Skip to main content Accessibility help
×
Home

Relation entre la mastication et la qualité de l'alimentation des aînés de l’Étude longitudinale québécoise sur la nutrition et le vieillissement (NuAge)

  • Valérie Cusson (a1), Hélène Payette (a2), Christian Caron (a3), Bryna Shatenstein (a4) and Pierrette Gaudreau (a5)...

Abstract

The objective of this study was to assess the relationship between the quality of mastication and dietary intake among community-dwelling older adults (67-84 years). A secondary analysis of data collected upon entry of participants in the NuAge study was effected. Perceived masticatory efficiency (n=1793) was measured using a questionnaire inspired by the Oral Health Impact Profile. Direct assessment of masticatory efficiency was carried out in a subsample (n=94), using a validated clinical test (Swallowing Threshold Test Index, 0-100%). Dietary intake was calculated from three non-consecutive 24h recalls. Mean scores indicate good perceived masticatory efficiency (Men:26.22±0.19/28;Women:25.81±0.21/28), but weak assessed efficiency (Men:60.8% [CI(57.3-64.2)]; Women:61.2% [CI(57.7-64.7)]). Multivariate regression analysis, adjusting for confounding variables (age, sex, schooling, living alone, income, smoking, chronic conditions, functional autonomy), showed that masticatory efficiency (measured or perceived) was not associated with intake of fruits/vegetables, protein, vitamin C or folic acid.

L’objectif de cette étude était de vérifier les relations entre la qualité de la mastication et les apports alimentaires chez des aînés (67-84 ans) vivant dans la communauté. Une analyse secondaire des données recueillies à l’entrée des participants dans l’étude NuAge a été réalisée. La perception de l'efficacité masticatoire (n=1793) a été mesurée à l'aide d'un questionnaire inspiré du Oral Health Impact Profile et l'efficacité masticatoire à l'aide d'un test clinique (Swallowing Threshold Test Index, 0-100%) dans un sous-échantillon (n=94). Les apports alimentaires ont été calculés à partir de 3 rappels de 24h non-consécutifs. En moyenne, malgré une bonne perception de l'efficacité masticatoire (Hommes:26,22±0,19/28;Femmes:25,81±0,21/28), les résultats indiquent une faible efficacité masticatoire (Hommes:60,8%[IC(57,3-64,2)];Femmes:61,2%[IC(57,7-64,7)]. Des analyses de régression multivariées, ajustées pour les variables de confusion (âge, sexe, scolarité, vivre seul, revenu, tabagisme, conditions chroniques, autonomie fonctionnelle), montrent que l'efficacité masticatoire (mesurée ou perçue) n’était pas associée aux apports en fruits/légumes, protéines, vitamine C et en folate.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Relation entre la mastication et la qualité de l'alimentation des aînés de l’Étude longitudinale québécoise sur la nutrition et le vieillissement (NuAge)
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Relation entre la mastication et la qualité de l'alimentation des aînés de l’Étude longitudinale québécoise sur la nutrition et le vieillissement (NuAge)
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Relation entre la mastication et la qualité de l'alimentation des aînés de l’Étude longitudinale québécoise sur la nutrition et le vieillissement (NuAge)
      Available formats
      ×

Copyright

Corresponding author

La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to: Hélène Payette, Ph.D. Centre de recherche sur le vieillissement, CSSS-IUGS 1036, rue Belvédère Sud Sherbrooke, QC J1H 4C4 (helene.payette@usherbrooke.ca)

