Chauhan Neha, Paul Sarah, Purohit Bharathi M, Duggal Ritu, Priya Harsh, S Sasidharan
Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110 029, India.
Division of Public Health Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 110 029, India.
Evid Based Dent. 2025 Jun;26(2):109. doi: 10.1038/s41432-024-01088-2. Epub 2024 Nov 27.
Understanding the interplay between nutrition and oral health-related quality of life (OHRQoL) in older adults is crucial amidst the global aging population. This systematic review and meta-analysis aimed to explore this association, recognizing the growing prevalence of older individuals and the imperative of addressing their health needs for enhanced well-being.
Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, relevant studies were identified through electronic database searches and manual screening. Included were studies investigating the relationship between nutritional status, assessed via the Geriatric Oral Health Assessment Index (GOHAI), and OHRQoL in individuals aged 60 years and older. Quality assessment adhered to Joanna Briggs Institute (JBI) criteria, and statistical analysis was conducted using Comprehensive Meta-Analysis Software Version 3.
Out of 566 initial records, 14 full-text articles were assessed, with 4 studies meeting the inclusion criteria for meta-analysis. A consistent association emerged between lower nutritional assessment scores and poor OHRQoL among the older adults. Significant relationships were identified between poor oral health indicators, as measured by GOHAI, and an elevated risk of malnutrition. Particularly noteworthy was the role of negative self-perception of oral health as a significant predictor of nutritional deficits, emphasizing the importance of OHRQoL instruments in complementing clinical measurements.
The findings underscore the predictive capacity of oral health indicators in assessing nutritional well-being in older individuals. Despite previous studies reporting mixed findings, this review contributes to a comprehensive understanding of the association between nutrition and OHRQoL, highlighting the significance of addressing oral health concerns to enhance overall nutritional outcomes in the older adult population.
This systematic review and meta-analysis emphasize the significant association between nutrition and OHRQoL among older adults. Highlighting the importance OHRQoL instruments that can complement objective clinical measurements and serve as predictors of malnutrition, particularly among this population. Offering vital insights for stakeholders, policymakers, and public health officials to promote the overall well-being and quality of life of older adults.
在全球人口老龄化的背景下，了解老年人营养与口腔健康相关生活质量（OHRQoL）之间的相互作用至关重要。这项系统评价和荟萃分析旨在探索这种关联，认识到老年个体患病率不断上升以及满足其健康需求以提高幸福感的紧迫性。
按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，通过电子数据库检索和人工筛选确定相关研究。纳入的研究调查了通过老年口腔健康评估指数（GOHAI）评估的营养状况与60岁及以上个体的OHRQoL之间的关系。质量评估遵循乔安娜·布里格斯研究所（JBI）标准，并使用综合荟萃分析软件版本3进行统计分析。
在566条初始记录中，评估了14篇全文文章，其中4项研究符合荟萃分析的纳入标准。老年人中营养评估得分较低与OHRQoL较差之间存在一致的关联。通过GOHAI测量的不良口腔健康指标与营养不良风险升高之间存在显著关系。特别值得注意的是，口腔健康的负面自我认知作为营养缺乏的重要预测因素的作用，强调了OHRQoL工具在补充临床测量方面的重要性。
研究结果强调了口腔健康指标在评估老年人营养状况方面的预测能力。尽管先前的研究报告结果不一，但本综述有助于全面理解营养与OHRQoL之间的关联，突出了解决口腔健康问题以改善老年人群总体营养结果的重要性。
这项系统评价和荟萃分析强调了老年人营养与OHRQoL之间的显著关联。突出了OHRQoL工具的重要性，这些工具可以补充客观的临床测量，并作为营养不良的预测指标，特别是在这一人群中。为利益相关者、政策制定者和公共卫生官员提供了重要见解，以促进老年人的总体幸福感和生活质量。
