노인의 영양상태에 영향을 미치는 구강건강 요인
Oral health factors affecting the nutritional status of the elderly
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Objectives: The study aimed to identify the oral health factors that affect the nutritional status of the elderly. Methods: The study was conducted over ten months from September 2013 to June 2014, and included senior citizens who were supported by the visiting health service. The rate of saliva release, the number of remaining teeth, and the ability of the elderly to identify nutritional conditions were evaluated. Statistical analyses were performed using the t-test, ANOVA, and multiple linear regression using SAS 9.4 (SAS Institute Inc., Cary, NC, USA.). Results: The study participants had an average irritation saliva secretion rate of 2.26 ± 1.11 mg per minute. The higher the rate of saliva secretion, the higher the mini nutritional assessment (MNA) score (p<0.001). The average number of remaining teeth was 8.21 ± 9.76. The MNA scores were highest in groups with 11 or more remaining teeth (p=0.001). The factors that affected the nutritional condition of the elderly were their ability to perform activities of daily living, saliva flow rate, and number of remaining teeth. The highest correlation among them was that of the standardized regression coefficient was – 0.386 by activity daily living , followed by a 0.170 saliva secretion rate and 0.118 remaining teeth in daily life performance. Conclusions: Activities of daily living and rate of saliva secretion showed the highest correlations to nutritional status of the elderly.
Abstract
Objectives: The study aimed to identify the oral health factors that affect the nutritional status of the elderly. Methods: The study was conducted over ten months from September 2013 to June 2014, and included senior citizens who were supported by the visiting health service. The rate of saliva release, the number of remaining teeth, and the ability of the elderly to identify nutritional conditions were evaluated. Statistical analyses were performed using the t-test, ANOVA, and multiple linear regression using SAS 9.4 (SAS Institute Inc., Cary, NC, USA.). Results: The study participants had an average irritation saliva secretion rate of 2.26 ± 1.11 mg per minute. The higher the rate of saliva secretion, the higher the mini nutritional assessment (MNA) score (p<0.001). The average number of remaining teeth was 8.21 ± 9.76. The MNA scores were highest in groups with 11 or more remaining teeth (p=0.001). The factors that affected the nutritional condition of the elderly were their ability to perform activities of daily living, saliva flow rate, and number of remaining teeth. The highest correlation among them was that of the standardized regression coefficient was – 0.386 by activity daily living , followed by a 0.170 saliva secretion rate and 0.118 remaining teeth in daily life performance. Conclusions: Activities of daily living and rate of saliva secretion showed the highest correlations to nutritional status of the elderly.
참고문헌 (22)
- World population prospects : the 2008 revision, "Nations U. S", Department for Economic and Social Affairs, 11~ (2009)
- Wolfgang Lutz, "The coming acceleration of global population ageing", Nature, 451(7179), pp.716~719 (2008), Springer Nature[DOI]
- J. E. Morley, "Assessment of malnutrition in older persons: A focus on the mini nutritional assessment", The journal of nutrition, health & aging, 15(2), pp.87~90 (2011), Springer Nature[DOI]
- A Ödlund Olin, "Nutritional status, well-being and functional ability in frail elderly service flat residents", European Journal of Clinical Nutrition, 59(2), pp.263~270 (2005), Springer Nature[DOI]
- Bartali B, "Low nutrient intake is an essential component of frailty in older persons", J Gerontol A Biol Sci Med Sci, 61(6), pp.589~593 (2006)[DOI]
- Nadim Haboubi, "Assessment and management of nutrition in older people and its importance to health", Clinical Interventions in Aging, 5, pp.207~ (2010), Dove Medical Press Ltd.[DOI]
- Valente da Silva HG, "Nutritional assessment associated with length of inpatients' hospital stay", Nutr Hosp, 27(2), pp.542~547 (2012)[DOI]
- Emanuele Cereda, "Mini Nutritional Assessment", Current Opinion in Clinical Nutrition and Metabolic Care, 15(1), pp.29~41 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Won YS, "The relationship of oral state and health condition among elderly people", J Korean Soc Dent Hyg, 3(2), pp.157~168 (2003)
- KAUMUDI J. JOSHIPURA, "THE IMPACT OF EDENTULOUSNESS ON FOOD AND NUTRIENT INTAKE", The Journal of the American Dental Association, 127(4), pp.459~467 (1996), Elsevier BV[DOI]
- Ritchie CS, "Oral health problems and significant weight loss among community-dwellng older adults", J Gerontol A Biol Sci Med Sci, 55(7), pp.366~371 (2000)[DOI]
- Kim KE, "The relation of salivary secretion, the oral care and the oral malodor", Master’s, pp.2001
- Vellas BJ, "The Mini Nutritional Assessment: MNA. Nutrition in the elderly", The Mini Nutritional, 37, pp.277~ (1994)[DOI]
- Katz S, "The index of adl : A standardized measure of biological and psychosocial function", JAMA, 185, pp.914~919 (1963)
- Won CW, "Korea activities of daily living scale and Korea instrumental activities of daily living scale", J Korean Geriatrics Soc, 6(1), pp.1~10 (2002)
- Kazunori Ikebe, "Association of masticatory performance with age, gender, number of teeth, occlusal force and salivary flow in Japanese older adults: Is ageing a risk factor for masticatory dysfunction?", Archives of Oral Biology, 56(10), pp.991~996 (2011), Elsevier BV[DOI]
- Lee HK, "How does the state of dentition has effect on chewing ability and nutritional intake status in the rural elderly?", J Kor Dental Assoc, 37(8), pp.601~ (1999)
- Maria-Chiara Corti, "Serum albumin and physical function as predictors of coronary heart disease mortality and incidence in older persons", Journal of Clinical Epidemiology, 49(5), pp.519~526 (1996), Elsevier BV[DOI]
- Im YG, "Factors related to activities of daily living(ADL)of elderly patients", J Soonchunhyang Med Sci, 14(1), pp.97~108 (2008)
- Ejvind Budtz-Jørgensen, "Nutrition and oral health", Best Practice & Research Clinical Gastroenterology, 15(6), pp.885~896 (2001), Elsevier BV[DOI]
- Hutton B, "Is there an association between edentulism and nutritional state?", J Dent Res, 68(3), pp.182~187 (2002)
- 김철신, "한국 노인의 구강건강수준에 따른 영양섭취 상태 - 2009년 국민건강영양조사 자료에 근거하여 -", 한국치위생학회지, 11(6), pp.833~841 (2011), 한국치위생학회