Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study

Vivienne A. L. Huppertz; Gert-Jan van der Putten; Ruud J. G. Halfens; Jos M. G. A. Schols; Lisette C. P. G. M. de Groot

doi:10.1016/j.jamda.2017.05.022

Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study

Vivienne A. L. Huppertz^*, Gert-Jan van der Putten, Ruud J. G. Halfens, Jos M. G. A. Schols, Lisette C. P. G. M. de Groot

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Introduction: According to the World Health Organization (WHO) and FDI World Dental Federation (FDI), malnutrition and bad oral health are of great concern to global health, especially among the older population. This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewing problems, and xerostomia) and malnutrition in residents of somatic and psycho-geriatric wards in Dutch nursing homes.

Methods: Data of the cross-sectional National Prevalence Measurement of Quality of Care study (Land-elijke Prevalentiemeting Zorgproblemen study) in the Netherlands were used to evaluate nutritional status and oral health of 3220 residents, aged 65 or older and living in somatic or psychogeriatric wards in Dutch nursing homes. Cox regression was performed to calculate prevalence ratios (PR) of malnutrition among these residents.

Results: Of the total study population, 11.7% were malnourished, 28.6% suffered from xerostomia, 25.6% suffered from chewing problems, and 10.1% experienced problems eating due to (artificial) teeth problems. Within somatic wards, 9.0% were malnourished, whereas 13.2% of residents in psychogeriatric wards were malnourished. Increased risk for malnutrition was found among psychogeriatric residents who had problems with eating due to (artificial) teeth problems (PR 1.6, 95% CI 1.1-2.3).

Conclusion: Poor oral health, mostly problems with eating due to (artificial) teeth problems, was associated with an almost twofold risk for malnutrition in older residents in Dutch nursing homes and even more so in psychogeriatric residents than in somatic residents. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

Original language	English
Pages (from-to)	948-954
Number of pages	7
Journal	Journal of the American Medical Directors Association
Volume	18
Issue number	11
DOIs	https://doi.org/10.1016/j.jamda.2017.05.022
Publication status	Published - Nov 2017

Keywords

Malnutrition
oral health
geriatrics
QUALITY-OF-LIFE
ELDERLY-PEOPLE
OLDER-ADULTS
TOOTH LOSS
PREVALENCE MEASUREMENT
NUTRITIONAL-STATUS
CARE PROBLEMS
DRY MOUTH
XEROSTOMIA
POPULATION

Access to Document

10.1016/j.jamda.2017.05.022

Cite this

@article{08ba1ac3f2694f07988fe73a1ad100bd,

title = "Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study",

abstract = "Introduction: According to the World Health Organization (WHO) and FDI World Dental Federation (FDI), malnutrition and bad oral health are of great concern to global health, especially among the older population. This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewing problems, and xerostomia) and malnutrition in residents of somatic and psycho-geriatric wards in Dutch nursing homes.Methods: Data of the cross-sectional National Prevalence Measurement of Quality of Care study (Land-elijke Prevalentiemeting Zorgproblemen study) in the Netherlands were used to evaluate nutritional status and oral health of 3220 residents, aged 65 or older and living in somatic or psychogeriatric wards in Dutch nursing homes. Cox regression was performed to calculate prevalence ratios (PR) of malnutrition among these residents.Results: Of the total study population, 11.7% were malnourished, 28.6% suffered from xerostomia, 25.6% suffered from chewing problems, and 10.1% experienced problems eating due to (artificial) teeth problems. Within somatic wards, 9.0% were malnourished, whereas 13.2% of residents in psychogeriatric wards were malnourished. Increased risk for malnutrition was found among psychogeriatric residents who had problems with eating due to (artificial) teeth problems (PR 1.6, 95% CI 1.1-2.3).Conclusion: Poor oral health, mostly problems with eating due to (artificial) teeth problems, was associated with an almost twofold risk for malnutrition in older residents in Dutch nursing homes and even more so in psychogeriatric residents than in somatic residents. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.",

keywords = "Malnutrition, oral health, geriatrics, QUALITY-OF-LIFE, ELDERLY-PEOPLE, OLDER-ADULTS, TOOTH LOSS, PREVALENCE MEASUREMENT, NUTRITIONAL-STATUS, CARE PROBLEMS, DRY MOUTH, XEROSTOMIA, POPULATION",

author = "Huppertz, {Vivienne A. L.} and {van der Putten}, Gert-Jan and Halfens, {Ruud J. G.} and Schols, {Jos M. G. A.} and {de Groot}, {Lisette C. P. G. M.}",

year = "2017",

month = nov,

doi = "10.1016/j.jamda.2017.05.022",

language = "English",

volume = "18",

pages = "948--954",

journal = "Journal of the American Medical Directors Association",

issn = "1525-8610",

publisher = "Elsevier Science",

number = "11",

}

TY - JOUR

T1 - Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents

T2 - Results of the LPZ Study

AU - Huppertz, Vivienne A. L.

AU - van der Putten, Gert-Jan

AU - Halfens, Ruud J. G.

AU - Schols, Jos M. G. A.

AU - de Groot, Lisette C. P. G. M.

PY - 2017/11

Y1 - 2017/11

N2 - Introduction: According to the World Health Organization (WHO) and FDI World Dental Federation (FDI), malnutrition and bad oral health are of great concern to global health, especially among the older population. This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewing problems, and xerostomia) and malnutrition in residents of somatic and psycho-geriatric wards in Dutch nursing homes.Methods: Data of the cross-sectional National Prevalence Measurement of Quality of Care study (Land-elijke Prevalentiemeting Zorgproblemen study) in the Netherlands were used to evaluate nutritional status and oral health of 3220 residents, aged 65 or older and living in somatic or psychogeriatric wards in Dutch nursing homes. Cox regression was performed to calculate prevalence ratios (PR) of malnutrition among these residents.Results: Of the total study population, 11.7% were malnourished, 28.6% suffered from xerostomia, 25.6% suffered from chewing problems, and 10.1% experienced problems eating due to (artificial) teeth problems. Within somatic wards, 9.0% were malnourished, whereas 13.2% of residents in psychogeriatric wards were malnourished. Increased risk for malnutrition was found among psychogeriatric residents who had problems with eating due to (artificial) teeth problems (PR 1.6, 95% CI 1.1-2.3).Conclusion: Poor oral health, mostly problems with eating due to (artificial) teeth problems, was associated with an almost twofold risk for malnutrition in older residents in Dutch nursing homes and even more so in psychogeriatric residents than in somatic residents. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

AB - Introduction: According to the World Health Organization (WHO) and FDI World Dental Federation (FDI), malnutrition and bad oral health are of great concern to global health, especially among the older population. This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewing problems, and xerostomia) and malnutrition in residents of somatic and psycho-geriatric wards in Dutch nursing homes.Methods: Data of the cross-sectional National Prevalence Measurement of Quality of Care study (Land-elijke Prevalentiemeting Zorgproblemen study) in the Netherlands were used to evaluate nutritional status and oral health of 3220 residents, aged 65 or older and living in somatic or psychogeriatric wards in Dutch nursing homes. Cox regression was performed to calculate prevalence ratios (PR) of malnutrition among these residents.Results: Of the total study population, 11.7% were malnourished, 28.6% suffered from xerostomia, 25.6% suffered from chewing problems, and 10.1% experienced problems eating due to (artificial) teeth problems. Within somatic wards, 9.0% were malnourished, whereas 13.2% of residents in psychogeriatric wards were malnourished. Increased risk for malnutrition was found among psychogeriatric residents who had problems with eating due to (artificial) teeth problems (PR 1.6, 95% CI 1.1-2.3).Conclusion: Poor oral health, mostly problems with eating due to (artificial) teeth problems, was associated with an almost twofold risk for malnutrition in older residents in Dutch nursing homes and even more so in psychogeriatric residents than in somatic residents. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

KW - Malnutrition

KW - oral health

KW - geriatrics

KW - QUALITY-OF-LIFE

KW - ELDERLY-PEOPLE

KW - OLDER-ADULTS

KW - TOOTH LOSS

KW - PREVALENCE MEASUREMENT

KW - NUTRITIONAL-STATUS

KW - CARE PROBLEMS

KW - DRY MOUTH

KW - XEROSTOMIA

KW - POPULATION

U2 - 10.1016/j.jamda.2017.05.022

DO - 10.1016/j.jamda.2017.05.022

M3 - Article

C2 - 28733180

SN - 1525-8610

VL - 18

SP - 948

EP - 954

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

IS - 11

ER -