The Oral Health Condition of Older Adults with Different Nutritional Status in Chamni District, Buriram Province
Article Sidebar
Main Article Content
Abstract
This study aimed to evaluate the association between oral health status and nutritional status among older adults in Chamni District, Buriram province of Thailand. The participants, aged over 60 years old and met the eligible criteria were enrolled in this study. The information collection included medical, dental and personal history, measurement of body proportions, examination of oral health status, and evaluation of xerostomia by questionnaire and nutritional assessment by mini-nutritional assessment (MNA). Among a total number of 278 participants (67.6% female), 83 subjects (29.9%) were classified as the risk of undernutrition (UN) group and no subject were classified as UN group. All of dental factors and existing of mucosal lesions were failed to demonstrate this association. Regarding to the oral condition, xerostomia (Adj.OR=2.41, 95%CI=1.22-4.78, p=0.01) was significantly associated with the increasing risk of UN, regardless of age, working status, income, betel nut chewing habit, systemic diseases and medications, non-carious tooth defect, and oral lesion. The other factors associated with risk of UN included non-working status, low income, thyroid disorder, and not use of antihypertensive agent. This study found that xerostomia significantly increased the risk of UN, while the other oral factors failed to demonstrate this association.
Article Details
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Srisilapanan P, Malikaew P, Sheiham A. Number of teeth and nutritional status in Thai older people. Community Dent Health 2002;19:230-6.
Zulkowski K. Nutrition and aging: a transdisciplinary approach. Ostomy Wound Manage 2006;52:53-7.
Kwon SH, Park HR, Lee YM, Kwon SY, Kim OS, Kim HY, et al. Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th). Nutrition research and practice 2017;11:139-46.
Singh KA, Brennan DS. Chewing disability in older adults attributable to tooth loss and other oral conditions. Gerodontology 2012;29:106-10.
Padilha DM, Hilgert JB, Hugo FN, Bos AJ, Ferrucci L. Number of teeth and mortality risk in the Baltimore Longitudinal Study of Aging. J Gerontol A Biol Sci Med Sci 2008;63:739-44.
Buaban K. The relationship between oral conditions on the quality of life in the elderly Mae Ramat district, Tak province. J Gerontol Geriatr Med 2017;16:45-56.
Javed F, Bello Correra FO, Chotai M, Tappuni AR, Almas K. Systemic conditions associated with areca nut usage: a literature review. Scand J Public Health 2010; 38:838-44.
Ogunkolade WB, Boucher BJ, Bustin SA, Burrin JM, Noonan K, Mannan N, et al. Vitamin D metabolism in peripheral blood mononuclear cells is influenced by chewing "betel nut" (Areca catechu) and vitamin D status. J Clin Endocrinol Metab 2006;91:2612-7.
Muller O, Krawinkel M. Malnutrition and health in developing countries. Cmaj 2005;173:279-86.
Kaewanun C. Nutrition of the elderly. EAU heritage Journal Science and technology 2018;12:112-9.
Recent advances in oral health: report of a WHO Expert Committee. World Health Organ Tech Rep Ser 1992;826:1-37.
Assantachai P, Yamwong P, Lekhakula S. Alternative anthropometric measurements for the Thai elderly: Mindex and Demiquet. Asia Pac J Clin Nutr 2006; 15:521-7.
Mesas AE, Andrade SM, Cabrera MA, Bueno VL. Oral health status and nutritional deficit in noninstitutionalized older adults in Londrina, Brazil. Rev Bras Epidemiol 2010;13:434-45.
Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FA, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr 2011;30:291-304.
Vathanophas V, Supachavalit K, Keskool P, Ongard S. Factors Associated with Xerostomia in Non-Radiated Patients. SMJ 2019;71:377-84.
Cassolato SF, Turnbull RS. Xerostomia: clinical aspects and treatment. Gerodontology 2003;20:64-77.
Folke S, Fridlund B, Paulsson G. Views of xerostomia among health care professionals: a qualitative study. J Clin Nurs 2009;18:791-8.
Dormenval V, Mojon P, Budtz-Jorgensen E. Associations between self-assessed masticatory ability, nutritional status, prosthetic status and salivary flow rate in hospitalized elders. Oral Dis 1999;5:32-8.
Quandt SA, Savoca MR, Leng X, Chen H, Bell RA, Gilbert GH, et al. Dry mouth and dietary quality in older adults in north Carolina. J Am Geriatr Soc 2011;59:439-45.
Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int 2015;15:594-600.
Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us? J Nutr Health Aging 2006;10:466-85; discussion 85-7.
Petersen PE, Baez RJ, World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization; 2013.
Young DA, Nový BB, Zeller GG, Hale R, Hart TC, Truelove EL. The American Dental Association Caries Classification System for clinical practice: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2015;146:79-86.
Fox PC, Busch KA, Baum BJ. Subjective reports of xerostomia and objective measures of salivary gland performance. J Am Dent Assoc 1987;115:581-4.
Villa A, Connell CL, Abati S. Diagnosis and management of xerostomia and hyposalivation. Ther Clin Risk Manag 2015;11:45-51.
Minja I, Ndalahwa M, Lyimo A. Prevalence and Assessment of Dry Mouth: A Study among Selected Group of Elderly Patients in Dar es Salaam. EC Dental Science 2019;18:392-400.
Bergdahl M. Salivary flow and oral complaints in adult dental patients. Community Dent Oral Epidemiol 2000; 28:59-66.
Hopcraft MS, Tan C. Xerostomia: an update for clinicians. Aust Dent J 2010;55:238-44; quiz 353.
Mesas AE, Andrade SM, Cabrera MA, Bueno VL. Oral health status and nutritional deficit in noninstitutionalized older adults in Londrina, Brazil. Rev Bras Epidemiol 2010;13:434-45.
Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FA, Kawaguchi Y. Association of hyposalivation with oral function, nutrition and oral health in community-dwelling elderly Thai. Community Dent Health 2012;29:117-23.
Sheiham A, Steele JG, Marcenes W, Finch S, Walls AW. The impact of oral health on stated ability to eat certain foods; findings from the National Diet and Nutrition Survey of Older People in Great Britain. Gerodontology 1999;16:11-20.
Furuta M, Komiya-Nonaka M, Akifusa S, Shimazaki Y, Adachi M, Kinoshita T, et al. Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities. Community Dent Oral Epidemiol 2013;41:173-81.
Kikutani T, Yoshida M, Enoki H, Yamashita Y, Akifusa S, Shimazaki Y, et al. Relationship between nutrition status and dental occlusion in community-dwelling frail elderly people. Geriatr Gerontol Int 2013;13:50-4.
Soini H, Routasalo P, Lauri S, Ainamo A. Oral and nutritional status in frail elderly. Spec Care Dentist 2003;23:209-15.
Gaewkhiew P, Sabbah W, Bernabe E. Does tooth loss affect dietary intake and nutritional status? A systematic review of longitudinal studies. J Dent 2017;67:1-8.
Tada A, Miura H. Systematic review of the association of mastication with food and nutrient intake in the independent elderly. Arch Gerontol Geriatr 2014;59:497-505.
El Osta N, Hennequin M, Tubert-Jeannin S, Abboud Naaman NB, El Osta L, Geahchan N. The pertinence of oral health indicators in nutritional studies in the elderly. Clin Nutr 2014;33:316-21.
Yoshihara A, Watanabe R, Hanada N, Miyazaki H. A longitudinal study of the relationship between diet intake and dental caries and periodontal disease in elderly Japanese subjects. Gerodontology 2009;26:130-6.