Oral health, nutrient intake and dietary quality in the very old
Oral health, nutrient intake and dietary quality in the very old
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DOI：
10.14219/jada.archive.2002.0052
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发表时间：
2002-10-01
影响因子：
3.9
通讯作者：
Stumbo, PJ
中科院分区：
文献类型：
--
作者：
Marshall, TA;Warren, JJ;Stumbo, PJ
背景。有限的食物选择和营养摄入不足与口腔健康状况不佳有关。作者描述了79岁及以上爱荷华州农村社区居民膳食多样性、营养摄入和口腔健康措施之间的关系。牙科检查由经过培训和校准的审查员进行，经过培训的采访者在受试者家中完成标准化访谈。然后，受试者（n = 220）完成了为期三天的饮食记录。适当的营养摄入量是根据美国国家科学院食品和营养委员会的膳食参考摄入量来定义的。自然牙或功能牙较少和下颌假牙不合适的受试者的平均每日营养摄入量明显低于牙齿较多或没有这些问题的受试者。在自然牙或功能牙较少和下颌假牙不合适的受试者中，摄入量的充分性较低。平均每日营养摄入量在假牙（全牙或部分假牙）和天然假牙的受试者之间没有差异。平均每日摄入量和摄取量都与受试者对口腔健康问题、咀嚼困难或温度敏感性的感知无关。在最老的爱荷华人中，天然牙齿和合适的假牙的存在与更高和更多样化的营养摄入量和更高的饮食质量有关。临床意义。维持天然牙列或提供和维持足够的下颌假体对于营养摄入以支持全身健康是重要的。
Background. Limited food choices and inadequate nutrient intake are linked to poor oral health. The authors describe relationships between dietary variety, nutrient intake and oral health measures in community-dwelling, rural Iowans aged 79 years and older.Methods. Dental examinations were conducted by trained and calibrated examiners, and trained interviewers completed standardized interviews in subjects' homes. Subjects (n = 220) then completed three-day dietary records. Adequate nutrient intakes were defined using the Dietary Reference Intakes of the Food and Nutrition board of the National Academy of Sciences.Results. Mean daily nutrient intakes were significantly lower in subjects who had fewer natural or functional teeth and ill-fitting mandibular dentures than in subjects who had more teeth or did not have these problems. Adequacy of intakes was lower in subjects who had fewer natural or functional teeth and ill-fitting mandibular dentures. Mean daily nutrient intakes did not differ between subjects with well-fitting dentures (either complete or partial) and subjects with natural teeth. Neither mean daily intake nor adequacy of intake was associated with subjects' perceptions of oral health problems, chewing difficulties or temperature sensitivity.Conclusions. The presence of natural teeth and well-fitting dentures were associated with higher and more varied nutrient intakes and greater dietary quality in the oldest old Iowans sampled.Clinical Implications. Maintenance of natural dentition or provision and maintenance of adequate mandibular prostheses are important for nutrient intakes to support systemic health.