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Dietary Habits, Nutrition and Oral Health

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Gerodontology Essentials for Health Care Professionals

Part of the book series: Practical Issues in Geriatrics ((PIG))

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Abstract

The perception of sensory and internal texture qualities of food, released during chewing and swallowing contribute to food choices and variety of diet. The older adults are vulnerable in food intake quality due to reduced hedonic perception, lower food appeal and appetite that limit food choices. Teeth are vital for chewing and oral health, but also for maintaining general health. A significant number of elders suffer from tooth loss and edentulism. The result is impaired chewing ability leading to food choice restriction and reduced intake of essential macronutrients and micronutrients, increasing the risk for malnutrition and health burden. The number, distribution and functional occluding tooth units of remaining teeth are of essential clinical significance regarding chewing performance and efficiency. Oral indicators for assessing chewing difficulties are critical for dietary interventions and dietary advice for increasing food awareness, variety in texture, cooking methods and food preparation especially to those with compromised dentitions, tooth loss and denture wearing. By applying meaningful interventions, such as providing regular oral screenings, individualised dietary and oral hygiene advise, skills are developing for health professionals with regard to oral health and its links to nutritional evaluation. Establishing practical guidelines and identifying roles in promoting oral health in an interdisciplinary environment contribute to the maintenance of older persons’ oral health in terms of chewing ability and secure balanced diet, optimal nutritional status, systemic health and overall well-being.

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References

  1. Ferruci L, Fabbri E. Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty. Nat Rev Cardiol [Internet]. 2018;15(9):505–22. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L623396519%0A, https://doi.org/10.1038/s41569-018-0064-2.

  2. Franceschi C, Garagnani P, Morsiani C, Conte M, Santoro A, Grignolio A, et al. The continuum of aging and age-related diseases: common mechanisms but different rates. Front Med. 2018;5:61.

    Article  Google Scholar 

  3. Kennedy BK, Berger SL, Brunet A, Campisi J, Cuervo AM, Epel ES, et al. Geroscience: linking aging to chronic disease. Cell [Internet]. 2014;159(4):709–13. https://doi.org/10.1016/j.cell.2014.10.039.

  4. Pretty IA. The life course, care pathways and elements of vulnerability. A picture of health needs in a vulnerable population. Gerodontology. 2014;31:1–8.

    Article  Google Scholar 

  5. Donini LM, Savina C, di Roma U, Sapienza L, Roma IL, di Scienza dell L, et al. Eating habits and appetite control in the elderly: the anorexia of aging. Int Psychogeriatrics [Internet]. 2003;IS(1):73–87. https://journals.scholarsportal.info/pdf/10416102/v15i0001/73_ehaacitetaoa.xml.

  6. Elsner RJF. Changes in eating behavior during the aging process. Eat Behav. 2002;3(1):15–43.

    Article  Google Scholar 

  7. Palacios C, Joshipura KJ, Willett W. Nutrition and health: guidelines for dental practitioners. Oral Dis [Internet]. 2009;15(6):369–81. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed9&NEWS=N&AN=2009442641.

  8. Bloom I, Lawrence W, Barker M, Baird J, Dennison E, Sayer AA, et al. What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire cohort study. UK Public Health Nutr. 2017;20(15):2685–93.

    Article  Google Scholar 

  9. Nabeshima G, Fueki K, Inamochi Y, Wakabayashi N. Effect of dietary counselling with prosthetic restoration on fruit and vegetable intake in partially dentate patients: a prospective study. J Oral Rehabil. 2018;45(8):618–26.

    Article  CAS  Google Scholar 

  10. Reyes Fernández B, Warner LM, Knoll N, Montenegro Montenegro E, Schwarzer R. Synergistic effects of social support and self-efficacy on dietary motivation predicting fruit and vegetable intake. Appetite [Internet]. 2015;87:330–5. https://doi.org/10.1016/j.appet.2014.12.223.

  11. Whitelock E, Ensaff H. On your own: older adults’ food choice and dietary habits. Nutrients. 2018;10(4).

    Google Scholar 

  12. Bruins MJ, Van Dael P, Eggersdorfer M. The role of nutrients in reducing the risk for noncommunicable diseases during aging. Nutrients. 2019;11(1).

    Google Scholar 

  13. Mertens E, Kuijsten A, Dofková M, Mistura L, D’Addezio L, Turrini A, et al. Geographic and socioeconomic diversity of food and nutrient intakes: a comparison of four European countries. Eur J Nutr. 2019;58(4):1475–93.

    Article  Google Scholar 

  14. Mozaffarian D, Rosenberg I, Uauy R. History of modern nutrition science-implications for current research, dietary guidelines, and food policy. BMJ. 2018;361:1–6.

    Google Scholar 

  15. Yoshida M, Suzuki R, Kikutani T. Nutrition and oral status in elderly people. Jpn Dent Sci Rev [Internet]. 2014;50(1):9–14. https://doi.org/10.1016/j.jdsr.2013.09.001.

