HUSCAP logo Hokkaido Univ. logo

Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Dental Medicine / Faculty of Dental Medicine >
Peer-reviewed Journal Articles, etc >

Relationship between weight loss and regular dental management of older adults residing in long-term care facilities : a 1-year multicenter longitudinal study

Files in This Item:
Sunakawa2021.pdf883.88 kBPDFView/Open
Please use this identifier to cite or link to this item:

Title: Relationship between weight loss and regular dental management of older adults residing in long-term care facilities : a 1-year multicenter longitudinal study
Authors: Sunakawa, Yusuke Browse this author
Tsugayasu, Hideki Browse this author
Watanabe, Yutaka Browse this author →KAKEN DB
Matsushita, Takae Browse this author
Ohara, Yuki Browse this author →KAKEN DB
Iwasaki, Masanori Browse this author →KAKEN DB
Shirobe, Maki Browse this author →KAKEN DB
Ito, Kayoko Browse this author →KAKEN DB
Nakajima, Junko Browse this author →KAKEN DB
Iwasa, Yasuyuki Browse this author
Itoda, Masataka Browse this author →KAKEN DB
Sasaki, Rikimaru Browse this author →KAKEN DB
Nishi, Yasuhiro Browse this author →KAKEN DB
Furuya, Junichi Browse this author →KAKEN DB
Watanabe, Yoshihiko Browse this author →KAKEN DB
Ishiguro, Yukie Browse this author
Hirano, Hirohiko Browse this author →KAKEN DB
Sato, Yuji Browse this author →KAKEN DB
Yoshida, Mitsuyoshi Browse this author →KAKEN DB
Yamazaki, Yutaka Browse this author →KAKEN DB
Keywords: Regular dental management
Weight loss
Long-term care
Facility residents
Regular diet
Dysphasia diet
Issue Date: 28-Oct-2021
Publisher: Springer
Journal Title: European geriatric medicine
Volume: 13
Issue: 1
Start Page: 221
End Page: 231
Publisher DOI: 10.1007/s41999-021-00576-3
PMID: 34709606
Abstract: Purpose This study aimed to determine the association between home visits by a dentist and regular oral hygiene management by a dental hygienist (regular dental management: RDM) and weight loss among older adults in long-term care facilities. Methods A total of 468 older residents from 26 Japanese long-term care facilities participated in two surveys in 2018 and 2019. Participants were divided into two groups based on their diet during the baseline survey (regular diet, n = 256; dysphagia diet, n = 212). Participants with a regular diet were further divided into those who exhibited a weight loss >= 5% over 1 year (weight loss group: n = 77) and those with a weight loss < 5% (consistent weight group: n = 179). The explanatory variables were age, sex, baseline weight, Barthel index, and clinical dementia rating, as well as the patients' medical history of pneumonia, stroke, diabetes, and depression (which is reportedly associated with weight). Additionally, a Poisson regression with robust standard error, was carried out to analyze the explanatory variables, namely the prevalence of RDM noted during the study and functional teeth (which seemed to affect weight loss). Results A multivariate analysis revealed that older residents' lack of RDM, clinical dementia assessment, and their history of pneumonia (prevalence rate ratio: 0.35, 95% confidence interval 0.24-0.95) were all significantly associated with weight loss when on a regular diet. Conclusion Thus, weight loss and RDM were related to each other. Weight loss may be suppressed by incorporating RDMs during the early nursing care for older residents on regular diets. Key summary pointsAim This study aimed to clarify the relationship between weight loss and regular dental management among older adults in long-term care facilities through a 1-year, multicenter longitudinal study. Findings The absence of regular dental management among older residents in long-term care facilities (who follow regular diets) was associated with weight loss and malnourishment. Message Regular dental care procedures among older residents (who follow regular diets) in long-term care facilities may reduce weight loss and prevent malnutrition.
Rights: This is a post-peer-review, pre-copyedit version of an article published in Eur Geriatr Med. The final authenticated version is available online at:
Type: article (author version)
Appears in Collections:歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 渡邊 裕

Export metadata:

OAI-PMH ( junii2 , jpcoar_1.0 )

MathJax is now OFF:


 - Hokkaido University