The Indian Journal of Nutrition and Dietetics

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Dietary Practices and Nutritional Status of Elderly having Varied Dental Status


Affiliations
1 Department of Food and Nutrition, Institute of Home Economics, University of Delhi, Delhi, India
     

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Advancing age brings with it lots of physiological changes in the body and loss of teeth is one of them. Lack of appropriate dental health may pose difficulties which may make the elderly vulnerable to dietary restrictions with possible consequences on their nutritional status. The present study was undertaken to assess and compare the dietary practices and nutritional status of elderly having varied dental status. A total of 90 free living elderly men and women (60 - 80 years) belonging to middle income group; 30 using no dentures, 30 with fixed dentures/ implants and 30 using removable dentures constituted the study sample. Data were gathered from the subjects using a questionnaire-cum-interview schedule and one day 24 hour diet recall method. Anthropometric measurements were also taken. The findings revealed that elderly using removable or fixed dentures/ implants had better self-perception about their dental status, experienced less discomfort while eating and had lower adverse effect on their chewing ability as compared to non-denture wearers. Elderly with fixed dental implants also had slightly better intakes of more nutrients, however, no distinct pattern was observed between the elderly from different groups. Elderly, not using any dentures in spite of having less number of natural teeth experienced reduced pleasure in eating different types of foods and were at the maximum risk of a compromised nutritional status among the three study groups. It could be concluded that getting their lost teeth replaced either as fixed implants or using removable dentures may help elderly enjoy a variety of foods and meet their nutritional requirements optimally.

Keywords

Dental Status, Dentures, Edentulism, Oral Health, Nutritional Status.
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  • Vir, S.C. Public Health Nutrition in Developing Countries, Woodhead Publishing India Pvt. Ltd., New Delhi, 2011, 21.

  • Census of India 2011. Office of the Registrar General and Census Commissioner, Government of India. Available from: http:/www: censusindia.gov.in/

  • Sharma, O.P. Geriatric Care: A textbook of Geriatrics and Gerontology, Viva Books Private Ltd., 2008.

  • Petersen, P.E. and Yamamoto, T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community. Dent. Oral. Epidemiol., 2005, 33, 81-92.

  • Kandelman, D., Petersen, P.E. and Ueda, H. Oral health, general health, and quality of life in older people. Spec. Care. Dentist., 2008, 28, 224-236.

  • Panchbai, A.S. Editorial – National Oral Health Care Programme (NOHCP) implementation strategies. Ind. J. Comm. Med., 2004, 29, 1-10.

  • Locker, D., Matear, D., Stephens, M. and Jokovic, A. Oral health-related quality of life of a population of medically compromised elderly people. Comm. Dent. Health., 2002, 19, 90-97.

  • Naito, M., Yuasa, H., Nomura, Y., Nakayama, T., Hamajima, N. and Hanada, N. Oral health status and health-related quality of life: A systematic review, J. Oral. Sci., 2006, 48, 1-7.

  • Jensen, PM., Saunders, R.L., Thierer, T. and Friedman, B. Factors associated with oral health-related quality of life in community-dwelling elderly persons with disabilities. J. Am. Geriatr. Soc., 2008, 56, 711-717.

  • Emami, E., de Souza, R.F., Kabawat M. and Feine J.S. The impact of edentulism on oral and general health. Int. J. Dent., 2013, 1-7.

  • De Marchi, R.J., Hugo, F.N., Padilha, D.M., Hilgert, J.B., Machado, D.B., Durgante, P.C. and Antunes, M.T. Edentulism, use of dentures and consumption of fruit and vegetables in south Brazilian community-dwelling elderly. J. Oral. Rehabil. 2011, 38, 533-540.

  • Marshall, T.A., Warren, J.J., Hand, J.S., Xie, X. and Stumbo, P.J. Oral health, nutrient intake and dietary quality in the very old. J. Am. Dent. Assoc., 2002, 133, 1369-1379.

  • Savoca, M.R., Arcury, T.A., Leng, X., Chen, H., Bell, R.A., Anderson, A.M., Kohrman, T., Gilbert, G.H. and Quandt, S.A. Association between dietary quality of rural older adults and self-reported food avoidance and food modification due to oral health problems. J. Am. Geriatr. Soc., 2010, 58, 1225-1232.

  • Marcenes, W., Steele, J.G., Sheiham, A. and Walls, A.W.G. The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index in older people. Cad. Saude. Publica., 2003, 19, 809-816.

