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Association of oral health with body weight: a prospective study in community-dwelling older adults.
Eur J Clin Nutr. 2020 Jun; 74(6):961-969.EJ

Abstract

BACKGROUND

To prevent involuntary weight loss in older people, the knowledge about factors affecting body weight (BW) is essential. Therefore, we aimed to investigate the longitudinal associations of multiple oral health aspects with BW in community-dwelling older adults.

METHODS

This analysis is based on prospective data with a 10-year follow-up of 657 Dutch community-dwelling older adults (age 66.4 ± 5.8 years, 54% female) from the Longitudinal Aging Study Amsterdam. Participants' characteristics, BW, and 12 oral health variables (teeth, dentures, nine oral problems, self-rated oral health) were assessed in 2005/07 and 2015/16. The association between oral health and BW was analyzed by mixed models and adjusted for demographic, socio-economic, smoking, health, and functional aspects considering data of both assessments.

RESULTS

Mean BW was 79.1 ± 13.3 kg at baseline (B) and 77.6 ± 13.8 kg at follow-up (FU). At baseline, 29.6% of the participants reported being edentulous (FU:34.4%) and 55.8% to wear dentures (FU:62.3%). Dental pain while chewing was the oral problem with the lowest (B:5.2%, FU:6.6%) and xerostomia with the highest prevalence at both examinations (B:24.3%, FU:30.0%). Most participants rated their oral status as healthy (B:65.2%, FU:66.9%). Neither edentulism and denture use nor oral problems showed a longitudinal association with BW. In contrast, self-rated oral health was associated with BW (b = 0.724, SE = 0.296, p = 0.015) after adjusting for multiple confounders.

CONCLUSIONS

In community-dwelling older adults self-rated oral health may indicate changes in body weight in the long term. Therefore, this simple measure could serve to identify a risk for weight loss and to initiate oral interventions in clinical practice.

Authors+Show Affiliations

Department of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. eva.kiesswetter@fau.de. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nuremberg, Germany. eva.kiesswetter@fau.de.Research Group Microbiology and Systems Biology, TNO, Utrechtseweg 48, 3704HE, Zeist, The Netherlands. Department of Preventive Dentistry, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands.Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nuremberg, Germany.Department of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31767989

Citation

Kiesswetter, Eva, et al. "Association of Oral Health With Body Weight: a Prospective Study in Community-dwelling Older Adults." European Journal of Clinical Nutrition, vol. 74, no. 6, 2020, pp. 961-969.
Kiesswetter E, Keijser BJF, Volkert D, et al. Association of oral health with body weight: a prospective study in community-dwelling older adults. Eur J Clin Nutr. 2020;74(6):961-969.
Kiesswetter, E., Keijser, B. J. F., Volkert, D., & Visser, M. (2020). Association of oral health with body weight: a prospective study in community-dwelling older adults. European Journal of Clinical Nutrition, 74(6), 961-969. https://doi.org/10.1038/s41430-019-0536-4
Kiesswetter E, et al. Association of Oral Health With Body Weight: a Prospective Study in Community-dwelling Older Adults. Eur J Clin Nutr. 2020;74(6):961-969. PubMed PMID: 31767989.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of oral health with body weight: a prospective study in community-dwelling older adults. AU - Kiesswetter,Eva, AU - Keijser,Bart J F, AU - Volkert,Dorothee, AU - Visser,Marjolein, Y1 - 2019/11/25/ PY - 2018/10/24/received PY - 2019/11/14/accepted PY - 2019/11/11/revised PY - 2019/11/27/pubmed PY - 2019/11/27/medline PY - 2019/11/27/entrez SP - 961 EP - 969 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 74 IS - 6 N2 - BACKGROUND: To prevent involuntary weight loss in older people, the knowledge about factors affecting body weight (BW) is essential. Therefore, we aimed to investigate the longitudinal associations of multiple oral health aspects with BW in community-dwelling older adults. METHODS: This analysis is based on prospective data with a 10-year follow-up of 657 Dutch community-dwelling older adults (age 66.4 ± 5.8 years, 54% female) from the Longitudinal Aging Study Amsterdam. Participants' characteristics, BW, and 12 oral health variables (teeth, dentures, nine oral problems, self-rated oral health) were assessed in 2005/07 and 2015/16. The association between oral health and BW was analyzed by mixed models and adjusted for demographic, socio-economic, smoking, health, and functional aspects considering data of both assessments. RESULTS: Mean BW was 79.1 ± 13.3 kg at baseline (B) and 77.6 ± 13.8 kg at follow-up (FU). At baseline, 29.6% of the participants reported being edentulous (FU:34.4%) and 55.8% to wear dentures (FU:62.3%). Dental pain while chewing was the oral problem with the lowest (B:5.2%, FU:6.6%) and xerostomia with the highest prevalence at both examinations (B:24.3%, FU:30.0%). Most participants rated their oral status as healthy (B:65.2%, FU:66.9%). Neither edentulism and denture use nor oral problems showed a longitudinal association with BW. In contrast, self-rated oral health was associated with BW (b = 0.724, SE = 0.296, p = 0.015) after adjusting for multiple confounders. CONCLUSIONS: In community-dwelling older adults self-rated oral health may indicate changes in body weight in the long term. Therefore, this simple measure could serve to identify a risk for weight loss and to initiate oral interventions in clinical practice. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/31767989/Association_of_oral_health_with_body_weight:_a_prospective_study_in_community-dwelling_older_adults L2 - http://dx.doi.org/10.1038/s41430-019-0536-4 DB - PRIME DP - Unbound Medicine ER -
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