El Osta Nada, Hennequin Martine, Tubert-Jeannin Stephanie, Abboud Naaman Nada Bou, El Osta Lana, Geahchan Negib
Department of Prosthetic Dentistry, School of Dentistry, Saint-Joseph University, Beirut, Lebanon; Department of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon; Clermont University, University of Auvergne, CROC-EA4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000 Clermont-Ferrand, France.
Clermont University, University of Auvergne, CROC-EA4847, Centre de Recherche en Odontologie Clinique, BP 10448, F-63000 Clermont-Ferrand, France; CHU Clermont-Ferrand, Service d'Odontologie, Hotel-Dieu, F-63000 Clermont-Ferrand, France.
Clin Nutr. 2014 Apr;33(2):316-21. doi: 10.1016/j.clnu.2013.05.012. Epub 2013 May 28.
Studies concerning the more appropriate criteria for evaluating oral health in relation to nutrition in the elderly vary greatly. There is a need to identify the most relevant criteria for classifying dental indicators of mastication in nutritional studies, so these indicators may be considered for epidemiological and clinical purposes. The aim of this study was to explore the associations between nutritional deficit and measures of oral health in a group of elderly.
A convenience sample of independent elderly aged 65 years or more attending two primary care clinics in Beirut, Lebanon was selected. Data were collected from a questionnaire including the Mini-Nutritional Assessment (MNA), Geriatric Oral Health Assessment Index (GOHAI) and questions about perception of xerostomia and chewing problems. The oral examinations recorded decayed, missing and filled teeth (DMFT), the prosthetic status and the number of functional units (FU).
The sample was composed of 121 women (mean age: 71.59 ± 5.97 years) and 80 men (mean age: 72.74 ± 6.98 years). They were allocated to two groups: 85 participants suffering from malnutrition (MNA score < 17, n = 17) or at risk of malnutrition (17 < MNA score < 24, n = 68) and 116 participants with a normal nutritional status (MNA score ≥ 24). Parameters that explain MNA variations were perception of xerostomia (OR = 3.49, 95% CI [1.66-7.34]), number of FU (OR = 2.79, 95% CI [1.49; 5.22]), and GOHAI score (OR = 2.905, 95% CI [1.40; 6.00]).
Further studies exploring factors affecting nutrition in the elderly should take into consideration perception of xerostomia, number of FUs and GOHAI score.
关于评估老年人营养状况时口腔健康更合适标准的研究差异很大。有必要确定营养研究中咀嚼功能的牙科指标的最相关标准，以便在流行病学和临床研究中考虑这些指标。本研究的目的是探讨一组老年人营养缺乏与口腔健康指标之间的关联。
选取黎巴嫩贝鲁特两家初级保健诊所65岁及以上的独立老年人作为便利样本。通过问卷收集数据，问卷包括简易营养评估量表（MNA）、老年口腔健康评估指数（GOHAI）以及关于口干和咀嚼问题感知的问题。口腔检查记录龋齿、缺失牙和补牙数（DMFT）、修复状况和功能单位数量（FU）。
样本包括121名女性（平均年龄：71.59±5.97岁）和80名男性（平均年龄：72.74±6.98岁）。他们被分为两组：85名营养不良（MNA评分<17，n = 17）或有营养不良风险（17<MNA评分<24，n = 68）的参与者和116名营养状况正常（MNA评分≥24）的参与者。解释MNA变化的参数是口干感知（OR = 3.49，95%CI[1.66 - 7.34]）、FU数量（OR = 2.79，95%CI[1.49；5.22]）和GOHAI评分（OR = 2.905，95%CI[1.40；6.00]）。
进一步探索影响老年人营养状况因素的研究应考虑口干感知、FU数量和GOHAI评分。
