally at 6 months. Implant failure, recruitment and retention rates were recorded and analysed. RESULTS The pilot study demonstrated that it is possible to recruit, randomise and retain edentulous (mainly elderly) patients for an implant trial. We recruited to target and retention rates were acceptable. The large number of questionnaires was onerous for participants to complete, but the distribution of scores and feedback from participants helped inform the choice of primary and secondary outcomes in a full trial. The chewing test was time-consuming and inconsistent. Implant failure rate was low (1/46). The data on indirect costs gathered at every visit was viewed as repetitive and unnecessary, as there was little or no change between visits. CONCLUSIONS The pilot study has shown that acceptable recruitment and retention rates are achievable in this population of patients for this intervention. The results provide valuable information for selection of outcome variables and sample size calculations for future trials. TRIAL REGISTRATION (ISRCTN): 87342238 Trial registration date: 05/07/2013.
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Affiliation(s)
- Sarra Jawad
- Department of Restorative Dentistry, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK.
| | - Craig Barclay
- Department of Restorative Dentistry, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK
| | - William Whittaker
- Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, University of Manchester, Manchester, UK
| | - Martin Tickle
- Division of Dentistry, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - Tanya Walsh
- Division of Dentistry, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
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Berretin-Felix G, Silva TAD, Machado WM. A influência de dentaduras implanto-suportadas sobre o estado nutricional de indivíduos idosos. REVISTA CEFAC 2017. [DOI: 10.1590/1982-021620171911017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: avaliar o estado nutricional de indivíduos idosos submetidos a procedimentos de reabilitação oral cirúrgico-protético. Métodos: foram avaliados 15 pacientes completamente edêntulos com idade igual ou superior a 60 anos (10 mulheres e 5 homens). Todos os indivíduos usaram prótese removível em ambos os arcos e tiveram suas próteses mandibulares substituídas por próteses com implante, foram submetidas à avaliação nutricional, compreendendo aspectos antropométricos, análise bioquímica do sangue e avaliação dietética antes da cirurgia e três e seis meses após a cirurgia. Resultados: a análise estatística da avaliação antropométrica não revelou diferença significativa entre os períodos de estudo, para todos os parâmetros investigados. A avaliação bioquímica revelou um aumento significativo da albumina três meses após o tratamento odontológico, voltando a níveis inferiores após seis meses. A avaliação dietética evidenciou que a ingestão calórica, macronutrientes proteínas e carboidratos não foram alterados após o tratamento odontológico. Por outro lado, a ingestão de lipídios foi menor seis meses após o tratamento odontológico em comparação com os resultados anteriores. Conclusão: portanto, a colocação de próteses dentárias completas implantadas nos idosos investigados neste estudo não modificou a condição nutricional no curto prazo, sugere que os sujeitos mantiveram as características alimentares anteriores.
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Marques FP, Tôrres LHDN, Bidinotto AB, Hilgert JB, Hugo FN, De Marchi RJ. Incidence and predictors of edentulism among south Brazilian older adults. Community Dent Oral Epidemiol 2016; 45:160-167. [DOI: 10.1111/cdoe.12274] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Accepted: 11/20/2016] [Indexed: 11/26/2022]
Affiliation(s)
- Fernanda Pasquetti Marques
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
| | - Luísa Helena do Nascimento Tôrres
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
| | - Augusto Bacelo Bidinotto
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
| | - Juliana Balbinot Hilgert
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
| | - Fernando Neves Hugo
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
| | - Renato José De Marchi
- Department of Preventive and Social Dentistry; Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Rio Grande do Sul Brazil
