Dentition and weight status in community-dwelling older adults.
ageing
body mass index
geriatrics
nutritional status
occlusion
oral health
tooth loss
Journal
Gerodontology
ISSN: 1741-2358
Titre abrégé: Gerodontology
Pays: England
ID NLM: 8215850
Informations de publication
Date de publication:
11 Mar 2024
11 Mar 2024
Historique:
accepted:
03
03
2024
medline:
12
3
2024
pubmed:
12
3
2024
entrez:
12
3
2024
Statut:
aheadofprint
Résumé
Tooth loss is common among older adults and can affect dietary intake and weight status. This study investigated associations between dentition status and body mass index (BMI) in older adults. This was a cross-sectional study of data from a convenience sample of older adults (65-89 years) treated at an urban U.S. dental school clinic. Clinical and demographic data were obtained from electronic health records. Dentition status was determined based on data from odontograms. Multinomial logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of having a non-normal weight status for each measure of dentition status, after adjusting for covariates. Patients (n = 1765) were 54.1% female, 51.5% White, 41.6% African American and 22.5% Hispanic/Latino. The median (interquartile range [IQR]) age was 71 (67.0-75.0) years; the mean (±SD) BMI was 28.5 (±5.7) kg/m Older adults with tooth loss - especially loss of posterior occlusion and lack of a functional dentition - were more likely to be obese than of normal weight.
Sections du résumé
BACKGROUND/OBJECTIVE
OBJECTIVE
Tooth loss is common among older adults and can affect dietary intake and weight status. This study investigated associations between dentition status and body mass index (BMI) in older adults.
MATERIALS AND METHODS
METHODS
This was a cross-sectional study of data from a convenience sample of older adults (65-89 years) treated at an urban U.S. dental school clinic. Clinical and demographic data were obtained from electronic health records. Dentition status was determined based on data from odontograms. Multinomial logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of having a non-normal weight status for each measure of dentition status, after adjusting for covariates.
RESULTS
RESULTS
Patients (n = 1765) were 54.1% female, 51.5% White, 41.6% African American and 22.5% Hispanic/Latino. The median (interquartile range [IQR]) age was 71 (67.0-75.0) years; the mean (±SD) BMI was 28.5 (±5.7) kg/m
CONCLUSION
CONCLUSIONS
Older adults with tooth loss - especially loss of posterior occlusion and lack of a functional dentition - were more likely to be obese than of normal weight.
Types de publication
Journal Article
Langues
eng
Informations de copyright
© 2024 The Authors. Gerodontology published by Gerodontology Association and John Wiley & Sons Ltd.
Références
Centers for Disease Control and Prevention. Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, and Edentulism, United States, 1999-2004 to 2011-2016. https://www.cdc.gov/oralhealth/publications/OHSR-2019-index.html. Accessed November 13, 2023.
National Institutes of Health. Oral Health in America: Advances and Challenges. US Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research; 2021. https://www.nidcr.nih.gov/sites/default/files/2021-12/Oral-Health-in-America-Advances-and-Challenges.pdf. Accessed November 13, 2023.
Dye BA, Weatherspoon DJ, Lopez MG. Tooth loss among older adults according to poverty status in the United States from 1999 through 2004 and 2009 through 2014. J Am Dent Assoc. 2019;150(1):9-23. doi:10.1016/j.adaj.2018.09.010
Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people-call for public health action. Community Dent Health. 2010;27(4 Suppl 2):257-267.
