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ORAL HEALTH MATTERS FOR THE NUTRITIONAL STATUS OF FRAIL OLDER PERSONS

机译：老年人口营养状况的口腔健康问题

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Oral conditions such as dry mouth, dental caries and periodontitis increase with age and affect a person’s ability to chew and swallow, which is why eating a healthy diet and obtaining a satisfactory nutritional status may be a problem. Oral health is therefore of great importance within elderly nursing care. The aim of this study was to evaluate oral health and nutritional status among older persons in a daily care context. Data from the Swedish quality register, Senior Alert, including structured assessments of oral and nutritional status using the Revised Oral Assessment Guide-Jönköping and the Mini Nutritional Assessment-Short Form. In total 1190 persons (mean age 82.3 ± 7.9) had both oral and nutritional assessments registered by nurses in daily care. Approximately 29% had moderate oral health problems and another 12% severe problems. Over 60% were considered at risk of malnutrition or malnourished. There was a correlation between poor nutritional status and poor oral health (r=0.2, p<0.001) and about half of persons at risk or malnourished simultaneously had oral problems. A multivariate logistic regression revealed that the risk of being at risk or malnourished increased with voice problems (Exp B CI 1.4–5.7 p= 0.003), mucous membranes (Exp B CI 1.0–5.4 p=0.042) and swallowing (Exp B CI 1.4–4.1 p= 0.002). Consequently, there was a relationship between oral problems and nutritional status, indicating the importance of evaluating oral status for older persons with nutritional problems. To improve oral health there is a need for exchanging knowledge between nursing staff and oral health professionals.
机译：口腔疾病（如口干，龋齿和牙周炎）会随着年龄的增长而增加，并会影响人的咀嚼和吞咽能力，这就是为什么要吃健康的饮食并获得令人满意的营养状况的原因。因此，口腔健康在老年人护理中非常重要。这项研究的目的是在日常护理中评估老年人的口腔健康状况和营养状况。来自瑞典质量注册机构“高级警报”的数据，包括使用经修订的《口腔评估指南-延雪平》和《迷你营养评估-简短表格》对口腔和营养状况进行的结构化评估。共有1190人（平均年龄82.3±7.9）接受了护士在日常护理中进行的口腔和营养评估。大约29％的人有中度口腔健康问题，另外12％的人有严重问题。超过60％的人被认为营养不良或营养不良。营养状况差和口腔健康差之间存在相关性（r = 0.2，p <0.001），大约一半处于危险或营养不良的人同时出现口腔问题。多元logistic回归显示，语音问题（Exp B CI 1.4–5.7 p = 0.003），粘膜（Exp B CI 1.0–5.4 p = 0.042）和吞咽（Exp B CI 1.4）会增加处于风险或营养不良的风险–4.1 p = 0.002）。因此，口腔问题与营养状况之间存在联系，这表明评估患有营养问题的老年人的口腔状况的重要性。为了改善口腔健康，需要在护理人员和口腔健康专业人员之间交换知识。

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