Influence of denture improvement on the nutritional status and quality of life of geriatric patients.
Influence of denture improvement on the nutritional status and quality of life of geriatric patients.
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义齿改良对老年患者营养状况和生活质量的影响
DOI：
10.1016/j.jdent.2008.05.017
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发表时间：
2008
影响因子：
4.4
通讯作者：
M. Balkenhol
中科院分区：
文献类型：
--
作者：
B. Wöstmann;Karin Michel;Bernd Brinkert;Andrea Melchheier;P. Rehmann;M. Balkenhol
最近的研究表明，营养、口腔健康、饮食习惯、患者满意度和他们的社会经济地位之间存在相关性。然而，因变量和自变量仍不清楚。目的本研究旨在探讨改良义齿对老年患者营养状况及口腔健康相关生活质量的影响。材料与方法从两家养老院的100名住院患者中随机抽取47名具有自理能力（最低年龄60岁）且需要修复或更换假牙的患者。在义齿优化前和优化后6个月分别进行Mini营养评估（MNA）和咀嚼功能测试。测定营养指标（前白蛋白、血清白蛋白、锌），并记录OHIP-G14（口腔健康影响概况，德文版本），以确定优化的口腔状况对患者营养状况和口腔健康相关生活质量的影响。结果义齿优化后咀嚼能力有明显改善，但营养状况无明显改善，白蛋白、锌和MNA值基本不变，前白蛋白甚至下降。结论由于咀嚼能力和咀嚼效率不是影响营养状况的唯一因素，单纯的修复措施显然不能持久改善营养状况，因为咀嚼能力和咀嚼效率不是唯一的影响因素。营养不仅是咀嚼功能的问题，还取决于其他影响因素（如习惯、口味和文化习俗以及经济和组织方面）。
Recent research suggests that there is a correlation between nutrition, oral health, dietary habits, patients’ satisfaction and their socio-economic status. However, the dependent and independent variables have remained unclear.OBJECTIVEThis exploratory interventional study aimed to identify the impact of denture improvement on the nutritional status as well as the oral health-related quality of life in geriatric patients.MATERIALS AND METHODSForty-seven patients who were capable of feeding themselves (minimum age: 60 years) and with dentures requiring repair or replacement were selected from a random sample of 100 residents of two nursing homes. Before and 6 months after the dentures were optimised a Mini Nutritional Assessment (MNA) and a masticatory function test were carried out. Nutritional markers (pre-albumin, serum albumin, zinc) were determined and an OHIP-G14 (Oral Health Impact Profile, German version) was recorded in order to determine the effect of the optimised oral situation on the patient's nutritional status and oral health-related quality of life.RESULTSDespite the highly significant improvement in masticatory ability after the optimisation of the dentures, no general improvement regarding the nutritional status was observed since the albumin, zinc and MNA values remained unchanged and pre-albumin even decreased.CONCLUSIONSince masticatory ability and masticatory efficiency are not the only factors affecting this, prosthetic measures alone apparently cannot effect a lasting improvement in nutritional status as masticatory ability and masticatory efficiency are not the only factors of influence. Nutrition is not only a matter of masticatory function, but also depends on other influencing factors (e.g. habits, taste and cultural customs as well as financial and organisational aspects).
饮食习惯的改变伴随着牙列的变化：人们如何应对？
DOI：
10.1111/j.1754-4505.1998.tb01356.x
发表时间：
1998
期刊：
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
影响因子：
--
作者：
Ettinger,RL
通讯作者：
Ettinger,RL
不合适的假牙和新假牙的改进对咀嚼性能的影响。
DOI：
10.1016/s0022-3913(96)90483-7
发表时间：
1996
期刊：
The Journal of prosthetic dentistry
影响因子：
--
作者：
Garrett,NR;Perez,P;Elbert,C;Kapur,KK
通讯作者：
Kapur,KK
DOI：
10.1111/j.1600-0528.1997.tb00941.x
发表时间：
1997-08-01
影响因子：
2.3
作者：
Slade, GD
通讯作者：
Slade, GD