Thomson WM. The life course and oral health in old age. J R Soc N Z. 2023;54:1-10. doi:10.1080/03036758.2023.2203933
Sahyoun NR, Lin CL, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc. 2003;103(1):61-66. doi:10.1053/jada.2003.50003
Zhu Y, Hollis JH. Tooth loss and its association with dietary intake and diet quality in American adults. J Dent. 2014;42(11):1428-1435. doi:10.1016/j.jdent.2014.08.012
Yoshihara A, Watanabe R, Nishimuta M, Hanada N, Miyazaki H. The relationship between dietary intake and the number of teeth in elderly Japanese subjects. Gerodontology. 2005;22(4):211-218. doi:10.1111/j.1741-2358.2005.00083.x
Iwasaki M, Taylor GW, Manz MC, et al. Oral health status: relationship to nutrient and food intake among 80-year-old Japanese adults. Community Dent Oral Epidemiol. 2014;42(5):441-450. doi:10.1111/cdoe.12100
Kiesswetter E, Poggiogalle E, Migliaccio S, et al. Functional determinants of dietary intake in community-dwelling older adults: a DEDIPAC (DEterminants of DIet and physical ACtivity) systematic literature review. Public Health Nutr. 2018;21(10):1886-1903. doi:10.1017/S1368980017004244
Lee JS, Weyant RJ, Corby P, et al. Edentulism and nutritional status in a biracial sample of well-functioning, community-dwelling elderly: the health, ageing, and body composition study. Am J Clin Nutr. 2004;79(2):295-302. doi:10.1093/ajcn/79.2.295
Zelig R, Jones VM, Touger-Decker R, et al. The eating experience: adaptive and maladaptive strategies of older adults with tooth loss. JDR Clin Trans Res. 2019;4(3):217-228. doi:10.1177/2380084419827532
Zelig R, Touger-Decker R, Chung M, Byham-Gray L. Associations between tooth loss, with or without dental prostheses, and malnutrition risk in older adults: a systematic review. Top Clin Nutr. 2016;31(3):232-247. doi:10.1097/TIN.0000000000000077
Ritchie CS, Joshipura K, Silliman RA, Miller B, Douglas CW. Oral health problems and significant weight loss among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2000;55(7):M366-M371. doi:10.1093/gerona/55.7.M366
Zelig R, Goldstein S, Touger-Decker R, et al. Tooth loss and nutritional status in older adults: a systematic review and meta-analysis. JDR Clin Trans Res. 2022;7(1):4-15. doi:10.1177/2380084420981016
Yoshida M, Kikutani T, Yoshikawa M, Tsuga K, Kimura M, Akagawa Y. Correlation between dental and nutritional status in community-dwelling elderly Japanese. Geriatr Gerontol Int. 2011;11(3):315-319. doi:10.1111/j.1447-0594.2010.00688.x
Shiota C, Kusama T, Takeuchi K, Kiuchi S, Osaka K. Oral hypofunction and risk of weight change among independent older adults. Nutrients. 2023;15(20):4370. doi:10.3390/nu15204370
Honeywell S, Samavat H, Touger-Decker R, Parrott JS, Hoskin E, Zelig R. Associations between dentition status and nutritional status in community-dwelling older adults. JDR Clin Trans Res. 2023;8(1):93-101. doi:10.1177/23800844211063859
Hussein S, Kantawalla RF, Dickie S, Suarez-Durall P, Enciso R, Mulligan R. Association of oral health and mini nutritional assessment in older adults: A systematic review with meta-analyses. J Prosthodont Res. 2022;66:208-220. doi:10.2186/jpr.JPR_D_20_00207
Dent E, Wright ORL, Woo J, Hoogendijk EO. Malnutrition in older adults. Lancet. 2023;401(10380):951-966. doi:10.1016/S0140-6736(22)02612-5
World Health Organization. Malnutrition. https://www.who.int/health-topics/malnutrition#tab=tab_1. Accessed November 13, 2023.