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Kailembo A, Preet R, Stewart Williams J. Common risk factors and edentulism in adults, aged 50 years and over, in China, Ghana, India and South Africa: results from the WHO Study on global AGEing and adult health (SAGE). BMC Oral Health 2016; 17:29. [PMID: 27465011 PMCID: PMC4964081 DOI: 10.1186/s12903-016-0256-2] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 07/15/2016] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Edentulism (loss of all teeth) is a final marker of disease burden for oral health common among older adults and poorer populations. Yet most evidence is from high-income countries. Oral health has many of the same social and behavioural risk factors as other non-communicable diseases (NCDs) which are increasing rapidly in low- and middle-income countries with ageing populations. The "common risk factor approach" (CRFA) for oral health addresses risk factors shared with NCDs within the broader social and economic environment. METHODS The aim is to improve understanding of edentulism prevalence, and association between common risk factors and edentulism in adults aged 50 years and above using nationally representative samples from China (N = 11,692), Ghana (N = 4093), India (N = 6409) and South Africa (N = 2985). The data source is the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) Wave 1 (2007-2010). Multivariable logistic regression describes association between edentulism and common risk factors reported in the literature. RESULTS Prevalence of edentulism: in China 8.9 %, Ghana 2.9 %, India 15.3 %, and South Africa 8.7 %. Multivariable analysis: in China, rural residents were more likely to be edentulous (OR 1.36; 95 % CI 1.09-1.69) but less likely to be edentulous in Ghana (OR 0.53; 95 % CI 0.31-0.91) and South Africa (OR 0.52; 95 % CI 0.30-0.90). Respondents with university education (OR 0.31; 95 % CI 0.18-0.53) and in the highest wealth quintile (OR 0.68; 95 % CI 0.52-0.90) in China were less likely to be edentulous. In South Africa respondents with secondary education were more likely to be edentulous (OR 2.82; 95 % CI 1.52-5.21) as were those in the highest wealth quintile (OR 2.78; 95 % CI 1.16-6.70). Edentulism was associated with former smokers in China (OR 1.57; 95 % CI 1.10-2.25) non-drinkers in India (OR 1.65; 95 % CI 1.11-2.46), angina in Ghana (OR 2.86; 95 % CI 1.19-6.84) and hypertension in South Africa (OR 2.75; 95 % CI 1.72-4.38). Edentulism was less likely in respondents with adequate nutrition in China (OR 0.68; 95 % CI 0.53-0.87). Adjusting for all other factors, compared with China, respondents in India were 50 % more likely to be edentulous. CONCLUSIONS Strengthening the CRFA should include addressing common determinants of health to reduce health inequalities and improve both oral and overall health.
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Affiliation(s)
- Alexander Kailembo
- Elite Dental Clinic, 6th Floor, Oasis Office Complex, Plot No. 14/15, Haile Selassie Road, P.O Box 38394, Masaki, Dar es salaam Tanzania
| | - Raman Preet
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden
| | - Jennifer Stewart Williams
- Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden
- Research Centre for Generational Health and Ageing, Faculty of Health, University of Newcastle, Newcastle, Australia
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Felton DA. Complete Edentulism and Comorbid Diseases: An Update. J Prosthodont 2015; 25:5-20. [PMID: 26371954 DOI: 10.1111/jopr.12350] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/17/2015] [Indexed: 12/29/2022] Open
Abstract
The relationship between complete edentulism, which is the terminal outcome of a multifactorial oral disease process and other comorbid diseases, was first reported in 2009. Although the relationship between edentulism and a multitude of systemic diseases was reported, none of the publications studied could determine causality of tooth loss on the incidence of any comorbid disease. Since that publication, there has been a renewed interest in this relationship, and a plethora of new articles have been published. This article will provide an update on articles published since 2008 on the relationship between edentulism and comorbid diseases, and will include the relationship between complete edentulism and such comorbid conditions as malnutrition, obesity, cardiovascular disease, rheumatoid arthritis, pulmonary diseases (including chronic obstructive pulmonary disease), cancer, and even mortality.
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Affiliation(s)
- David A Felton
- Department of Restorative Dentistry, West Virginia University School of Dentistry, Morgantown, WV
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16
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Zhu Y, Hollis JH. Tooth loss and its association with dietary intake and diet quality in American adults. J Dent 2014; 42:1428-35. [DOI: 10.1016/j.jdent.2014.08.012] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2014] [Revised: 08/06/2014] [Accepted: 08/21/2014] [Indexed: 01/09/2023] Open
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17
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Systematic review of the association of mastication with food and nutrient intake in the independent elderly. Arch Gerontol Geriatr 2014; 59:497-505. [DOI: 10.1016/j.archger.2014.08.005] [Citation(s) in RCA: 72] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Revised: 07/05/2014] [Accepted: 08/07/2014] [Indexed: 11/15/2022]
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18
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Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:11308-24. [PMID: 25361046 PMCID: PMC4245614 DOI: 10.3390/ijerph111111308] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 10/08/2014] [Accepted: 10/14/2014] [Indexed: 12/05/2022]
Abstract
Little information exists about the loss of all one’s teeth (edentulism) among older adults in low- and middle-income countries. This study examines the prevalence of edentulism and associated factors among older adults in a cross-sectional study across six such countries. Data from the World Health Organization (WHO’s) Study on global AGEing and adult health (SAGE) Wave 1 was used for this study with adults aged 50-plus from China (N = 13,367), Ghana (N = 4724), India (N = 7150), Mexico (N = 2315), Russian Federation (N = 3938) and South Africa (N = 3840). Multivariate regression was used to assess predictors of edentulism. The overall prevalence of edentulism was 11.7% in the six countries, with India, Mexico, and Russia has higher prevalence rates (16.3%–21.7%) than China, Ghana, and South Africa (3.0%–9.0%). In multivariate logistic analysis sociodemographic factors (older age, lower education), chronic conditions (arthritis, asthma), health risk behaviour (former daily tobacco use, inadequate fruits and vegetable consumption) and other health related variables (functional disability and low social cohesion) were associated with edentulism. The national estimates and identified factors associated with edentulism among older adults across the six countries helps to identify areas for further exploration and targets for intervention.
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19
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Han SY, Kim CS. Does denture-wearing status in edentulous South Korean elderly persons affect their nutritional intakes? Gerodontology 2014; 33:169-76. [DOI: 10.1111/ger.12125] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Sun Young Han
- Research Institute for Dental Care Policy; Korean Dental Association; Seoul Korea
| | - Cheoul Sin Kim
- Research Institute for Dental Care Policy; Korean Dental Association; Seoul Korea
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20
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de Siqueira SRDT, Vilela TT, Florindo AA. Prevalence of headache and orofacial pain in adults and elders in a Brazilian community: an epidemiological study. Gerodontology 2013; 32:123-31. [DOI: 10.1111/ger.12063] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2013] [Indexed: 12/01/2022]
Affiliation(s)
| | - Talissa Tavares Vilela
- Gerontology; School of Arts, Science and Humanities; University of Sao Paulo; Sao Paulo Brazil
| | - Alex Antonio Florindo
- Physical Activity; School of Arts, Science and Humanities; University of Sao Paulo; Sao Paulo Brazil
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21
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22
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The impact of edentulism on oral and general health. Int J Dent 2013; 2013:498305. [PMID: 23737789 PMCID: PMC3664508 DOI: 10.1155/2013/498305] [Citation(s) in RCA: 178] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Revised: 04/15/2013] [Accepted: 04/15/2013] [Indexed: 11/18/2022] Open
Abstract
An adequate dentition is of importance for well-being and life quality. Despite advances in preventive dentistry, edentulism is still a major public health problem worldwide. In this narrative review, we provide a perspective on the pathways that link oral to general health. A better understanding of disease indicators is necessary for establishing a solid strategy through an organized oral health care system to prevent and treat this morbid chronic condition.
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De Marchi RJ, Hilgert JB, Hugo FN, Santos CMD, Martins AB, Padilha DM. Four-year incidence and predictors of tooth loss among older adults in a southern Brazilian city. Community Dent Oral Epidemiol 2012; 40:396-405. [DOI: 10.1111/j.1600-0528.2012.00689.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2011] [Accepted: 03/01/2012] [Indexed: 11/27/2022]
Affiliation(s)
- Renato José De Marchi
- Department of Preventive and Social Dentistry, Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre; Rio Grande do Sul; Brazil
| | | | | | - Camila Mello dos Santos
- Department of Preventive and Social Dentistry, Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre; Rio Grande do Sul; Brazil
| | - Aline Blaya Martins
- Department of Preventive and Social Dentistry, Faculty of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre; Rio Grande do Sul; Brazil
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