Format

Send to

Choose Destination
Nutrients. 2018 Dec 12;10(12). pii: E1965. doi: 10.3390/nu10121965.

Are Edentulousness, Oral Health Problems and Poor Health-Related Quality of Life Associated with Malnutrition in Community-Dwelling Elderly (Aged 75 Years and Over)? A Cross-Sectional Study.

Author information

1
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands. m.h.bakker@umcg.nl.
2
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands. a.vissink@umcg.nl.
3
Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands. s.dereus@hzd.nu.
4
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands. ha.jager@pl.hanze.nl.
5
Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, 9714 CA Groningen, The Netherlands. ha.jager@pl.hanze.nl.
6
Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands. k.wynia@umcg.nl.
7
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands. a.visser@umcg.nl.

Abstract

As the population ages, the risk of becoming malnourished increases. Research has shown that poor oral health can be a risk factor for malnutrition in institutionalized elderly. However, it remains unclear whether oral health problems, edentulousness and health-related quality of life also pose a risk for malnutrition in community-dwelling older adults. In this cross-sectional observational study, 1325 community-living elderly (≥75 years) were asked to complete questionnaires regarding nutritional status, oral status (edentulous, remaining teeth, or implant-supported overdentures), oral health problems, health-related quality of life (HRQoL), frailty, activities of daily living (ADL) and complexity of care needs. Univariate and multivariate logistic regression analyses were performed with nutritional status as dependent variable. Of the respondents, 51% (n = 521) were edentulous, 38.8% (n = 397) had remaining teeth and 10.2% (n = 104) had an implant-supported overdenture. Elderly with complex care needs were malnourished most frequently, followed by frail and robust elderly (10%, 4.5% and 2.9%, respectively). Malnourished elderly reported more frequent problems with chewing and speech when compared with well-nourished elderly (univariate analysis). However, multivariate analysis did not show an association between malnutrition and oral health problems and edentulousness, although HRQoL was associated with malnutrition (odds ratio (OR) 0.972, confidence interval (CI) 0.951⁻0.955). Based on the results of this cross-sectional study, it can be concluded that poor HRQoL is significantly associated with malnutrition; however, edentulousness and oral health problems are not.

KEYWORDS:

community-dwelling; complete denture; edentulousness; health-related quality of life (HRQoL); malnutrition; older adults; oral health

PMID:
30545100
PMCID:
PMC6315642
DOI:
10.3390/nu10121965
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Multidisciplinary Digital Publishing Institute (MDPI) Icon for PubMed Central
Loading ...
Support Center