Moynihan PJ, Teo JL. Exploring oral function, protein intake, and risk of sarcopenia: a scoping review. JDR Clin Trans Res 2023;9:20. doi:10.1177/23800844231157259
Donini LM, Busetto L, Bischoff SC, et al. Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement. Clin Nutr. 2022;41(4):990-1000. doi:10.1016/j.clnu.2021.11.014
Azzolino D, Passarelli PC, De Angelis P, Piccirillo GB, D'Addona A, Cesari M. Poor oral health as a determinant of malnutrition and sarcopenia. Nutrients. 2019;11(12):2898. doi:10.3390/nu11122898
Gaewkhiew P, Sabbah W, Bernabé E. Functional dentition, dietary intake and nutritional status in Thai older adults. Gerodontology. 2019;36(3):276-284. doi:10.1111/ger.12408
Tôrres LH, da Silva DD, Neri AL, Hilgert JB, Hugo FN, Sousa ML. Association between underweight and overweight/obesity with oral health among independently living Brazilian elderly. Nutrition. 2013;29(1):152-157. doi:10.1016/j.nut.2012.05.011
Perera R, Ekanayake L. Relationship between nutritional status and tooth loss in an older population from Sri Lanka. Gerodontology. 2012;29(2):e566-e570. doi:10.1111/j.1741-2358.2011.00518.x
Sheiham A, Steele JG, Marcenes W, Finch S, Walls AW. The relationship between oral health status and body mass index among older people: a national survey of older people in Great Britain. Br Dent J. 2002;192(12):703-706. doi:10.1038/sj.bdj.4801461
Hilgert JB, Hugo FN, de Sousa ML, Bozzetti MC. Oral status and its association with obesity in southern Brazilian older people. Gerodontology. 2009;26(1):46-52. doi:10.1111/j.1741-2358.2008.00226.x
Axium. https://www.exansoftware.com/. Accessed November 13, 2023.
Rutgers School of Dental Medicine. https://sdm.rutgers.edu/. Accessed November 13, 2023.
Centers for Disease Control and Prevention. Body Mass Index (BMI). https://www.cdc.gov/healthyweight/assessing/bmi/index.html. Accessed November 13, 2023.
Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity. Data, Trend and Maps. 2023. https://www.cdc.gov/nccdphp/dnpao/data-trends-maps/index.html. Accessed November 13, 2023.
Centers for Disease Control and Prevention. Defining Adult Overweight and Obesity. 2022. https://www.cdc.gov/obesity/basics/adult-defining.html. Accessed JNovember 13, 2023.
American Medical Association House of Delegates Handbook. Report 07 of the Council on Science and Public Health. Support Removal of BMI as a Standard Measure in Medicine and Recognizing Culturally-Diverse and Varied Presentations of Eating Disorders and Indications for Metabolic and Bariatric Surgery. Resolution 407-A-22, 65-83 2023. https://www.ama-assn.org/system/files/a23-handbook-refcom-d.pdf#page=65. Accessed November 13, 2023.
American Medical Association. Press Release: AMA adopts new policy clarifying the role of BMI as a measure in medicine. 2023. https://www.ama-assn.org/press-center/press-releases/ama-adopts-new-policy-clarifying-role-bmi-measure-medicine. Accessed November 13, 2023.
Glick M. The relevance of oral health. J Am Dent Assoc. 2019;150(8):637-638. doi:10.1016/j.adaj.2019.06.019
Gotfredsen K, Walls AW. What dentition assures oral function? Clin Oral Implants Res. 2007;18(Suppl 3):34-45. doi:10.1111/j.1600-0501.2007.01436.x
U.S. Census Bureau Quick Facts: United States. https://www.census.gov/quickfacts/fact/table/US/PST045221. Accessed November 13, 2023.
Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism. 2022;133:155217. doi:10.1016/j.metabol.2022.155217
U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2020-2025 Dietary Guidelines for Americans, 9th edition. https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf. Accessed November 13, 2023.
Marshall T. Dietary implications for dental caries: a practical approach on dietary counseling. Dent Clin N Am. 2019;63(4):595-605. doi:10.1016/j.cden.2019.06.005
Moores CJ, Kelly SAM, Moynihan PJ. Systematic review of the effect on caries of sugars intake: ten-year update. J Dent Res. 2022;101(9):1034-1045. doi:10.1177/00220345221082918
Nascimento GG, Leite FR, Conceicao DA, Ferrua CP, Singh A, Demarco FF. Is there a relationship between obesity and tooth loss and edentulism? A systematic review and meta-analysis. Obes Rev. 2016;17(7):587-598. doi:10.1111/obr.12418
Weintraub JA, Kaeberlein M, Perissinotto C, et al. Geroscience: aging and oral health research. Adv Dent Res. 2023;31(1):2-15. doi:10.1177/08959374231200840
Nelson S, Kim EGR, Kaelber DC. Integrating oral health into primary care: perspectives for older adults. J Dent Res. 2023;102(8):849-853. doi:10.1177/00220345231165011