Aziza Sallam, Noleen K McCorry, Michelle Harvey, Anja Heilmann, Caroline Lappin, Clare McEvoy, Gary Mitchell, Sinead Watson, Ciaran O'Neill, George Tsakos, Jayne Woodside, Paul Brocklehurst, Kerry B D Campbell, Gerry McKenna
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While the provided diet aims to prevent frailty, it may contain high levels of sugars and fermentable carbohydrates, which can contribute to oral health issues such as dental caries and periodontal disease.</p><p><strong>Methods: </strong>A scoping review was conducted following PRISMA-ScR guidelines. MEDLINE, CINAHL, Web of Science, and EMBASE were searched to answer, \"What is known about the relationship between dietary intake, nutritional status and oral health in older adults in care homes?.\"</p><p><strong>Results: </strong>Forty-nine studies (1989-2024) addressed this relationship, with most studies being cross-sectional (n = 43), including two qualitative and one mixed-method study; six were longitudinal, including one interventional. Findings highlighted the negative impact of oral health problems-xerostomia, dysphagia, and chewing issues-on dietary intake and nutritional status, while interventions like denture provision and professional tooth brushing had positive effects. Longitudinal studies emphasised the harm of sugar intake on oral health, with additional factors like dementia, resident dependency, and staffing issues adversely affecting both oral health and nutrition.</p><p><strong>Conclusions: </strong>This review highlights the complex relationship between oral health, diet, and nutrition in care homes, emphasising gaps in research on the impact of dietary intake, particularly sugar consumption, on oral health, as well as limitations in study designs.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Impact of Dietary Intake and Nutritional Status on the Oral Health of Older Adults Living in Care Homes: A Scoping Review.\",\"authors\":\"Aziza Sallam, Noleen K McCorry, Michelle Harvey, Anja Heilmann, Caroline Lappin, Clare McEvoy, Gary Mitchell, Sinead Watson, Ciaran O'Neill, George Tsakos, Jayne Woodside, Paul Brocklehurst, Kerry B D Campbell, Gerry McKenna\",\"doi\":\"10.1111/ger.12821\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To review the literature on the relationship between oral health, dietary intake, and nutritional status in older adults in care homes, identifying research gaps.</p><p><strong>Background: </strong>Many older adults in care homes retain natural teeth but face oral health issues due to challenges in maintaining hygiene and limited dental care access. 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引用次数: 0
摘要
目的:回顾有关养老院老年人口腔健康、饮食摄入和营养状况之间关系的文献,找出研究空白。背景:许多老年人在养老院保留天然牙齿,但面临口腔健康问题,由于保持卫生的挑战和有限的牙科保健机会。虽然提供的饮食旨在防止身体虚弱,但它可能含有大量的糖和可发酵的碳水化合物,这可能会导致龋齿和牙周病等口腔健康问题。方法:根据PRISMA-ScR指南进行范围审查。我们搜索了MEDLINE, CINAHL, Web of Science和EMBASE来回答,“在养老院的老年人中,饮食摄入,营养状况和口腔健康之间的关系是什么?”结果:49项研究(1989-2024)探讨了这种关系,其中大多数研究是横断面研究(n = 43),包括两项定性研究和一项混合方法研究;6个是纵向的,包括一个介入。研究结果强调了口腔健康问题——口干症、吞咽困难和咀嚼问题——对饮食摄入和营养状况的负面影响,而提供假牙和专业刷牙等干预措施则有积极影响。纵向研究强调了糖摄入对口腔健康的危害,痴呆、居民依赖和人员配备问题等其他因素对口腔健康和营养都有不利影响。结论:本综述强调了养老院中口腔健康、饮食和营养之间的复杂关系,强调了饮食摄入(尤其是糖摄入)对口腔健康影响研究的空白,以及研究设计的局限性。
The Impact of Dietary Intake and Nutritional Status on the Oral Health of Older Adults Living in Care Homes: A Scoping Review.
Objectives: To review the literature on the relationship between oral health, dietary intake, and nutritional status in older adults in care homes, identifying research gaps.
Background: Many older adults in care homes retain natural teeth but face oral health issues due to challenges in maintaining hygiene and limited dental care access. While the provided diet aims to prevent frailty, it may contain high levels of sugars and fermentable carbohydrates, which can contribute to oral health issues such as dental caries and periodontal disease.
Methods: A scoping review was conducted following PRISMA-ScR guidelines. MEDLINE, CINAHL, Web of Science, and EMBASE were searched to answer, "What is known about the relationship between dietary intake, nutritional status and oral health in older adults in care homes?."
Results: Forty-nine studies (1989-2024) addressed this relationship, with most studies being cross-sectional (n = 43), including two qualitative and one mixed-method study; six were longitudinal, including one interventional. Findings highlighted the negative impact of oral health problems-xerostomia, dysphagia, and chewing issues-on dietary intake and nutritional status, while interventions like denture provision and professional tooth brushing had positive effects. Longitudinal studies emphasised the harm of sugar intake on oral health, with additional factors like dementia, resident dependency, and staffing issues adversely affecting both oral health and nutrition.
Conclusions: This review highlights the complex relationship between oral health, diet, and nutrition in care homes, emphasising gaps in research on the impact of dietary intake, particularly sugar consumption, on oral health, as well as limitations in study designs.
期刊介绍:
The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.