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Association between denture use and food form in older adults requiring long-term care : A multicenter cross-sectional study

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Please use this identifier to cite or link to this item:https://doi.org/10.14943/doctoral.k15491
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Title: Association between denture use and food form in older adults requiring long-term care : A multicenter cross-sectional study
Other Titles: 要介護高齢者における義歯使用と食形態の関連について : 多施設横断研究
Authors: 平良, 賢周 Browse this author
Keywords: Cross-sectional study
Denture use
Food forms
Older adults requiring long-term care
Swallowing function
Issue Date: 23-Mar-2023
Publisher: Hokkaido University
Abstract: Purpose: This study aimed to determine whether denture use contributes to maintaining and improving food forms in long-term care facility (LTCFs) residents. Methods: In 888 residents of 37 LTCFs in Japan, the following were investigated: nutritional intake status, food forms, age, sex, Barthel index (BI), clinical dementia rating (CDR), number of teeth present, number of occlusal supports, swallowing function, and use of dentures. Among all residents, those who were well-nourished and had ?9 occlusal supports were analyzed. Based on standardized criteria, the food forms consumed by the subjects were divided into two groups: dysphagia and normal diet, which were further classified into four levels. Analysis was performed using a generalized estimation equation with the four levels of food forms as dependent variables and age, sex, BI, CDR, presence of dysphagia, number of teeth present, and use of dentures as independent variables. Results: The final analysis included 622 (70.0%) residents. Of these, 380 (61.1%) used dentures. The analyses revealed that food form was significantly associated with age (adjusted odds ratio [OR], 0.98), BI (OR, 1.04), number of teeth present (OR, 1.03), presence of dysphagia (OR, 0.44), and use of dentures (OR, 2.82). Conclusion: Denture use was associated with food forms among Japanese LTCF residents. This indicates that the use of dentures is related to the maintenance of food forms, even in the elderly who participate in few activities of daily living, have reduced cognitive function, and require long-term care.
Conffering University: 北海道大学
Degree Report Number: 甲第15491号
Degree Level: 博士
Degree Discipline: 歯学
Examination Committee Members: (主査) 教授 山崎 裕, 教授 横山 敦郎, 教授 山口 泰彦, 准教授 渡邊 裕
Degree Affiliation: 歯学院(口腔医学専攻)
(Relation)isversionof: Taira K, Watanabe Y, Okada K, Kondo M, Takeda M, Ito K, Nakajima J, Iwasaki M, Itoda M, Inohara K, Sasaki R, Nishi Y, Furuya J, Watanabe Y, Umemoto G, Kishima M, Tohara T, Sato Y, Yoshida M, Yamazaki Y. Association between denture use and food form in older adults requiring long-term care: A multicenter cross-sectional study. J Prosthodont Res. 2022 Aug 19.
https://doi.org/10.2186/jpr.jpr_d_21_00161
Type: theses (doctoral)
URI: http://hdl.handle.net/2115/89920
Appears in Collections:課程博士 (Doctorate by way of Advanced Course) > 歯学院(Graduate School of Dental Medicine)
学位論文 (Theses) > 博士 (歯学)

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