title: [Oral health status and nutritional deficit in noninstitutionalized older adults in Londrina, Brazil].
abstract: OBJECTIVE
  To examine the association between nutritional deficit and oral health problems in noninstitucionalized elderly adults in a Brazilian community.
  
  
  METHODS
  In this cross-sectional study, data were obtained from 267 elderly adults (160 women, 107 men) with ages between 60 and 74 years, identified through a census in the area covered by the Family Health Program in Londrina, Brazil. The Mini Nutritional Assessment score < 24 points was used to identify nutritional deficit. Oral evaluation consisted of an oral exam, measurement of stimulated salivary flow rate, and use of the Geriatric Oral Health Assessment Index (GOHAI) for self-perception data. Multivariate analyses were adjusted by sociodemographic variables, depression, and drug consumption.
  
  
  RESULTS
  Nutritional deficit was identified in 58 adults (21.7%). Among the dental conditions studied, absence of posterior occlusion (Odds Ratio, OR: 2.18; Confidence Interval, 95% CI: 1.06 - 4.45), stimulated salivary flow rate < 0.7 ml/minute (OR: 2.18, 95% CI: 1.06 - 4.50), advanced periodontal illness (OR: 6.54; 95% CI: 2.03 - 21.00), and negative self perception of oral health (OR: 3.41; 95% CI: 1.59 - 7.33) were associated with nutritional deficit regardless of sex, age, social class, education, smoking, depression, and drug consumption.
  
  
  CONCLUSIONS
  Oral health impairment was associated with nutritional deficit and it requires a greater integration between dentistry and nutrition in the health promotion of older adults, especially in the prevention of tooth loss and in the posterior occlusal rehabilitation to avoid obstacles for an adequate diet.
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, España. aemesas@hotmail.com
authors.forename: Arthur Eumann
authors.initials: AE
authors.lastname: Mesas
authors.forename: Selma Maffei de
authors.initials: SM
authors.lastname: Andrade
authors.forename: Marcos Aparecido Sarria
authors.initials: MA
authors.lastname: Cabrera
authors.forename: Vera Lúcia Ribeiro de Carvalho
authors.initials: VL
authors.lastname: Bueno
mesh_terms: D000368:Aged; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D009909:Oral Health