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Oral condition as a predictor of risk for malnutrition during hospitalization: A cross-sectional study.
Toniazzo, Mirian Paola; Amorim, Paula Sant'na; Rost, Julia Franciele; Feldman, Juliane Viero; Beretta, Mileni Vanti; Rodrigues, Ticiana Costa; Weidlich, Patricia.
Afiliação
  • Toniazzo MP; Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
  • Amorim PS; Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
  • Rost JF; Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
  • Feldman JV; Department of Nutrition, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
  • Beretta MV; Department of Nutrition, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
  • Rodrigues TC; Department of Internal Medicine, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
  • Weidlich P; Department of Periodontology, Federal University Rio Grande do Sul, Porto Alegre, Brazil.
Nutr Clin Pract ; 37(6): 1438-1447, 2022 Dec.
Article em En | MEDLINE | ID: mdl-35271739
BACKGROUND: Malnutrition and poor oral health are common conditions in patients in the hospital. Both conditions are associated with poor systemic health. The present study aimed to assess the relationship between the oral condition and the nutrition status of individuals admitted to a large tertiary hospital. METHODS: This cross-sectional study evaluated 364 patients who received a comprehensive dental examination at their hospital bed. An examiner recorded visible plaque index, gingival bleeding index, plaque retentive factors, probing depth, clinical attachment loss, bleeding on probing, number of existing teeth, and prosthesis use. Medical status was assessed by the Charlson Comorbidity Index. The nutrition status was evaluated by the Subjective Global Assessment. Crude and adjusted prevalence ratios were estimated by Poisson regression analysis with robust variance. RESULTS: Patients with moderate to severe malnutrition presented worse oral hygiene (55.83 ± 25.16 vs 64.90 ± 24.28; P < 0.001), more gingival inflammation (24.31 ± 24.13 vs 33.43 ± 27.36; P < 0.001), higher levels of attachment loss (4.22 ± 1.81 vs 4.80 ± 1.83; P < 0.001), and a lower mean number of teeth (14.58 ± 7.45 vs 10.94 ± 6.85; P < 0.001) than patients without malnutrition. In the multivariable analysis, the number of teeth and higher comorbidity index were associated with malnutrition. CONCLUSIONS: Poor oral health and medical condition were associated with malnutrition in this single-institution study, and oral condition may be considered an indicator of malnutrition in patients in the hospital. The implications of this study include the need to raise awareness among health professionals of the importance of oral health and nutrition status in adults.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desnutrição / Gengivite Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Humans Idioma: En Revista: Nutr Clin Pract Assunto da revista: CIENCIAS DA NUTRICAO / ENFERMAGEM Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desnutrição / Gengivite Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Humans Idioma: En Revista: Nutr Clin Pract Assunto da revista: CIENCIAS DA NUTRICAO / ENFERMAGEM Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos