Relationship in Very Elderly Veterans of Nutritional Status, Self‐perceived Chewing Ability, Dental Status, and Social Isolation

Journal of the American Geriatrics Society - Tập 33 Số 5 - Trang 334-339 - 1985
Steven R. Gordon1,2,3, Susan L. Kelley2,4, Judy R. Sybyl1,2, Mary Mill1,2, Andrew M. Kramer5,2, Dennis W. Jahnigen6,2,7
1Chief of Geriatric Dentistry, VA Hospital, West Roxbury and Brockton, Massachusetts
2Dental, Medical, Nursing, and Dietetics services, Veterans Administration Medical Center, and the departments of Applied Dentistry and Medicine and the Center for Health Services Research, University of Colorado Health Sciences Center, Denver, Colorado
3Department of Prosthetic Dentistry, Harvard School of Dental Medicine
4Fellow in Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts
5Center for Health Services Research, University of Colorado Health Sciences Center
6Chief of Geriatrics, VA Hospital, Denver, Colorado
7Department of Medicine, University of Colorado School of Medicine

Tóm tắt

The relationship of nutritional status, self‐perceived chewing ability, dental status, and social isolation was examined. Seventy‐three ambulatory, elderly (x̄ = 86 years) veterans were studied. Parameters of nutritional status included intakes of protein, carbohydrate, fat, and total calories, and hemoglobin, serum albumin, total lymphocyte count, and height/weight ratio were determined. Dental status was measured, and self‐perceived chewing problems and social isolation were assessed by interview. Results showed a significant correlation between perceived chewing problems and diminished protein and total caloric intake and increased carbohydrate intake. No association was found between measured dental status and nutritional status. Social isolation was weakly correlated with greater protein and calorie intake. These results support the contention that the presence of self‐perceived chewing problems are more reliable than the quality of the dentition itself as an indicator of altered nutritional status.

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