背景:随着老年人口功能的下降,口腔健康和食物口腔加工问题出现,可能会增加营养不良的风险。口腔健康受损与较差的营养状况有关;然而,口服因素与每种营养素摄入量之间的关系仍然知之甚少。
目的:调查了社区居住老年人不同口腔因子与营养摄入之间的关系。
方法:来自5个数据库的文献检索(WebofScience,Scopus,科克伦图书馆,Ovid[MEDLINEandEmbase],andCINAHL)已于2022年2月1日完成。搜索仅限于2012年至2022年之间发表的同行评审文章。
方法:六项横断面研究纳入荟萃分析。两位作者独立完成了数据提取,总结了研究特点,在统计分析中调整的因素,结果,并对结果进行汇总统计。
方法:荟萃分析显示,受损的口腔因素之间存在显着关联(即,义齿状态,咀嚼能力,和齿数)具有较低能量(加权平均差[WMD],-107千卡d-1(95%CI,-132至-81),蛋白质(WMD,-5.2gd-1;95%CI,-6.6至-3.8),脂肪(大规模杀伤性武器,-4.6gd-1;95%CI,-6.7至-2.6),碳水化合物(大规模杀伤性武器,-8.8gd-1;95%CI,-13.9至-3.7),和维生素C摄入量(大规模杀伤性武器,-12.9mgd-1;95%CI,-16.6至-9.2)在老年人中。
结论:口腔健康可能是日常能量受损的指标,蛋白质,脂肪,碳水化合物,老年人的维生素C摄入量。然而,本综述纳入的研究样本量较小,以及大量营养素研究之间的异质性应予以考虑.由于缺乏涵盖食品口腔加工各个方面的研究(例如,唾液流速,舌头压力),口服处理和营养素摄入之间的关系尚未被彻底研究.
背景:PROSPERO注册号。CRD42022308823。
BACKGROUND: Oral health and food oral-processing issues emerge with functional decline in the older adult population, potentially increasing the risk of malnutrition. Impairment of oral health is associated with poorer nutrition status; however, the relationship between oral factors and the intake of each nutrient remains poorly understood.
OBJECTIVE: The associations between different oral factors and nutrient intakes among community-dwelling older adults were investigated.
METHODS: A literature search from 5 databases (Web of Science, Scopus, Cochrane Library, Ovid [MEDLINE and Embase], and CINAHL) was completed on February 1, 2022. The search was limited to peer-reviewed articles published between the years 2012 and 2022.
METHODS: Six cross-sectional studies were included in the meta-analysis. Two authors independently completed the data extraction and summarized the study characteristics, factors adjusted for in the statistical analysis, the outcome, and summary statistics of the results.
METHODS: Meta-analyses showed evidence of a significant association between compromised oral factors (namely, denture status, chewing ability, and the number of teeth) with lower energy (weighted mean difference [WMD], -107 kcal d-1 (95% CI, -132 to -81), protein (WMD, -5.2 g d-1; 95% CI, -6.6 to -3.8), fat (WMD, -4.6 g d-1; 95% CI, -6.7 to -2.6), carbohydrate (WMD, -8.8 g d-1; 95% CI, -13.9 to -3.7), and vitamin C intakes (WMD, -12.9 mg d-1; 95% CI, -16.6 to -9.2) in older adults.
CONCLUSIONS: Oral health can be an indicator of compromised daily energy, protein, fat, carbohydrate, and vitamin C intakes in older adults. However, the small sample size of the studies included in this
review and the heterogeneity among macronutrient studies should be considered. Because of the lack of studies covering all aspects of food oral processing (eg, salivary flow rate, tongue pressure), the associations between oral processing and nutrient intake were not thoroughly explored.
BACKGROUND: PROSPERO registration no. CRD42022308823.