Banerjee Rajlakshmi, Chahande Jaishree, Banerjee Sujoy, Radke Usha
Department of Prosthodontics, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India.
Department of Orthodontics, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India.
Indian J Dent Res. 2018 Sep-Oct;29(5):562-567. doi: 10.4103/ijdr.IJDR_285_17.
The prevalence of malnutrition increases with old age, especially in developing countries like India, and it is the most common cause of morbidity and mortality, because of many factors out of which dentate status is one.
The aim of this study is to evaluate and determine the effect of nutritional status and dietary intake on the oral health-related quality of life (OHRQOL) of elderly edentulous complete denture-wearing patients and to know whether elderly complete denture wearers have a higher risk of malnutrition. The objective was to assess the need to include dietary and nutritional counseling during prosthodontic rehabilitation of elderly edentulous patients.
A cross-sectional study was conducted among 200 elderly denture-wearing patients above 60 years of age from Nagpur, Maharashtra. Mini-Nutritional Assessment (MNA) questionnaire was used to assess nutritional status, and Geriatric Oral Health Assessment Index (GOHAI) questionnaire was used to determine the OHRQOL of these patients. Descriptive statistics were used to analyze data using SPSS version 21 (SPSS Inc., Chicago, IL, USA).
Among the assessed participants, nearly 95% of them had total scores of GOHAI between 12 and 57 which require "needed dental care." As per MNA, 10.5% had adequate nutrition, 70% were at risk of malnutrition, and remaining 19.5% of participants were malnourished. There was a significant correlation between GOHAI and MNA scores.
Low nutritional status was associated with the poor OHRQOL among the elderly. A strong association was found between mean GOHAI and MNA scores and thereby nutritional status and OHRQOL. The use of conventional dentures increases the risk of malnutrition in the elderly due to inability to eat and chew food properly. Dietary analysis and counseling should be strictly incorporated into geriatric treatment planning during prosthetic rehabilitation.
营养不良的患病率随着年龄增长而增加，尤其是在印度等发展中国家，它是发病和死亡的最常见原因，这是由多种因素导致的，其中牙齿状况是一个因素。
本研究的目的是评估并确定营养状况和饮食摄入对老年无牙颌全口义齿佩戴患者口腔健康相关生活质量（OHRQOL）的影响，并了解老年全口义齿佩戴者是否有更高的营养不良风险。目标是评估在老年无牙颌患者口腔修复治疗期间纳入饮食和营养咨询的必要性。
对来自马哈拉施特拉邦那格浦尔的200名60岁以上佩戴义齿的老年患者进行了横断面研究。使用微型营养评定法（MNA）问卷评估营养状况，使用老年口腔健康评估指数（GOHAI）问卷确定这些患者的OHRQOL。使用SPSS 21版（美国伊利诺伊州芝加哥市SPSS公司）对数据进行描述性统计分析。
在评估的参与者中，近95%的GOHAI总分在12至57之间，这需要“必要的牙科护理”。根据MNA，10.5%的人营养充足，70%的人有营养不良风险，其余19.5%的参与者营养不良。GOHAI和MNA评分之间存在显著相关性。
老年人群中营养状况不佳与OHRQOL较差有关。发现平均GOHAI和MNA评分之间存在密切关联，从而营养状况与OHRQOL之间也存在密切关联。由于无法正常进食和咀嚼食物，使用传统义齿会增加老年人营养不良的风险。在修复治疗期间，应将饮食分析和咨询严格纳入老年治疗计划中。
