Document Detail


Edentulism and nutritional status in a biracial sample of well-functioning, community-dwelling elderly: the health, aging, and body composition study.
MedLine Citation:
PMID:  14749237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Edentulism may affect dietary intake in older adults, but the relation between edentulism and nutritional status is not completely understood. OBJECTIVE: The present study examined whether edentulism is associated with nutritional status and whether there is an interaction between race and edentulism on nutritional status among well-functioning, community-dwelling elderly. DESIGN: The study cohort included 3075 elderly aged 70-79 y (52% women, 42% black) in the Health, Aging, and Body Composition Study. Dietary intake, anthropometric variables, weight change, and serum albumin and lipid concentrations were compared between edentate and dentate participants by the use of multiple linear and logistic regressions. RESULTS: Edentulism was not associated with total energy or food intake but was associated with the food groups consumed, particularly fat, micronutrients, and hard-to-chew foods. Edentulism was more strongly linked to dietary intake in whites than in blacks. Unlike black edentate elderly, white edentate elderly consumed significantly lower energy-adjusted amounts of vitamin A and beta-carotene, higher amounts of energy-adjusted total and saturated fat and cholesterol, and higher percentages of energy from fat than did white dentate elderly. Anthropometry and biochemical indexes were not significantly different by edentulism status in both races. Edentulism was associated with weight gains of >5% in 1 y in both races. CONCLUSIONS: Edentulism was associated with differences in the nutritional status of well-functioning, community-dwelling elderly, more so in whites than blacks. Edentate elders may benefit from dental, medical, and nutrition interventions targeted to addressing these findings.
Authors:
Jung Sun Lee; Robert J Weyant; Patricia Corby; Stephen B Kritchevsky; Tamara B Harris; Ronica Rooks; Susan M Rubin; Anne B Newman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  79     ISSN:  0002-9165     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-01-29     Completed Date:  2004-02-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-302     Citation Subset:  AIM; IM    
Affiliation:
Division of Geriatric Medicine, University of Pittsburgh, PA 15213, USA. leej@edc.pitt.edu
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MeSH Terms
Descriptor/Qualifier:
African Continental Ancestry Group
Aged
Body Composition
Body Mass Index
Diet*
Energy Intake
European Continental Ancestry Group
Female
Health Status
Humans
Longitudinal Studies
Male
Mastication
Mouth, Edentulous*
Nutritional Status*
Grant Support
ID/Acronym/Agency:
N01-AG-6-2101/AG/NIA NIH HHS; N01-AG-6-2103/AG/NIA NIH HHS; N01-AG-6-2106/AG/NIA NIH HHS
Comments/Corrections
Comment In:
Am J Clin Nutr. 2004 Nov;80(5):1453; author reply 1453-4   [PMID:  15531706 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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