  • ICMR. Nutritive Value of Indian Foods: Gopalan, C., Ramasastri, B.V., Balasubramanian S.C., Narasinga Rao, B.S., Deosthale, Y.G., Pant, K.C. NIN, Indian Council of Medical Research, 1989.

  • Indian Council of Medical Research. Nutrient requirements and recommended dietary allowances for Indians. A report of the expert group of the I.C.M.R., New Delhi, 2010.

  • WHO. Global Database on Body Mass Index, World Health Organisation, 2006.

  • Gotfredsen, K. and Walls, A.W.G. What dentition assures oral function? Clin. Oral Implants Res., 2007, 18, 34-45.

  • Sheiham, A. and Steele, J. Does the condition of the mouth and teeth affect the ability to eat certain foods, nutrient and dietary intake and nutritional status amongst older people? Public Health. Nutr., 2001, 4, 797-703.

  • Osterberg, T., Dey, D.K., Sundh, V., Carlsson, G.E., Jansson, J.O. and Mellstrom, D. Edentulism associated with obesity: a study of four national surveys of 16 416 Swedes aged 55–84 years. Acta Odontologica Scandinavica., 2010, 68, 360–367.

  • Locker, D. The burden of oral disorders in a population of older adults. Comm. Dent. Health., 1992, 9, 109-124.

  • Joshipura, K.J., Willett, W.C., Douglass, C.W. The impact of edentulousness on food and nutrient intake. J. Am. Dent. Asso., 1996, 127, 459–467.

  • https://www.agingcare.com/Articles/denture-care-for-false-teeth-148020.htm (Accessed May 28, 2016)

  • Rathee, M. and Hooda, A. Nutritional status in denture wearers: A Review. Int. J. Nutr. Wellness., 2009, 10, 2.

  • Savoca, M.R., Arcury, T.A., Leng, X., Chen, H., Bell, R.A., Anderson, A.M., Kohrman, T., Gilbert, G.H. and Quandt, S.A. Impact of denture usage patterns on dietary quality and food avoidance among older adults. J. Nutr. Gerontol. Geriatr., 2011, 30, 86–102.

  • Sara, A.Q., Chen, H., Ronny, A.B., Margaret, R.S., Andrea, M.A., Xiaoyan, L., Teresa, K., Gregg, H. G., and Thomas, A. Food avoidance and food modification practices of older rural adults: association with oral health status and implications for service provision. Gerontologist., 2009, 50, 100-11.

  • deAndrade, F.B., deFranca, C.A. and Kitoko, P.M. Relationship between oral health, nutrient intake and nutritional status in a sample of Brazilian elderly people. Gerodontol., 2009, 26, 40-45.

  • Torres, L.H., da Silva, D.D., Neri, A.L., Hilgert, J.B., Hugo ,F.N. and Sousa, M.L. Association between underweight and overweight/obesity with oral health among independently living Brazilian elderly. Nutr., 2013, 29, 152-157.


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  • Dietary Practices and Nutritional Status of Elderly having Varied Dental Status

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Authors

Ritushri Chamoli
Department of Food and Nutrition, Institute of Home Economics, University of Delhi, Delhi, India
Shipra Gupta
Department of Food and Nutrition, Institute of Home Economics, University of Delhi, Delhi, India

Abstract


Advancing age brings with it lots of physiological changes in the body and loss of teeth is one of them. Lack of appropriate dental health may pose difficulties which may make the elderly vulnerable to dietary restrictions with possible consequences on their nutritional status. The present study was undertaken to assess and compare the dietary practices and nutritional status of elderly having varied dental status. A total of 90 free living elderly men and women (60 - 80 years) belonging to middle income group; 30 using no dentures, 30 with fixed dentures/ implants and 30 using removable dentures constituted the study sample. Data were gathered from the subjects using a questionnaire-cum-interview schedule and one day 24 hour diet recall method. Anthropometric measurements were also taken. The findings revealed that elderly using removable or fixed dentures/ implants had better self-perception about their dental status, experienced less discomfort while eating and had lower adverse effect on their chewing ability as compared to non-denture wearers. Elderly with fixed dental implants also had slightly better intakes of more nutrients, however, no distinct pattern was observed between the elderly from different groups. Elderly, not using any dentures in spite of having less number of natural teeth experienced reduced pleasure in eating different types of foods and were at the maximum risk of a compromised nutritional status among the three study groups. It could be concluded that getting their lost teeth replaced either as fixed implants or using removable dentures may help elderly enjoy a variety of foods and meet their nutritional requirements optimally.

Keywords


Dental Status, Dentures, Edentulism, Oral Health, Nutritional Status.

References