Oral function and nutritional status in non-acute hospitalised elders

Article Article scientifique Article Oral function and nutritional status in non-acute hospitalised elders eng 2021-12-16 2022-03 author Ohta Midori 0000-0001-9591-9893 916358 author Imamura Yoshiki 910434 author Chebib Najla 0000-0002-4094-6955 858630 author Schulte-Eickhoff Regina Marie author Allain Sandrine 807176 author Genton Graf Laurence 0000-0002-0037-5203 514243 author Mojon Philippe 26576 author Graf Christophe 0000-0002-0235-5046 105946 author Ueda Takayuki author Muller Frauke 0000-0003-3981-0134 135177 74-82 10.1111/ger.12612 34913521 0734-0664 PMC9299802 Introduction: Malnutrition and risk of malnutrition continues to be a common finding in elders, yet its association with oral function in hospitalised patients remains unclear. Material and methods: Patients aged 70 years or over who had been hospitalised for non-acute rehabilitation were recruited. Nutritional risk was screened using the Mini-Nutritional Assessment Short Form (MNA-SF) and Nutritional Risk Screening (NRS) scores. Malnutrition was assessed according to the Global Leadership Initiative on Malnutrition (GLIM) criteria. All participants underwent the oral hypofunction test battery, evaluating oral hygiene, oral dryness, occlusal force, tongue-lip motor function, tongue pressure, masticatory and swallowing function. Statistical analyses comprised Mann-Whitney or Kruskal-Wallis tests. Bivariate associations between categorical variables were tested using the Pearson chi-square test; for continuous variables, the Spearman correlation was calculated. A P-value < .05 was considered statistically significant. Results: Sixty patients aged a mean 82.5 ± 7.0 years participated. Some 88.3% were diagnosed with oral hypofunction, and this was more common in older patients (P = .020). Analysing the 7 oral hypofunction tests as an interval variable (NiOF) revealed additional correlations with number of teeth (ρ = 0.477) as well as the nutritional risk, evaluated by the MNA-SF (ρ = -0.284) and NRS (ρ = 0.317) scores. NiOF scores were higher among denture wearers (P = .003). GLIM did not confirm the correlation with NiOF. Biomarkers such as serum albumin and CRP were not associated with the NiOF score. Conclusion: In this sample, the association between oral function and nutritional state is more obvious in nutritional risk scores than in the malnutrition diagnosis by GLIM. GLIM MNA-SF Ageing Malnutrition Nutrition Older adults Oral function Oral hypofunction Aged Aged, 80 and over Geriatric Assessment Humans Malnutrition / diagnosis Nutrition Assessment Nutritional Status Pressure Tongue Dewey 617.6 Dewey 618.97 Dewey 616 212 Division de gérodontologie et prothèse adjointe 24Q3 65 Département de réadaptation et gériatrie 22B 56 Département de médecine 221 false 467 Groupe de recherche Frauke Müller 797 1386 Nutrition et chronobiologie 1038 Gerodontology 39 1 f7046002-efe2-41c1-9eb6-3bbd8f6dc97a Article (Published version) Public M_OHTA_et_al_Oral_function_and_nutr.pdf 823600 application/pdf CC BY-NC openAccess Faculté de médecine / Section de médecine dentaire / Département de réhabilitation oro-faciale / Division de gérodontologie et prothèse adjointe Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie Faculté de médecine / Section de médecine clinique / Département de médecine

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Oral function and nutritional status in non-acute hospitalised elders	Gerodontology			2022	266	442

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