Nordenram G, Ryd-Kjellen E, Johansson G, Nordstrom G, Winblad B
Department of Oral Diagnostic Sciences, School of Dentistry, Karolinska Institute, Huddinge, Sweden.
Gerodontology. 1996 Jul;13(1):9-16. doi: 10.1111/j.1741-2358.1996.tb00145.x.
To study differences in nutritional, dental status and oral function between institutionalised patients with Alzheimer's disease and cognitively healthy elderly people living in the community.
Comparison was made between two groups. Alzheimer's disease sufferers and healthy controls, using established criteria for anthropometric, mental and dental state.
An institution and residential area in Stockholm, Sweden.
Forty patients with Alzheimer's disease living in a nursing home and 40 age- and gender-matched control subjects living independently.
Dental status and anthropometric variables.
Overnutrition was less frequent among the demented than the controls and more demented were undernourished. Dental status was similar in the two groups with few edentulous subjects but only 2 of 7 edentulous subjects with Alzheimer's disease wore dentures. Having natural teeth and many functional oral zones is important for food consistency choice, but not for nutritional status. In the Alzheimer group, the stage of dementia has a strong association to the ability to eat unaided and an association with dental status.
There are differences in nutritional status between Alzheimer's patients in institutions and cognitively healthy elderly living at home. The choice of food consistency is correlated to dental status but nutritional status is not shown to be influenced by dental status. However, the ability to eat unaided is strongly correlated to cognitive status.
研究入住机构的阿尔茨海默病患者与社区认知健康老年人在营养、牙齿状况和口腔功能方面的差异。
采用既定的人体测量、心理和牙齿状况标准，对阿尔茨海默病患者和健康对照两组进行比较。
瑞典斯德哥尔摩的一家机构和一个居民区。
40名住在养老院的阿尔茨海默病患者和40名年龄及性别匹配、独立生活的对照对象。
牙齿状况和人体测量变量。
痴呆患者中营养过剩的情况比对照组少，更多痴呆患者存在营养不良。两组的牙齿状况相似，无牙患者较少，但7名患阿尔茨海默病的无牙患者中只有2人佩戴假牙。拥有天然牙齿和多个功能性口腔区域对食物质地选择很重要，但对营养状况无影响。在阿尔茨海默病组中，痴呆阶段与独立进食能力密切相关，也与牙齿状况相关。
入住机构的阿尔茨海默病患者与居家认知健康老年人的营养状况存在差异。食物质地的选择与牙齿状况相关，但营养状况未显示受牙齿状况影响。然而，独立进食能力与认知状态密切相关。
