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?
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?
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DOI：
10.1079/phn2000116
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发表时间：
2001-06-01
影响因子：
3.2
通讯作者：
Steele, J
中科院分区：
文献类型：
--
作者：
Sheiham, A;Steele, J
目的：为了评估老年人的牙齿状况如何影响他们的能力，吃常见的食物，他们的营养摄入量和一些营养相关的血液analyses.Design：横断面调查的一部分，全国范围内的英国国民饮食和营养调查：65岁及以上的人。来自调查问卷的数据与临床数据和来自四天称重饮食记录的数据相关联。两个独立的代表性样本：自由生活和机构样本。七百五十三自由生活和196机构科目进行了牙科检查和interview.Results：约五分之一的齿状（天然牙齿）自由生活的人有困难吃生胡萝卜，苹果，做得好的牛排或坚果。超过一半的机构中的无牙者（没有天然牙齿但有假牙）不能轻易食用坚果、苹果和生胡萝卜等食物。在自由生活，大多数营养素和水果和蔬菜的摄入量显着低于有齿。咀嚼知觉能力随着牙齿数量的增加而增加。每日摄入的非淀粉多糖，蛋白质，钙，非血红素铁，烟酸，维生素C和内在和牛奶糖显着较低的缺牙。血浆抗坏血酸和视黄醇显着低于有齿的。血浆抗坏血酸显着相关的牙齿和后接触对牙齿。结论：天然牙齿的存在，数量和分布有关的能力，吃某些食物，影响营养摄入量和两个生化指标的营养状况。
Objectives: To assess how the dental status of older people affected their stated ability to eat common foods, their nutrient intake and some nutrition-related blood analytes.Design: Cross-sectional survey part of nation-wide British National Diet and Nutrition Survey: people aged 65 years and older. Data from a questionnaire were linked to clinical data and data from four-day weighed dietary records. Two separate representative samples: a free-living and an institutional sample. Seven-hundred-and-fifty-three free-living and 196 institution subjects had a dental exam and interview.Results: About one in five dentate (with natural teeth) free-living people had difficulty eating raw carrots, apples, well-done steak or nuts. Foods such as nuts, apples and raw carrots could not be eaten easily by over half edentate (without natural teeth but with dentures) people in institutions. In free-living, intakes of most nutrients and fruit and vegetables were significantly lower in edentate than dentate. Perceived chewing ability increased with increasing number of teeth. Daily intake of non-starch polysaccharides, protein, calcium, non-haem iron, niacin, vitamin C and intrinsic and milk sugars were significantly lower in edentate. Plasma ascorbate and retinol were significantly lower in the edentate than dentate. Plasma ascorbate was significantly related to the number of teeth and posterior contacting pairs of teeth.Conclusions: The presence, number and distribution of natural teeth are related to the ability to eat certain foods, affecting nutrient intakes and two biochemical measures of nutritional status.