Oral health matters for the nutritional status of older personsA population-based study

Aims and objectivesTo explore the association between oral health and nutritional status in the context of daily care for older people. BackgroundOral problems often increase with age and affect a person's ability to chew and swallow. They might also influence the ability to maintain a satisfactory nutritional status. Oral health awareness is therefore of great importance in nursing care for older people. DesignA retrospective cross-sectional study. MethodsData from the Swedish quality register, Senior Alert, were used, including structured assessments of both oral and nutritional status using the Revised Oral Assessment GuideJonkoping and the Mini Nutritional Assessment. In total, 1,156 persons (mean age: 82.87.9) had both oral and nutritional assessments registered by the nursing staff in daily care. ResultsApproximately 29% of participants had moderate oral health problems. Another 12% had severe problems. Over 60% of the persons were considered at risk of malnutrition or were malnourished. There was a weak correlation between poor nutritional status and poor oral health, and approximately one-third of the persons who were at risk or malnourished had simultaneous oral problems. A multivariate logistic regression revealed that when problems involving voice and swallowing were present, there was also a greater possibility of being assessed as at risk of malnourishment or being malnourished. ConclusionThere is a relationship between oral health problems and nutritional status, indicating the importance of evaluating oral health status in older persons with nutritional problems. Relevance to clinical practiceNursing staff involved in care for older people should be aware of the importance of including regular oral health check-ups in their work. There is also a need for nursing staff members and oral health professionals to exchange knowledge.