医学
无牙颌
假牙
奇纳
观察研究
口腔卫生
检查表
梅德林
科克伦图书馆
营养不良
荟萃分析
牙缺失
队列研究
口腔健康
牙科
老年学
家庭医学
护理部
内科学
心理学
心理干预
法学
认知心理学
政治学
作者
Sahar Hussein,Rifat Falak Kantawalla,Stephenie Dickie,Piedad Suarez‐Durall,Reyes Enciso,Roseann Mulligan
出处
期刊:Journal of prosthodontic research
[Japan Prosthodontic Society]
日期:2022-01-01
卷期号:66 (2): 208-220
被引量:12
标识
DOI:10.2186/jpr.jpr_d_20_00207
摘要
To evaluate whether poor oral health is associated with a higher risk of malnutrition based on the Mini Nutritional Assessment (MNA) or MNA-SF (short form) in older adults.For this meta-analysis, cohort and cross-sectional studies with adults 65 years and older, reporting oral health outcomes (i.e. edentulism, number of teeth) and either the MNA or MNA-SF were selected. Four electronic databases were searched (Medline via PubMed, Web of Science, Cochrane Library and EMBASE) through June 2020. Risk of bias was assessed with the checklist by the Agency for Healthcare Research and Quality scale.A total of 928 abstracts were reviewed with 33 studies, comprising 27,559 participants, aged ≥65 being ultimately included. Meta-analyses showed that the lack of daily oral hygiene (teeth or denture cleaning), chewing problems and being partially/fully edentulous, put older adults at higher risk of malnutrition (p<0.05). After adjustment for socio-demographic variables, the included studies reported lack of autonomy for oral care, poor/moderate oral health, no access to the dentist and being edentulous with either no dentures or only one denture were risk factors significantly associated with a higher risk of malnutrition (p<0.05).These findings may imply that once elders become dependent on others for assistance with oral care, have decreased access to oral healthcare, and lack efficient chewing capacity, there is increased risk of malnourishment. Limitations of the study include heterogeneity of oral health variables and the observational nature of the studies. Further studies are needed to validate our findings.
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