title: Oral health status: relationship to  nutrient and food intake among  80-year-old Japanese adults.
abstract: OBJECTIVE
  The aim of this cross-sectional study was to investigate the relationship of oral health status defined on the basis of presence of posterior occluding pairs (POPs) and adequacy of removable denture fit as determined by self-report to nutrient and food intake among older Japanese.
  
  
  METHODS
  The subjects were 353 Japanese aged 80 years in 2008 and were classified into four groups according to the number of POPs, defined as pairs of occluding natural, restored, or fixed prosthetic postcanine teeth (range: 0-8) and removable denture status. The groups were: (i) good dentition (n = 56; 8 POPs and no removable prosthesis), (ii) well-fitting dentures (n = 158; <8 POPs with self-reported good-fitting dentures), (iii) ill-fitting dentures (n = 70; <8 POPs with self-reported ill-fitting dentures), and (iv) compromised dentition (n = 69; <8 POPs and no removable prosthesis). Multivariable analysis of the differences in nutrient and food intake outcome variables which were collected via validated food frequency questionnaire among the four oral health status groups was conducted using general linear models. Results: Intake of multiple nutrients was significantly (P < 0.05) lower in the group with ill-fitting dentures or compromised dentition than in the good dentition group. Vegetable, fish, and shellfish consumption was significantly lower in the ill-fitting dentures or compromised dentition groups. No significant differences were seen in dietary intake between the well-fitting dentures and good dentition groups. Conclusions: Dietary intake was poorer in those with self-perceived ill-fitting dentures or fewer POPs than among those having all POPs. Regular dental care to maintain intact dentition, as well as dental treatment to replace missing teeth and ensure adequate denture fit and function, may be important to the diet intake and subsequent nutritional status of older Japanese.
authors.forename: Masanori
authors.initials: M
authors.lastname: Iwasaki
authors.forename: George W
authors.initials: GW
authors.lastname: Taylor
authors.forename: Michael C
authors.initials: MC
authors.lastname: Manz
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yoshihara
authors.forename: Misuzu
authors.initials: M
authors.lastname: Sato
authors.forename: Kanako
authors.initials: K
authors.lastname: Muramatsu
authors.forename: Reiko
authors.initials: R
authors.lastname: Watanabe
authors.forename: Hideo
authors.initials: H
authors.lastname: Miyazaki
mesh_terms: D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003710:Demography; D004032:Diet; D002149:Energy Intake; D005260:Female; D006304:Health Status; D006801:Humans; D007564:Japan; D008297:Male; D009909:Oral Health; D012307:Risk Factors; D011795:Surveys and Questionnaires