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

Mieke Bakker (First author), A. Vissink, Sophie Spoorenberg, Harriët Jager-Wittenaar, Klaske Wynia, Anita Visser

Research output: Contribution to journalArticleAcademicpeer-review

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.
Original languageEnglish
JournalNutrients
Volume10
Issue number12
DOIs
Publication statusPublished - 12 Dec 2018

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Independent Living
Oral Health
quality of life
cross-sectional studies
Malnutrition
malnutrition
mouth
Cross-Sectional Studies
Quality of Life
Overlay Denture
Nutritional Status
Tooth
nutritional status
teeth
Frail Elderly
Mastication
Activities of Daily Living
Observational Studies
observational studies
mastication

Keywords

  • malnutrition
  • elderly patients

Cite this

@article{41dbfc21d2284ead8ed8ca1025a367ec,
title = "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",
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 = "ondervoeding, ouderen, mondgezondheid, malnutrition, elderly patients",
author = "Mieke Bakker and A. Vissink and Sophie Spoorenberg and Harri{\"e}t Jager-Wittenaar and Klaske Wynia and Anita Visser",
year = "2018",
month = "12",
day = "12",
doi = "doi: 10.3390/nu10121965",
language = "English",
volume = "10",
journal = "Nutrients",
issn = "2072-6643",
publisher = "Molecular Diversity Preservation International (MDPI)",
number = "12",

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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. / Bakker, Mieke (First author); Vissink, A.; Spoorenberg, Sophie; Jager-Wittenaar, Harriët; Wynia, Klaske; Visser, Anita.

In: Nutrients, Vol. 10, No. 12, 12.12.2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Are edentulousness, oral health problems and poor health-related quality of life associated with malnutrition in community-dwelling elderly (aged 75 years and over)?

T2 - a cross-sectional study

AU - Bakker, Mieke

AU - Vissink, A.

AU - Spoorenberg, Sophie

AU - Jager-Wittenaar, Harriët

AU - Wynia, Klaske

AU - Visser, Anita

PY - 2018/12/12

Y1 - 2018/12/12

N2 - 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.

AB - 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.

KW - ondervoeding

KW - ouderen

KW - mondgezondheid

KW - malnutrition

KW - elderly patients

U2 - doi: 10.3390/nu10121965

DO - doi: 10.3390/nu10121965

M3 - Article

C2 - 30545100

VL - 10

JO - Nutrients

JF - Nutrients

SN - 2072-6643

IS - 12

ER -