References

Hide All
Arpin, S., Brodeur, J.-M., & Corbeil, P. (2008). Dental caries, problems perceived and use of services among institutionalized elderly in 3 regions of Quebec, Canada. Journal of the Canadian Dental Association, 74(9), 807–807d.
Brodeur, J.-M., Laurin, D., Vallée, R., & Lachapelle, D. (1993). Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly. Journal of Prosthetic Dentistry, 70(5), 468473.
Canadian Study of Health and Aging Working Group. (1994). The Canadian study of health and aging: Study methods and prevalence of dementia. Canadian Medical Association Journal, 150, 899913.
Centre d’excellence pour la santé buccodentaire et le vieillissement. Université Laval Faculté de médecine dentaire. (2006). Mandat et mécanismes de travail. p. 15.
Chauncey, H. H., Muench, M. E., Kapur, K. K., & Wayler, A. H. (1984). The effect of the loss of teeth on diet and nutrition. International Dental Journal, 34, 98104.
Cusson, V., Caron, C., Gaudreau, P., Morais, J. A., Shatenstein, B., & Payette, H. (2015). Assessing older adults' masticatory efficiency. Journal of the American Geriatrics Society, 63(6), 11921196.
Demers, M., Bourdages, J., Brodeur, J.-M., & Benigeri, M. (1996). Indicators of masticatory performance among elderly complete denture wearers. The Journal of Prosthetic Dentistry, 75(2), 188193.
Ervin, R. B., & Dye, B. A. (2009). The effect of functional dentition on healthy eating index scores and nutrient intakes in a nationally representative sample of older adults. Journal of Public Health Dentistry, 69(4), 207216.
Fédération Dentaire Internationale. (1982). Global goals for oral health in the year 2000. International Dental Journal, 32(1), 7477.
Fillenbaum, G. G., & Smyer, M. A. (1981). The development, validity and reliability of the OARS multidimensional functional assessment questionnaire. The Journals of Gerontology, 36, 428434.
Gaudreau, P., Morais, J. A., Shatenstein, B., Gray-Donald, K., Khalil, A., Dionne, I., et al. (2007). Nutrition as a determinant of successful aging: Description of the Quebec longitudinal study NuAge and results from cross-sectional pilot studies. Rejuvenation Research, 10(3), 377386.
Gonsalves, W. C., Wrightson, A. S., & Henry, R. G. (2008). Common oral conditions in older persons. American Family Physician, 78(7), 845852.
Hébert, R., Desrosiers, J., Dubuc, N., Tousignant, M., Guilbeault, J., & Pinsonnault, E. (2003). Le Système de Mesure de l'Autonomie Fonctionnelle (SMAF). La Revue de Gériatrie, 28(4), 323336.
Keller, H., Østbye, T., & Goy, R. (2004). Nutritional risk predicts quality of life in elderly community-living canadians. Journal of Gerontology, 59A(1), 6874.
Lee, M.-S., Huang, Y.-C., & Wahlquist, M. L. (2010). Chewing ability in conjunction with food intake and energy status in later life affects survival in Taiwanese with the metabolic syndrome. Journal of the American Geriatrics Society, 58(6), 10721080.
Levasseur, M. (1987). Sources et justifications des questions utilisées dans l'Enquête Santé Québec. Cahier technique 87–03. Ministère de la Santé et des Services sociaux, Gouvernement du Québec: http://www.stat.gouv.qc.ca/publications/sante/sante 1.htm.
Liedberg, B., Stoltze, K., Norlén, P., & Öwall, B. (2007). Inadequate dietary habits and mastication in elderly men. Gerodontology, 24, 4146.
Marcenes, W., Steele, J. G., Sheiham, A., & Walls, A. W. G. (2003). The relationship between dental status, food selection, nutrient intake, nutritional status, and body mass index older people. Cadernos de Saúde Pública, 19(3), 809816.
Mishellany-Dutour, A., Renaud, J., Peyron, M.-A., Rimek, F., & Woda, A. (2008). Is the goal of mastication reached in young dentates, aged dentates and aged denture wearers? British Journal of Nutrition, 99, 121128.
N'Gom, P. I., & Woda, A. (2002). Influence of impaired mastication on nutrition. The Journal of Prosthetic Dentistry, 87, 667673.
Nordenram, G., Ryd-Kjellen, E., Johansson, G., Nordstrom, G., & Winblad, B. (1996). Alzheimer’s disease, oral function and nutritional status. Gerodontology, 13(1), 916.
Ordre des dentistes du Québec. (2007). Consultation publique sur les conditions de vie des aînés. Montréal, Canada: Ordre des dentistes du Québec.
Payette, H., & Gray-Donald, K. (1991). Dietary intake and biochemical indices of nutritional status in an elderly population with estimates of the precision of the 7-d food record. The American Journal of Clinical Nutrition, 54, 478488.
Ramage-Morin, P. L., & Garriguet, D. (2013). Risque nutritionnel chez les Canadiens âgés – Travaux de recherche. Statistique Canada, Catalogue no 82-003-X, Rapports sur la santé, 24(3), 314.
Rose, L. F., Steinberg, B. J., & Minsk, L. (2000). The relationship between periodontal disease and systemic conditions. Compendium of continuing education in dentistry, 21(10A), 870877.
Sahyoun, N. R., Lin, C.-L., & Krall, E. (2003). Nutritional status of the older adult is associated with dentition status. Journal of the American Dietetic Association, 103(1), 6166.
Santé Canada. (2008). Aliments et nutrition–Combien de portions du Guide alimentaire de Légumes et fruits dois-je consommer? Récupéré le 30 avril 2014 sur le site de l’organisme : http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/choose-choix/fruit/need-besoin-fra.php
Santé Canada. (2009). Effets de la santé buccodentaire sur l’état de santé général. Récupéré le 12 février 2011 du site de l'organisme : http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/life-vie/dent-fra.php
Santé Canada. (2010). Aliments et nutrition-Apports nutritionnels de référence. Récupéré le 30 avril 2014 du site de l’organisme: http://www.hc-sc.gc.ca/fn-an/nutrition/reference/table/index-fra.php
Shatenstein, B. (1986). Tooth loss, mastication, and nutrition: An overview. Journal of the American Dietetic Association, 86(1), 8687.
Shay, K. (2002). Infectious complications of dental and periodontal diseases in the elderly population. Clinical Infectious Diseases, 34, 12151223.
Sheiham, A., Steele, J. G., Marcenes, W., Finch, S., & Walls, A. W. G. (1999). The impact of oral health on stated ability to eat certain foods; findings from the national diet and nutrition survey of older people in Great Britain. Gerodontology, 16(1), 1120.
Slade, G. D., & Spencer, A. J. (1994). Development and evaluation of the oral health impact profile. Community Dental Health, 11(1), 311.
Canada, Statistique. (2011). Canadiens en contexte - Vieillissement de la population. Récupéré le 12 février 2011 du site de l’organisme : http://www4.hrsdc.gc.ca/.3ndic.1t.4r@-fra.jsp?iid=33
Taylor, G. W., Loesche, W. J., & Terpenning, M. S. (2000). Impact of oral diseases on systemic health in the elderly: Diabetes mellitus and aspiration pneumonia. Journal of Public Health Dentistry, 60(4), 313320.
Wayler, A. H., & Chauncey, H. H. (1983). Impact of complete dentures and impaired natural dentition on masticatory performance and food choice in healthy aging men. The Journal of Prosthetic Dentistry, 49(3), 427433.
Yoshihara, A., Watanabe, R., Nishimuta, M., Hanada, N., & Miyazaki, H. (2005). The relationship between dietary intake and the number of teeth in elderly Japanese subjects. Gerodontology, 22, 211218.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed