1
|
Critén S, Andersson P, Renvert S, Götrick B, Berglund JS, Bengtsson VW. Oral health status among 60-year-old individuals born in 1941-1943 and 1954-1955 and 81-year-old individuals born in 1922-1924 and 1933-1934, respectively: a cross-sectional study. Clin Oral Investig 2022; 26:6733-6742. [PMID: 35906339 DOI: 10.1007/s00784-022-04632-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 07/12/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study aimed to analyze the oral health status of four different birth cohorts: two cohorts of 60-year-olds born in 1941-1943 and 1954-1955 and 2 cohorts of 81-year-olds born in 1920-1922 and 1933-1934. MATERIAL AND METHODS The study was based on data from an ongoing longitudinal population project, The Swedish National Study on Aging and Care (SNAC). Oral health status was repeatedly examined clinically and radiographically in 2001-2003 and 2014-2015, including 60- and 81-year-olds, in total 412 individuals. Statistical analyses were performed using independent-samples t test and Pearson's χ2 test. RESULTS More individuals were dentate in 2014-2015 compared to 2001-2003 in the two age groups: 60 and 81 years (p < 0.001 for both). The mean number of teeth increased in the 60-year-olds from 24.2 to 27.0 and in the 81-year-olds from 14.3 to 20.2. The numbers of at least one intact tooth increased for both age groups (p < 0.001 and p < 0.004, respectively). In the age groups 81 years, there was an increase in having at least one PPD ≥ 6 mm (p < 0.016) and bone loss ≥ 5 mm (p < 0.029) between the two examinations. No such differences were found in the age groups of 60 years. CONCLUSION Over 13 years, oral health improved for both 60- and 81-year-old age groups. The most significant changes were in the 81-year-olds where oral health had improved except for periodontal status. CLINICAL RELEVANCE More natural teeth and impaired periodontal status potentially impact oral health and should increase focus on preventive and supportive dental care in older individuals.
Collapse
Affiliation(s)
- Sladjana Critén
- Faculty of Health Sciences, Kristianstad University, 291 88, Kristianstad, Sweden.
| | - Pia Andersson
- Faculty of Health Sciences, Kristianstad University, 291 88, Kristianstad, Sweden
| | - Stefan Renvert
- Faculty of Health Sciences, Kristianstad University, 291 88, Kristianstad, Sweden.,Department of Health, Blekinge Institute of Technology, 371 79, Karlskrona, Sweden
| | - Bengt Götrick
- Faculty of Odontology, Malmö University, 205 06, Malmö, Sweden
| | | | | |
Collapse
|
2
|
Risk Factors of Long-Term Care Insurance Certification in Japan: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042162. [PMID: 35206350 PMCID: PMC8872097 DOI: 10.3390/ijerph19042162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/25/2022] [Accepted: 02/11/2022] [Indexed: 02/06/2023]
Abstract
This study aimed to review evidence on future long-term care associated with pre-existing factors among community-dwelling Japanese older adults. We systematically searched cohort and nested case–control studies published between 2000 and 2019 that assessed long-term care certification using the PubMed, CINAHL, and EMBASE databases. The relationship between long-term care insurance information and risk factors was investigated. The protocol was registered with the Open Science Framework. We extracted 91 studies for synthesis, including 84 prospective cohort studies, 1 retrospective cohort study, and 6 nested case–control studies. Certification for long-term care was classified into two endpoints: onset of functional disability and dementia. There were 72 studies that used long-term care certification as a proxy for functional disability, and 22 used long-term care information to indicate the onset of dementia. Common risk factors related to functional disability were physical function, frailty, and oral condition. Motor function and nutritional status were common risk factors for dementia. We found consistent associations between premorbid risk factors and functional disability and dementia. The accumulation of evidence on the incidence of long-term care and associated factors can aid the development of preventive measures. Future studies should aim to integrate this evidence.
Collapse
|
3
|
Krausch-Hofmann S, Tran TD, Declerck D, de Almeida Mello J, Declercq A, Lesaffre E, De Lepeleire J, Duyck J. Assessment of oral health conditions presented in photographs - is there a difference between dentists and non-dental professional caregivers? BMC Oral Health 2020; 20:188. [PMID: 32620115 PMCID: PMC7333316 DOI: 10.1186/s12903-020-01171-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 06/22/2020] [Indexed: 11/23/2022] Open
Abstract
Background Photographs can help non-dental professional caregivers to identify problems when inspecting the mouth of care-dependent older individuals. This study evaluated whether the assessment of oral health-related conditions presented in photographs differed between dentists and non-dental professional caregivers. Materials and methods One-hundred-and-seventy-nine photographs were taken from long-term care facility residents and from patients at the Department of Dentistry of a University Hospital. The following oral health aspects were depicted: denture hygiene, oral hygiene, teeth, gums, tongue and palate/lips/cheeks. Collection continued until for each oral health aspect a pool of photographs was available that showed conditions from perfect health and hygiene to severe problems. A segmented Visual Analogue Scale was applied to assess the conditions presented in the photographs. Each photograph was assessed by each participant of this study. The benchmark was established by three dentists with academic-clinical expertise in gerodontology, special needs dentistry and periodontology. For each photograph, they provided a collective score after reaching consensus. Photographs were assessed individually by 32 general dentists and by 164 non-dental professional caregivers. Linear mixed effects models and generalized linear mixed effects models were fitted and mean squared errors were computed to quantify differences between both groups. Results For the different oral health aspects, absolute distances from the benchmark scores were 1.13 (95%CI:1.03–1.23) to 1.51 (95%CI:1.39–1.65) times higher for the caregivers than for the dentists. The odds to overestimate the condition were higher for the caregivers than the dentists for oral hygiene (OR = 0.72, 95%CI = 0.62–0.84) and teeth (OR = 0.74; 95%CI = 0.61–0.88). The odds to underestimate the condition were higher for the caregivers than the dentists for gums (OR = 1.39; 95%CI:1.22–1.59) and palate/lips/cheeks (OR = 1.22; 95%CI = 1.07–1.40). Over all assessments, the variance in caregiver scores was 1.9 (95%CI:1.62–2.23) times higher than that for the dentists. Conclusion Small but significant differences were found between dentists and non-dental professional caregivers assessing oral health-related conditions presented in photographs. When photographs are used to aid non-dental professional caregivers with the oral health assessment, these visualizations should be complemented with comments to facilitate accurate interpretation.
Collapse
Affiliation(s)
- Stefanie Krausch-Hofmann
- KU Leuven Population Studies in Oral Health - Department of Oral Health Sciences, Kapucijnenvoer 7/a - box 7001, 3000, Leuven, Belgium
| | - Trung Dung Tran
- KU Leuven Biostatistics and Statistical Bioinformatics Centre (L-BioStat) - Department of Public Health and Primary Care, Kapucijnenvoer 35/d - box 7001, 3000, Leuven, Belgium
| | - Dominique Declerck
- KU Leuven Population Studies in Oral Health - Department of Oral Health Sciences, Kapucijnenvoer 7/a - box 7001, 3000, Leuven, Belgium
| | - Johanna de Almeida Mello
- KU Leuven LUCAS - Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000, Leuven, Belgium
| | - Anja Declercq
- KU Leuven LUCAS - Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000, Leuven, Belgium.,KU Leuven CESO - Center for Sociological Research, Parkstraat 45 - box 3601, 3000, Leuven, Belgium
| | - Emmanuel Lesaffre
- KU Leuven Biostatistics and Statistical Bioinformatics Centre (L-BioStat) - Department of Public Health and Primary Care, Kapucijnenvoer 35/d - box 7001, 3000, Leuven, Belgium
| | - Jan De Lepeleire
- KU Leuven Academic Centre for General Practice - Department of Public Health and Primary Care, Kapucijnenvoer 33/j - box 7001, 3000, Leuven, Belgium
| | - Joke Duyck
- Biomaterials/BIOMAT - Department of Oral Health Sciences, Kapucijnenvoer 7/a - box 7001, 3000, Leuven, Belgium.
