根据PRISMA声明,对可用的建议进行了范围审查,以解决戴假牙的人遇到的饮食问题。目的是识别和映射类型,volume,和可用的饮食建议的内容。
Medline,CINAHL,搜索了灰色文献数据库和谷歌。与研究类型有关的相关内容,同行评审与灰色文学,原产国,建议内容,并绘制了评估有效性的方法。
在从同行评审文献中确定的4591条记录中,56篇论文进行了重复筛选,产生26篇论文(来自德国(n=1),欧洲(n=1),印度(n=2),日本(n=7),英国(n=6),美国(n=6),或其他(n=3))被包括在审查中。这些产生了18种不同的相关饮食建议。在经过筛选的258个网站中,包括63个,产生30种不同的饮食建议。被引用最多的建议是吃软的食物,避免吃坚硬和粘稠的食物,把食物切成小块,并在嘴的两侧咀嚼,并缓慢而彻底地咀嚼。所确定的建议没有得到同行评审证据的支持。建议包括一些相互矛盾的信息,一些建议不符合权威的营养建议(例如,避免红肉,服用维生素补充剂)。
支持在提供义齿时提供饮食建议。存在基于临床经验的广泛建议,以支持佩戴假牙的人克服功能限制。然而,此建议在改善饮食和饮食体验方面的功效尚未经过测试。
A scoping
review of available advice to address eating problems experienced by people who wear
dentures was conducted in accordance with the PRISMA statement. The objective was to identify and map type, volume, and content of the available eating advice.
Medline, CINAHL, and grey literature databases and Google were searched. Relevant content pertaining to study type, peer-
review vs. grey literature, country of origin, advice content, and methods to evaluate effectiveness was mapped.
Of the 4591 records identified from peer-reviewed literature, 56 full papers underwent duplicate screening, resulting in 26 papers (from Germany (n = 1), Europe (n = 1), India (n = 2), Japan (n = 7), UK (n = 6), USA (n = 6), or other (n = 3)) being included in the
review. These yielded 18 different items of relevant eating advice. Of the 258 screened websites, 63 were included, yielding 30 different items of eating advice. The most-cited advice was to eat soft food and avoid hard and sticky food, cut food into bite-sized pieces, and chew on both sides of the mouth and chew slowly and thoroughly. The identified advice was not supported by reference to peer-reviewed evidence. Advice included some conflicting messages and some advice was non-compliant with authoritative nutritional advice (e.g., avoid red meat, take a vitamin supplement).
There is support for providing eating advice at the time of denture provision. A broad range of advice based on clinical experience to support people who wear
dentures to overcome the functional limitations exists. However, the efficacy of this advice in improving diet and eating experience has not been tested.