Factors associated with malnutrition among older people in Swedish short-term care: Poor oral health, dysphagia and mortality.

IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Susanne Lindqvist, Lena Olai, Patricia Hägglund
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引用次数: 0

Abstract

Objectives: To investigate the relationship between malnutrition and potential contributing factors such as poor oral health, dysphagia and mortality among older people in short-term care.

Methods: This cross-sectional study is a part of the multidisciplinary multicentre project SOFIA (Swallowing function, Oral health and Food Intake in old Age), which includes older people (≥65 years) in 36 short-term care units in five regions of Sweden. Nutritional status was measured with version II of the Minimal Eating Observation and Nutrition Form (MEONF-II), oral health with the Revised Oral Assessment Guide (ROAG), dysphagia with a water swallow test, and the mortality rate was followed for 1 year. Data were analysed using descriptive analysis and logistic regression models to calculate odds ratios for the association between malnutrition and these factors.

Results: Among the 391 participants, the median age was 84 years and 53.3% were women. Mortality rate was 25.1% within 1 year in the total group, and was higher among malnourished participants than among their well-nourished counterparts. Severe dysphagia (OR: 6.51, 95% CI: 2.40-17.68), poor oral health (OR: 5.73, 95% CI: 2.33-14.09) and female gender (OR: 2.2, 95% CI: 1.24-3.93) were independently associated with malnutrition.

Conclusion: Mortality rate was higher among malnourished people than those who were well nourished. Severe dysphagia, poor oral health and female gender was predictors of malnutrition among older people in short-term care. These health risks should be given more attention in short-term care with early identification.

瑞典短期护理机构中老年人营养不良的相关因素:口腔健康状况不佳、吞咽困难和死亡率。
目的调查营养不良与潜在诱因(如口腔健康状况差、吞咽困难)之间的关系,以及接受短期护理的老年人的死亡率:这项横断面研究是多学科多中心项目 SOFIA(老年吞咽功能、口腔健康和食物摄入)的一部分,研究对象包括瑞典五个地区 36 家短期护理机构中的老年人(≥65 岁)。营养状况通过第二版《最低进食观察和营养表》(MEONF-II)进行测量,口腔健康通过《修订口腔评估指南》(ROAG)进行测量,吞咽困难通过吞水测试进行测量,并对死亡率进行为期一年的跟踪调查。采用描述性分析和逻辑回归模型对数据进行分析,以计算营养不良与这些因素之间关系的几率比:在 391 名参与者中,年龄中位数为 84 岁,53.3% 为女性。所有参与者在 1 年内的死亡率为 25.1%,营养不良者的死亡率高于营养良好者。严重吞咽困难(OR:6.51,95% CI:2.40-17.68)、口腔卫生差(OR:5.73,95% CI:2.33-14.09)和女性(OR:2.2,95% CI:1.24-3.93)与营养不良有独立关联:结论:营养不良者的死亡率高于营养良好者。严重吞咽困难、口腔健康状况差和女性性别是短期护理老年人营养不良的预测因素。这些健康风险应在短期护理中得到更多关注,并及早发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International journal of dental hygiene
International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.00
自引率
8.30%
发文量
78
审稿时长
>12 weeks
期刊介绍: International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.
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