Dental prosthesis use is associated with higher protein intake among older adults with tooth loss.
dental implants
dentures
frailty
malnutrition
oral health
sarcopenia
Journal
Journal of oral rehabilitation
ISSN: 1365-2842
Titre abrégé: J Oral Rehabil
Pays: England
ID NLM: 0433604
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
28
02
2023
received:
05
12
2022
accepted:
27
06
2023
pmc-release:
01
11
2024
medline:
23
10
2023
pubmed:
3
7
2023
entrez:
3
7
2023
Statut:
ppublish
Résumé
Tooth loss is associated with reduced protein intake, which leads to sarcopenia and frailty in older adults. To evaluate the protective effect of dental prostheses on decreased protein intake in older adults with tooth loss. This cross-sectional study was based on a self-reported questionnaire targeting older adults. Data were obtained from the Iwanuma Survey of the Japan Gerontological Evaluation Study. We used % energy intake (%E) of total protein as the outcome and the use of dental prostheses and number of remaining teeth as explanatory variables. We estimated the controlled direct effects of tooth loss by fixing the use/non-use of dental prostheses based on a causal mediation analysis, including possible confounders. Among 2095 participants, the mean age was 81.1 years (1SD = 5.1), and 43.9% were men. The average protein intake was 17.4%E (1SD = 3.4) of the total energy intake. Among participants with ≥20, 10-19 and 0-9 remaining teeth, the average protein intake was 17.7%E, 17.2%E/17.4%E and 17.0%E/15.4%E (with/without a dental prosthesis), respectively. Compared to participants with ≥20 remaining teeth, those with 10-19 remaining teeth without a dental prosthesis did not have a significantly different total protein intake (p > .05). Among those with 0-9 remaining teeth without a dental prosthesis, total protein intake was significantly low (-2.31%, p < .001); however, the use of dental prostheses mitigated the association by 79.4% (p < .001). Our results suggest that prosthodontic treatment could contribute to maintaining protein intake in older adults with severe tooth loss.
Sections du résumé
BACKGROUND
BACKGROUND
Tooth loss is associated with reduced protein intake, which leads to sarcopenia and frailty in older adults.
OBJECTIVE
OBJECTIVE
To evaluate the protective effect of dental prostheses on decreased protein intake in older adults with tooth loss.
METHODS
METHODS
This cross-sectional study was based on a self-reported questionnaire targeting older adults. Data were obtained from the Iwanuma Survey of the Japan Gerontological Evaluation Study. We used % energy intake (%E) of total protein as the outcome and the use of dental prostheses and number of remaining teeth as explanatory variables. We estimated the controlled direct effects of tooth loss by fixing the use/non-use of dental prostheses based on a causal mediation analysis, including possible confounders.
RESULTS
RESULTS
Among 2095 participants, the mean age was 81.1 years (1SD = 5.1), and 43.9% were men. The average protein intake was 17.4%E (1SD = 3.4) of the total energy intake. Among participants with ≥20, 10-19 and 0-9 remaining teeth, the average protein intake was 17.7%E, 17.2%E/17.4%E and 17.0%E/15.4%E (with/without a dental prosthesis), respectively. Compared to participants with ≥20 remaining teeth, those with 10-19 remaining teeth without a dental prosthesis did not have a significantly different total protein intake (p > .05). Among those with 0-9 remaining teeth without a dental prosthesis, total protein intake was significantly low (-2.31%, p < .001); however, the use of dental prostheses mitigated the association by 79.4% (p < .001).
CONCLUSION
CONCLUSIONS
Our results suggest that prosthodontic treatment could contribute to maintaining protein intake in older adults with severe tooth loss.
Identifiants
pubmed: 37394871
doi: 10.1111/joor.13554
pmc: PMC10699889
mid: NIHMS1945215
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1229-1238Subventions
Organisme : NIA NIH HHS
ID : R01 AG042463
Pays : United States
Organisme : NIH HHS
Pays : United States
Informations de copyright
© 2023 John Wiley & Sons Ltd.
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