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Oral health matters for the nutritional status of older persons: A population-based study
Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT.ORCID iD: 0000-0003-2786-707x
Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Periodontology, Centre of Oral Health Sciences, Malmö University, Malmö, Sweden.ORCID iD: 0000-0001-5145-8220
Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Ryhov, Jönköping, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.ORCID iD: 0000-0001-7101-3165
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 5-6, p. 1143-1152Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore the association between oral health and nutritional status in the context of daily care for older people.

BACKGROUND: Oral problems often increase with age and affect a person's ability to chew and swallow. They might also influence the ability to maintain a satisfactory nutritional status. Oral health awareness is therefore of great importance in nursing care for older people.

DESIGN: A retrospective cross-sectional study.

METHODS: Data from the Swedish quality register, Senior Alert, were used, including structured assessments of both oral and nutritional status using the Revised Oral Assessment Guide-Jönköping and the Mini Nutritional Assessment. In total, 1,156 persons (mean age: 82.8 ± 7.9) had both oral and nutritional assessments registered by the nursing staff in daily care.

RESULTS: Approximately 29% of participants had moderate oral health problems. Another 12% had severe problems. Over 60% of the persons were considered at risk of malnutrition or were malnourished. There was a weak correlation between poor nutritional status and poor oral health, and approximately one-third of the persons who were at risk or malnourished had simultaneous oral problems. A multivariate logistic regression revealed that when problems involving voice and swallowing were present, there was also a greater possibility of being assessed as at risk of malnourishment or being malnourished.

CONCLUSION: There is a relationship between oral health problems and nutritional status, indicating the importance of evaluating oral health status in older persons with nutritional problems.

RELEVANCE TO CLINICAL PRACTICE: Nursing staff involved in care for older people should be aware of the importance of including regular oral health check-ups in their work. There is also a need for nursing staff members and oral health professionals to exchange knowledge.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 27, no 5-6, p. 1143-1152
Keywords [en]
assessment, elder care, nutrition, older people, oral care
National Category
Dentistry Geriatrics Nursing
Identifiers
URN: urn:nbn:se:hj:diva-40998DOI: 10.1111/jocn.14146ISI: 000428419400074PubMedID: 29076209Scopus ID: 2-s2.0-85044286602OAI: oai:DiVA.org:hj-40998DiVA, id: diva2:1233374
Available from: 2018-07-17 Created: 2018-07-17 Last updated: 2018-07-17Bibliographically approved

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Lindmark, UlrikaJansson, HenrikLannering, ChristinaJohansson, Linda

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