Abstract
Objective: To investigate the relationships among tooth loss, denture wearing, nutrition intake, and nutritional status. Material and Methods: This observational cohort study was conducted on 26 patients (≥ 45 years old) at the Faculty of Dentistry, Universitas Indonesia. Tooth loss was classified according to the Eichner Index. The Semi-quantitative Food Frequency Questionnaire was used to measure nutritional intake (kcal). Mini Nutritional Assessment Short Form (MNA-SF) and Handgrip Strength (HGS) assessments were employed to measure the nutritional status at baseline (before denture insertion), 1, 2, 3, 6, 9, and 12 months after denture use . Results: Significant differences in nutritional intake (p<0.05) between the Eichner B and C groups were noted at 3, 6, 9, and 12 months after using dentures. Significant increases in nutritional intake were noted after wearing the dentures (p<0.05) when compared with the baseline values. The nutritional status was considered normal in 65.4% of the patients at 12 months and 38.5% at baseline. Furthermore, the nutritional status 1, 2, 3, 6, 9, and 12 months after wearing denture was significantly improved compared with the baseline values (p<0.05). Significant differences in HGS (p<0.05) were observed between the Eichner B and C groups at 6, 9, and 12 months after using the denture. However, no significant differences in HGS were noted before and after wearing the denture (p<0.05) . Conclusion: Denture wearing can improve the nutritional intake and status of pre-elderly and elderly patients.
Highlights
The elderly population is predicted to increase rapidly worldwide, including developing countries likeIndonesia, in the future
Mini Nutritional Assessment Short Form (MNA-SF) and Handgrip Strength (HGS) assessments were employed to measure the nutritional status at baseline, 1, 2, 3, 6, 9, and 12 months after denture use
Significant increases in nutritional intake were noted after wearing the dentures (p
Summary
The elderly population is predicted to increase rapidly worldwide, including developing countries likeIndonesia, in the future. Based on Indonesia's population projection data, there were 23.66 million elderly people in Indonesia (9.03%) in 2017, and this number is expected to rapidly increase to 27.08 million in 2020 and 48.19 million in 2035 [1]. People are more susceptible to caries and periodontal disease, both of which cause tooth loss [3]. This may lead to discomfort during eating and limit the types of food consumed [4]. The elderly experience metabolic and psychological changes, which may cause systemic diseases and increased consumption of medications that could restrict the amount and type of food consumed [2]. There is no single type of food that can provide complete nutrition; a diverse food pattern is required elderly to meet the nutritional needs of the elderly [5,6]
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