  16. Friedman PK, Lamster IB. Tooth loss as a predictor of shortened longevity: exploring the hypothesis. Periodontol 2000. 2016;72(1):142–52.

    Article  Google Scholar 

  17. Tada A, Miura H. Association between mastication and cognitive status: a systematic review. Arch Gerontol Geriatr. 2017;70:44–53.

    Article  Google Scholar 

  18. Kondo H, Kurahashi M, Mori D, Iinuma M, Tamura Y, Mizutani K, et al. Hippocampus-dependent spatial memory impairment due to molar tooth loss is ameliorated by an enriched environment. Arch Oral Biol. 2016;61:1–7.

    Article  Google Scholar 

  19. Campos CH, Ribeiro GR, Costa JLR, Rodrigues Garcia RCM. Correlation of cognitive and masticatory function in Alzheimer’s disease. Clin Oral Investig. 2017;21(2):573–8.

    Article  Google Scholar 

  20. Wu B, Fillenbaum GG, Plassman BL, Guo L. Association between oral health and cognitive status: a systematic review. J Am Geriatr Soc. 2016;64(4):739–51.

    Article  Google Scholar 

  21. Cerutti-Kopplin D, Emami E, Hilgert JB, Hugo FN, Padilha DMP. Cognitive status of edentate elders wearing complete denture: does quality of denture matter? J Dent. 2015;43(9):1071–5.

    Article  Google Scholar 

  22. Heath MR. The oral management of food: the bases of oral success and for understanding the sensations that drive us to eat. Food Qual Prefer. 2002;13:453–61.

    Article  Google Scholar 

  23. Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet [Internet]. 2019;394(10194):249–60. https://linkinghub.elsevier.com/retrieve/pii/S0140673619311468.

  24. Harding A, Gonder U, Robinson SJ, Crean SJ, Singhrao SK. Exploring the association between Alzheimer’s disease, oral health, microbial endocrinology and nutrition. Front Aging Neurosci. 2017;9:398.

    Article  Google Scholar 

  25. Petersen P, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Commun Dent Oral Epidemiol [Internet]. 2005;33(2):81–92. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed7&NEWS=N&AN=15725170.

  26. Naka O, Anastassiadou V, Pissiotis A. Association between functional tooth units and chewing ability in older adults: a systematic review. Gerodontology. 2014;31(3):166–77.

    Article  Google Scholar 

  27. Kossioni AE, Dontas A. The stomatognathic system in the elderly. Useful information for the medical practitioner. Clin Interv Aging. 2008;2(4):591–7.

    Article  Google Scholar 

  28. Wöstmann B, Simon T, Neuhäuser-Berthold M, Rehmann P. Pilot study on the influence of nutritional counselling and implant therapy on the nutritional status in dentally compromised patients. PLoS One [Internet]. 2016;11(1):1–11. https://doi.org/10.1371/journal.pone.0147193.

  29. Kossioni A, Bellou O. Eating habits in older people in Greece: the role of age, dental status and chewing difficulties. Arch Gerontol Geriatr. 2011;52:197–201.

    Article  Google Scholar 

  30. Kossioni AE, Hajto-Bryk J, Janssens B, Maggi S, Marchini L, McKenna G, et al. Practical guidelines for physicians in promoting oral health in frail older adults. J Am Med Dir Assoc. 2018;19(12):1039–46.

    Article  Google Scholar 

  31. Anastassiadou V, Naka O, Heath MR, Kapari D. Validation of indices for functional assessment of dentures. Gerodontology. 2002;19(1).

    Google Scholar 

  32. Anastassiadou V, Robin Heath M. The effect of denture quality attributes on satisfaction and eating difficulties. Gerodontology. 2006;23(1).

    Google Scholar 

  33. Komagamine Y, Kanazawa M, Iwaki M, Jo A, Suzuki H, Amagai N, et al. Combined effect of new complete dentures and simple dietary advice on nutritional status in edentulous patients: study protocol for a randomized controlled trial. Trials [Internet]. 2016;17(1):1–7. https://doi.org/10.1186/s13063-016-1664-y.

  34. Mcgowan L, Mccrum L-A, Watson S, Cardwell C, McGuinness B, Rutherford H, et al. The impact of oral rehabilitation coupled with healthy dietary advice on the nutritional status of adults: a systematic review and meta-analysis. Crit Rev Food Sci Nutr [Internet]. 2019:1–21. https://www.tandfonline.com/doi/full/10.1080/10408398.2019.1630600.

  35. Mioche L, Bourdiol P, Monier S. Chewing behaviour and bolus formation during mastication of meat with different textures. Arch Oral Biol. 2003;48(3):193–200.

    Article  Google Scholar 

  36. Mishellany-Dutour A, Renaud J, Peyron M-A, Rimek F, Woda A. Is the goal of mastication reached in young dentates, aged dentates and aged denture wearers? Br J Nutr. 2008;99(1):121–8.

    Article  CAS  Google Scholar 

  37. Hildebrandt G, Dominguez L, Schork M, Loesche WJ. Functional units, chewing, swallowing, and food avoidance among the elderly. J Prosthet Dent [Internet]. 1997;77(6):588–95. http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,shib&db=jlh&AN=107346669&site=ehost-live&scope=site.

  38. Miura H, Araki Y, Hirai T, Isogai E, Hirose K, Umenai T. Evaluation of chewing activity in elderly person. J Oral Rehabil. 1998;25(3):190–3.

    Article  CAS  Google Scholar 

  39. Ostenberg T, Tsuga K, Rothenberg E, Carlsson G, Steen B. Masticatory ability in 80-year-old subjects and its relation to intake of energy, nutrients and food items. Gerodontology. 2002;19(2):95–101.

    Article  Google Scholar 

  40. Bomfim RA, de Souza LB, Corrente JE. Tooth loss and its relationship with protein intake by elderly Brazilians—a structural equation modelling approach. Gerodontology. 2018;35(1):51–8.

    Article  Google Scholar 

  41. van der Putten GJ, de Baat C, De Visschere L, Schols J. Poor oral health, a potential new geriatric syndrome. Gerodontology. 2014;31:17–24.

    Article  Google Scholar 

  42. Callif K, Schwarzberg-Lipson K, Garg N, Gibbons S, Caporaso J, Slots J, et al. crossm. mSystems [Internet]. 2017;2(3):1–14. https://msystems.asm.org/content/2/3/e00016-17.

  43. Zaura E, Brandt BW, Prodan A, Teixeira De Mattos MJ, Imangaliyev S, Kool J, et al. On the ecosystemic network of saliva in healthy young adults. ISME J [Internet]. 2017;11(5):1218–31. https://doi.org/10.1038/ismej.2016.199.

  44. Leslie W, Hankey C. Aging, nutritional status and health. Healthcare. 2015;3(3):648–58.

    Article  Google Scholar 

  45. Liljestrand JM, Havulinna AS, Paju S, Männistö S, Salomaa V, Pussinen PJ. Missing teeth predict incident cardiovascular events, diabetes, and death. J Dent Res. 2015;94(8):1055–62.

    Article  CAS  Google Scholar 

  46. Chrysohoou C, Pitsavos C, Panagiotakos DB, Skoumas J, Stefanadis C. Association between prehypertension status and inflammatory markers related to atherosclerotic disease: the ATTICA study. Am J Hypertens. 2004;17(7):568–73.

    Article  CAS  Google Scholar 

  47. Scannapieco FA, Cantos A. Oral inflammation and infection, and chronic medical diseases: implications for the elderly. Periodontol 2000. 2016;72:153–75.

    Article  Google Scholar 

  48. Barnes VM, Kennedy AD, Panagakos F, Devizio W, Trivedi HM, Jönsson T, et al. Global metabolomic analysis of human saliva and plasma from healthy and diabetic subjects, with and without periodontal disease. PLoS One. 2014;9(8):1–8.

    Article  Google Scholar 

  49. Panagiotakos DB, Milias GA, Pitsavos C, Stefanadis C. MedDietScore: a computer program that evaluates the adherence to the Mediterranean dietary pattern and its relation to cardiovascular disease risk. Comput Methods Prog Biomed. 2006;83(1):73–7.

    Article  Google Scholar 

  50. Hughes S, Kelly P. Interactions of malnutrition and immune impairment, with specific reference to immunity against parasites. Parasite Immunol. 2006;28(11):577–88.

    CAS  Google Scholar 

  51. Loesche WJ, Lopatin DE. Interactions between periodontal disease, medical diseases and immunity in the older individual. Periodontol 2000. 1998;16(1):80–105.

    Article  CAS  Google Scholar 

  52. Kanasi E, Ayilavarapu S, Jones J. The aging population: demographics and the biology of aging. Periodontol 2000. 2016;72(1):13–8.

    Article  Google Scholar 

  53. Toniazzo MP, de Amorim PSA, Muniz FWMG, Weidlich P. relationship of nutritional status and oral health in elderly: systematic review with meta-analysis. Clin Nutr [Internet]. 2018;37(3):824–30. https://doi.org/10.1016/j.clnu.2017.03.014.

  54. El Osta N, Hennequin M, Tubert-Jeannin S, Abboud Naaman NB, El Osta L, Geahchan N. The pertinence of oral health indicators in nutritional studies in the elderly. Clin Nutr [Internet]. 2014;33(2):316–21. https://doi.org/10.1016/j.clnu.2013.05.012.

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Anastassiadou, V. (2020). Dietary Habits, Nutrition and Oral Health. In: Kossioni, A. (eds) Gerodontology Essentials for Health Care Professionals. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-41468-9_5

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  • DOI: https://doi.org/10.1007/978-3-030-41468-9_5

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