Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients
Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients
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DOI：
10.1111/ger.12123
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发表时间：
2016-06-01
期刊：
影响因子：
2
通讯作者：
Bourdel-Marchasson, Isabelle
中科院分区：
文献类型：
--
作者：
Poisson, Philippe;Laffond, Thibault;Bourdel-Marchasson, Isabelle
本研究的目的是描述口腔状态，吞咽困难和营养不良之间的关系在住院老年people. BackgroundUnderground在老年人的营养不良是一个主要问题，在老年医院病房。不同的因素可以修改营养状况，如吞咽困难或口腔status.Materials和methodsAbout 159连续住院患者（108名女性，51名男性）进行了检查。收集基线时的综合老年学数据和根据BMI、MNA和血清白蛋白浓度的营养状况，根据ADL评分的依赖性，饮食摄入量，吞咽能力和口腔状况。结果平均年龄为85.28岁（SD 5.68）。77例患者营养不良（MNA），34例吞咽困难。142例患者（占所有人群的89.30%）需要口服治疗。17例患者存在唾液腺扩张，50例患者存在唾液流减少。吞咽困难患者的饮食摄入量最低。1周后，对吞咽困难患者进行了重新测试，其中3例吞咽困难减轻。吞咽困难和营养不良相关（p
ObjectiveThe aim of this study was to describe relationships between oral status, dysphagia and malnutrition in a hospitalised older people.BackgroundUndernutrition in older people is a major concern in geriatric hospital wards. Different factors can modify nutritional status like dysphagia or oral status.Materials and methodsAbout 159 consecutive inpatients (108 women, 51 men) were examined. Comprehensive gerontological data at baseline and nutritional status according to BMI, MNA and serum albumin concentration, dependency according to ADL scores, dietary intake, swallowing capacities and oral status were collected. Swallowing capacities and dietary intake were reassessed 1week after.ResultsMean age was 85.28 (SD 5.68). Seventy-seven patients were malnourished (MNA) and 34 had dysphagia. Oral treatment was necessary in 142 patients (89.30% of all population). Candidiasis was present in 17 patients and salivary flow reduction in 50. Patients with dysphagia had the lowest dietary intake. After 1week, patients with dysphagia were retested and dysphagia had abated in three of them. Dysphagia and undernutrition were associated (p