Savoca Margaret R, Arcury Thomas A, Leng Xiaoyan, Chen Haiying, Bell Ronny A, Anderson Andrea M, Kohrman Teresa, Gilbert Gregg H, Quandt Sara A
Department of Nutrition, University of North Carolina at Greensboro, Greensboro, North Carolina 27402, USA.
J Nutr Gerontol Geriatr. 2011;30(1):86-102. doi: 10.1080/01639366.2011.545043.
This study categorizes older adults living in rural areas by denture status, assesses the frequency of wearing dentures during meals, and determines whether denture status or use is associated with dietary quality or the number of foods avoided. A multi-ethnic population-based sample of adults ≥60 years (N = 635) in the rural United States was interviewed. Survey included denture use, removing dentures before eating, and foods avoided due to oral health problems. Dietary intakes were converted into Healthy Eating Index-2005 scores. Sixty percent wore removable dentures of some type; 55% never, 27% sometimes, and 18% always removed dentures when eating. More frequent removal was associated with lower dietary quality and more foods avoided. Those with severe tooth loss had the lowest dietary quality and avoided the most foods. Many rural older adults wear dentures. Learning how they adapt to denture use will offer insight into their nutritional self-management and help explain differences in dietary quality.
本研究按义齿佩戴状况对农村地区老年人进行分类，评估用餐时佩戴义齿的频率，并确定义齿佩戴状况或使用情况是否与饮食质量或避免食用的食物数量相关。对美国农村地区60岁及以上的多民族成年人样本（N = 635）进行了访谈。调查内容包括义齿使用情况、进食前摘下义齿情况以及因口腔健康问题而避免食用的食物。将饮食摄入量转换为2005年健康饮食指数得分。60%的人佩戴某种类型的可摘义齿；55%的人从不、27%的人有时、18%的人在进食时总是摘下义齿。更频繁地摘下义齿与较低的饮食质量和更多避免食用的食物有关。牙齿严重缺失的人饮食质量最低，避免食用的食物最多。许多农村老年人佩戴义齿。了解他们如何适应义齿使用将有助于深入了解他们的营养自我管理，并有助于解释饮食质量的差异。