| |
Collapse
|
4
|
Krausch-Hofmann S, De Almeida Mello J, Declerck D, Declercq A, De Lepeleire J, Tran TD, Lesaffre E, Duyck J. The oral health-related section of the interRAI: Evaluation of test content validity by expert rating and assessment of potential reasons for inaccurate assessments based on focus group discussions with caregivers. Gerodontology 2019; 36:382-394. [PMID: 31274218 DOI: 10.1111/ger.12421] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 03/21/2019] [Accepted: 05/13/2019] [Indexed: 12/26/2022]
Abstract
OBJECTIVES To explore the failure of the oral health-related section of the interRAI (ohr-interRAI), this study investigated test content validity (A.) and reasons for inaccurate assessments (B.). BACKGROUND Poor oral health negatively affects quality of life and is associated with a number of systemic diseases. The interRAI instruments, internationally used for geriatric assessment, should accurately detect oral conditions that require care. Previous research showed that the ohr-interRAI and related precursor versions do not achieve this goal. MATERIALS AND METHODS (A.) A group of 12 experts rated completeness, relevance, clarity of wording and feasibility of the ohr-interRAI. Content validity indices were calculated per item (threshold 0.78). (B.) Focus group discussions with 23 caregivers were organized. A semi-structured question guide made sure that all topics of interest were covered. Qualitative content structuring analysis was applied after transcription. RESULTS (A.) Experts agreed on the relevance of the items on chewing, pain, gingival inflammation and damaged teeth. They regarded none of the items as worded clearly and only prosthesis use and pain were considered to be assessable by untrained caregivers. All experts agreed that the ohr-interRAI was incomplete. (B.) Focus group discussions revealed that in the care environment oral health had low priority. Aspects related to the ohr-interRAI itself and aspects related to the assessment situation impeded the oral health assessment. The approach of the caregivers to complete the ohr-interRAI was inappropriate to accurately detect oral care needs. CONCLUSIONS Findings challenge test content validity of the ohr-interRAI and reveal reasons for inaccurate assessments.
Collapse
Affiliation(s)
- Stefanie Krausch-Hofmann
- Department of Oral Health Sciences, KU Leuven Population Studies in Oral Health, Leuven, Belgium
| | | | - Dominique Declerck
- Department of Oral Health Sciences, KU Leuven Population Studies in Oral Health, Leuven, Belgium
| | - Anja Declercq
- Centre for Care Research and Consultancy, KU Leuven LUCAS, Leuven, Belgium
| | - Jan De Lepeleire
- Department of Public Health and Primary Care, KU Leuven Academic Centre for General Practice, Leuven, Belgium
| | - Trung Dung Tran
- Department of Public Health and Primary Care, KU Leuven Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Leuven, Belgium
| | - Emmanuel Lesaffre
- Department of Public Health and Primary Care, KU Leuven Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Leuven, Belgium
| | - Joke Duyck
- Department of Oral Health Sciences, Biomaterials/BIOMAT, Leuven, Belgium
| |
Collapse
|
5
|
Zhang Q, Witter DJ, Bronkhorst EM, Creugers NHJ. The relationship between masticatory ability, age, and dental and prosthodontic status in an institutionalized elderly dentate population in Qingdao, China. Clin Oral Investig 2018; 23:633-640. [PMID: 29736683 PMCID: PMC7736012 DOI: 10.1007/s00784-018-2477-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 04/25/2018] [Indexed: 12/15/2022]
Abstract
Objectives To identify relationships between masticatory ability and age, and dental and prosthodontic status amongst an institutionalized elderly dentate population in China. Materials and methods A sample of 512 elders living in eight nursing homes in Qingdao was categorized based on a hierarchical dental functional classification system with and without tooth replacements. Masticatory disability scores (MDSs) were analyzed using multiple regression models with only age, and age and dentition variables for participants having ≥ 10 natural and those having < 10 natural teeth in each jaw. Results Overall, associations between MDS and age, number of teeth, and number of teeth replaced by dental prostheses were identified. For participants having ≥ 10 natural teeth in each jaw, no significant associations between MDS and age and dental and prosthodontic status were found. Participants having < 10 natural teeth in each jaw had higher MDS (increasing chewing difficulties) at higher ages. However, when “premolar region sufficient” and “molar region sufficient” were included, MDS was not associated with age, but with these dentition variables. For participants having ≥ 10 teeth including prosthodontically replaced teeth in each jaw, age was the only variable associated with MDS. For participants having < 10 teeth including teeth replaced in each jaw, the significant factor was “premolar region sufficient.” Overall, lower MDS was associated with increasing number of teeth, as well as with increasing number of teeth replaced by dental prostheses. Conclusions In this population of institutionalized dentate elderly, masticatory ability was significantly associated with dental and prosthodontic status. Clinical relevance For institutionalized elderly, having less than ten natural teeth in each jaw is associated with chewing problems. Most important dentition factor is the presence of three to four premolar pairs. Teeth added by partial removable dental prostheses compensate impaired masticatory ability due to tooth loss for 50% compared to natural teeth.
Collapse
Affiliation(s)
- Qian Zhang
- Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands.
| | - Dick J Witter
- Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands
| | - Ewald M Bronkhorst
- Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands
| | - Nico H J Creugers
- Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX, Nijmegen, The Netherlands
| |
Collapse
|
6
|
Miquel S, Aspiras M, Day JEL. Does reduced mastication influence cognitive and systemic health during aging? Physiol Behav 2018; 188:239-250. [PMID: 29452151 DOI: 10.1016/j.physbeh.2018.02.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 02/03/2018] [Accepted: 02/10/2018] [Indexed: 12/27/2022]
Abstract
There is a growing body of literature which suggests that oral health and mastication can influence cognitive and systemic health during aging. However, it is currently unclear whether oral health, masticatory efficiency, cognitive health and systemic health merely deteriorate independently with age, or whether mechanisms exist linking mastication to cognitive and systemic health directly. The aim of this paper is to review the extent to which reduced mastication influences cognitive and systemic health during aging because this knowledge may underpin future interventions that improve quality of life. Current evidence suggests that a deterioration in mastication and oral health during aging can have: 1) direct effects on systemic health through mechanisms such as the migration of the oral microbiota into the systemic environment, and 2) indirect effects on systemic health through changes nutrient intake. A loss of teeth and reduction in masticatory efficiency during aging can have: 1) direct effects on cognitive performance and potentially impact cognitive health through mechanisms such as enhanced adult hippocampal neurogenesis, and 2) indirect effects on cognitive health through changes in nutrient intake. It is concluded that oral health and masticatory efficiency are modifiable factors which influence the risk poor cognitive and systemic health during aging, although it is currently premature to propose chewing-based interventions to slow the rate of cognitive decline and improve cognitive health during aging. Future research should include large-scale longitudinal studies which control for the types of confounding factors which concurrently influence the association between mastication and cognitive and systemic health.
Collapse
Affiliation(s)
- Sophie Miquel
- Mars Wrigley Confectionery, 1132 West Blackhawk Street, Chicago, IL 60642, USA.
| | - Marcelo Aspiras
- Mars Wrigley Confectionery, 1132 West Blackhawk Street, Chicago, IL 60642, USA
| | - Jon E L Day
- Cerebrus Associates, The White House, 2 Meadrow, Godalming, Surrey GU7 3HN, United Kingdom
| |
Collapse
|
7
|
Krausch-Hofmann S, Bogaerts K, Hofmann M, de Almeida Mello J, Fávaro Moreira NC, Lesaffre E, Declerck D, Declercq A, Duyck J. Missing Oral Health-Related Data in the interRAI-HC - Associations with Selected Variables of General Health and the Effect of Multiple Imputation on the Relationship between Oral and General Health. PLoS One 2015; 10:e0146065. [PMID: 26716689 PMCID: PMC4696854 DOI: 10.1371/journal.pone.0146065] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Accepted: 12/11/2015] [Indexed: 11/18/2022] Open
Abstract
Background Missing data within the comprehensive geriatric assessment of the interRAI suite of assessment instruments potentially imply the under-detection of conditions that require care as well as the risk of biased statistical results. Impaired oral health in older individuals has to be registered accurately as it causes pain and discomfort and is related to the general health status. Objective This study was based on interRAI-Home Care (HC) baseline data from 7590 subjects (mean age 81.2 years, SD 6.9) in Belgium. It was investigated if missingness of the oral health-related items was associated with selected variables of general health. It was also determined if multiple imputation of missing data affected the associations between oral and general health. Materials and Methods Multivariable logistic regression was used to determine if the prevalence of missingness in the oral health-related variables was associated with activities of daily life (ADLH), cognitive performance (CPS2) and depression (DRS). Associations between oral health and ADLH, CPS2 and DRS were determined, with missing data treated by 1. the complete-case technique and 2. by multiple imputation, and results were compared. Results The individual oral health-related variables had a similar proportion of missing values, ranging from 16.3% to 17.2%. The prevalence of missing data in all oral health-related variables was significantly associated with symptoms of depression (dental prosthesis use OR 1.66, CI 1.41–1.95; damaged teeth OR 1.74, CI 1.48–2.04; chewing problems OR 1.74, CI 1.47–2.05; dry mouth OR 1.65, CI 1.40–1.94). Missingness in damaged teeth (OR 1.27, CI 1.08–1.48), chewing problems (OR 1.22, CI 1.04–1.44) and dry mouth (OR 1.23, CI 1.05–1.44) occurred more frequently in cognitively impaired subjects. ADLH was not associated with the prevalence of missing data. When comparing the complete-case technique with the multiple imputation approach, nearly identical odds ratios characterized the associations between oral and general health. Conclusion Cognitively impaired and depressive individuals had a higher risk of missing oral health-related information. Associations between oral health and ADLH, CPS2 and DRS were not influenced by multiple imputation of missing data. Further research should concentrate on the mechanisms that mediate the occurrence of missingness to develop preventative strategies.
Collapse
Affiliation(s)
- Stefanie Krausch-Hofmann
- Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium
| | - Kris Bogaerts
- Department of Public Health and Primary Care, KU Leuven and Hasselt University I-BioStat, KU Leuven, Leuven, Belgium
| | - Michael Hofmann
- Department of Neurosciences, Research Group Experimental Oto-Rhino-Laryngology, KU Leuven, Leuven, Belgium
| | | | | | - Emmanuel Lesaffre
- Department of Public Health and Primary Care, KU Leuven and Hasselt University I-BioStat, KU Leuven, Leuven, Belgium
| | - Dominique Declerck
- Department of Oral Health Sciences, Population Studies in Oral Health, KU Leuven, Leuven, Belgium
| | - Anja Declercq
- LUCAS, Center for Care Research and Consultancy, KU Leuven, Leuven, Belgium
| | - Joke Duyck
- Department of Oral Health Sciences, Biomaterials, KU Leuven, Leuven, Belgium
- * E-mail:
| |
Collapse
|
8
|
Unell L, Johansson A, Ekbäck G, Ordell S, Carlsson GE. Dental status and self-assessed chewing ability in 70- and 80-year-old subjects in Sweden. J Oral Rehabil 2015; 42:693-700. [PMID: 25882481 DOI: 10.1111/joor.12299] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2015] [Indexed: 11/28/2022]
Abstract
The objective was to compare two cohorts of elderly people, 70 and 80 years old, with respect to dental status and self-assessed chewing ability. The hypotheses were as follows: (i) dental status is associated with self-assessed chewing ability; (ii) chewing ability is poorer among the 80- than the 70-year-old subjects. Identical questionnaires were in 2012 sent to all subjects born in 1942 and 1932, living in two Swedish counties. The response rate was 70.1% resulting in samples of 5697 70- and 2922 80-year-old subjects. Answers to questions on self-assessed chewing ability, dental status and some other factors have been analysed. Dental status varied but was in general good; 72% of the 70- and 60% of the 80-year-old subjects reported that they had all or only few missing teeth. Rate of edentulism was 3% and 7%, respectively. Removable partial dentures were reported by 6% and 10%, respectively, implant treatment by 13% in both cohorts. Self-assessed chewing ability was mostly good and correlated with the number of teeth (Spearman rho = 0.46). A majority of the edentulous subjects assessed their chewing ability as very or fairly good. Logistic regression showed that self-assessed chewing ability was significantly associated with a number of dental variables but also with general health. In conclusion, dental status was relatively good at both ages but somewhat poorer in the older cohort. Dental status, some other dental variables and being healthy were in both age groups significantly associated with self-assessed chewing ability.
Collapse
Affiliation(s)
- L Unell
- Post Graduate Dental Education Centre, Örebro County Council, Örebro, Sweden.,School of Health and Medical Sciences, Örebro University, Örebro, Sweden
| | - A Johansson
- Department of Clinical Dentistry - Prosthodontics, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway
| | - G Ekbäck
- School of Health and Medical Sciences, Örebro University, Örebro, Sweden.,Department of Dentistry, Örebro County Council, Örebro, Sweden
| | - S Ordell
- Dental Commissioning Unit, Linköping University, Linköping, Sweden.,Department of Oral Public Health, Malmö University, Malmö, Sweden
| | - G E Carlsson
- Department of Prosthetic Dentistry/Dental Materials Science, University of Gothenburg, Göteborg, Sweden
| |
Collapse
|
9
|
Gellacic AS, Teixeira DSC, Antunes JLF, Narvai PC, Lebrão ML, Frazão P. Factors associated with deterioration of self-rated chewing ability among adults aged 60 years and older over a 6-year period. Geriatr Gerontol Int 2015; 16:46-54. [PMID: 25597335 DOI: 10.1111/ggi.12435] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Alzira Sueli Gellacic
- Department of Public Health Practice; Public Health School; University of São Paulo; São Paulo Brazil
| | - Doralice SC Teixeira
- Department of Public Health Practice; Public Health School; University of São Paulo; São Paulo Brazil
| | | | - Paulo Capel Narvai
- Department of Public Health Practice; Public Health School; University of São Paulo; São Paulo Brazil
| | - Maria Lúcia Lebrão
- Department of Epidemiology; Public Health School; University of São Paulo; São Paulo Brazil
| | - Paulo Frazão
- Department of Public Health Practice; Public Health School; University of São Paulo; São Paulo Brazil
| |
Collapse
|
10
|
Moriya S, Miura H. Oral health and general health at the early stage of ageing: A review of contemporary studies. JAPANESE DENTAL SCIENCE REVIEW 2014. [DOI: 10.1016/j.jdsr.2013.10.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
|
11
|
Taniguchi E, Asakura K, Murakami K, Masayasu S, Sasaki S. Relationship Between Diet Texture and Discharge Due to Deteriorating Health Condition in Nursing Home Residents in Japan. Asia Pac J Public Health 2013; 26:507-16. [DOI: 10.1177/1010539513483829] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We conducted a multicenter 1-year prospective study to evaluate the relationship between diet texture and discharge due to deteriorating health condition. The staff dietitian at each nursing home in Japan retrieved participants’ data (N = 9528) from nursing records. Diet texture was categorized into 4 groups: “normal,” “chopped,” “pureed,” and “parenteral nutrition.” Discharge status was categorized into 2 groups: “discharge due to deteriorating health condition” and “stable health condition.” Multivariate adjusted odds ratios and 95% confidence intervals (CIs) for “discharge due to deteriorating health condition” (n = 1820) were 1 (reference) for “normal”, 1.23 (95% CI = 1.05-1.45) for “chopped,” 1.82 (95% CI = 1.48-2.24) for “pureed,” and 1.82 (95% CI = 1.41-2.35) for “parenteral nutrition.” In conclusion, even after adjusting for baseline health status, texture-modified diets and parenteral nutrition were independently and positively associated with discharge due to deteriorating health condition.
Collapse
|