Journal ArticleDOI
Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients.
Philippe Poisson,Thibault Laffond,Sandra Campos,Véronique Dupuis,Isabelle Bourdel-Marchasson,Isabelle Bourdel-Marchasson +5 more
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TLDR
Although no causality can be demonstrated, poor oral health was strongly associated with malnutrition, emphasising the importance to develop oral care strategies and to incorporate a dental examination into comprehensive gerontological assessment.Abstract:
Objective
The aim of this study was to describe relationships between oral status, dysphagia and malnutrition in a hospitalised older people.
Background
Undernutrition in older people is a major concern in geriatric hospital wards. Different factors can modify nutritional status like dysphagia or oral status.
Materials and methods
About 159 consecutive inpatients (108 women, 51 men) were examined. Comprehensive gerontological data at baseline and nutritional status according to BMI, MNA and serum albumin concentration, dependency according to ADL scores, dietary intake, swallowing capacities and oral status were collected. Swallowing capacities and dietary intake were reassessed 1 week after.
Results
Mean age was 85.28 (SD 5.68). Seventy-seven patients were malnourished (MNA) and 34 had dysphagia. Oral treatment was necessary in 142 patients (89.30% of all population). Candidiasis was present in 17 patients and salivary flow reduction in 50. Patients with dysphagia had the lowest dietary intake. After 1 week, patients with dysphagia were retested and dysphagia had abated in three of them. Dysphagia and undernutrition were associated (p < 0.001), and both were related to candidiasis (p < 0.001 and p < 0.01). Dysphagia was also related to salivary hypofunction (p < 0.001), loss of posterior occluding pairs (POPs; p = 0.014), oral self-care dependency (p < 0.001) and self-feeding dependency (p < 0.001). Salivary hypofunction was related to candidiasis (p < 0.001) and loss of POPs (p < 0.05), and candidiasis to loss of POPs (p < 0.01).
Conclusion
Although no causality can be demonstrated, poor oral health was strongly associated with malnutrition, emphasising the importance to develop oral care strategies and to incorporate a dental examination into comprehensive gerontological assessment.read more
Citations
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Journal ArticleDOI
Oropharyngeal dysphagia in older persons – from pathophysiology to adequate intervention: a review and summary of an international expert meeting
Rainer Wirth,Rainer Dziewas,Anne Marie Beck,Pere Clavé,Shaheen Hamdy,H. J. Heppner,Susan E. Langmore,Andreas H. Leischker,Rosemary Martino,P Pluschinski,A. Rösler,Reza Shaker,Tobias Warnecke,Cornel C. Sieber,Dorothee Volkert +14 more
TL;DR: Physicians in charge of older patients should be aware that malnutrition, dehydration, and pneumonia are frequently caused by (unrecognized) dysphagia, and the diagnosis is particularly difficult in the case of silent aspiration.
Journal ArticleDOI
Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances
Claudio A.R. Gomes,Régis B Andriolo,Cathy Bennett,Suzana Angelica Silva Lustosa,Delcio Matos,Daniel Reis Waisberg,Jacques Waisberg +6 more
TL;DR: Evaluating the effectiveness and safety of PEG compared with NGT for adults with swallowing disturbances and indications for nutritional support with any underlying diseases found no statistically significant difference in cases where the technique was not reported.
Journal ArticleDOI
Relationship of nutritional status and oral health in elderly: Systematic review with meta-analysis
Mirian P. Toniazzo,Paula de Sant'Ana Amorim,Francisco Wilker Mustafa Gomes Muniz,Patrícia Weidlich +3 more
TL;DR: It was showed that well-nourished subjects had a significantly higher number of pairs of teeth/Functional Teeth Units (FTU) in comparison to individuals with risk of malnutrition or malnutrition and FTU and mean number of teeth present were significantly associated with nutritional status.
Journal ArticleDOI
Falls in the Aging Population
TL;DR: This review evaluates the current knowledge relating to falls, with particular focus on rapid screening, assessment, and strategies to prevent falls in the community.
Journal ArticleDOI
Prevalence of stroke-related sarcopenia and its association with poor oral status in post-acute stroke patients: Implications for oral sarcopenia
TL;DR: Poor oral status and stroke-related sarcopenia were very common among the patients in this study, suggesting that healthcare providers should monitor for oral sarc Openia in post-acute stroke patients.
References
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“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
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TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI
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Journal ArticleDOI
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Journal ArticleDOI
Screening for Undernutrition in Geriatric Practice Developing the Short-Form Mini-Nutritional Assessment (MNA-SF)
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