Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study

<i>Background and Objectives:</i> Masticatory limitations on the dietary habits of edentulous subjects restrict their access to adequate nutrition, exposing them to a greater risk of protein energy malnutrition. The aim of this study is to verify the existence of an association between M...

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Main Authors: Luca Aquilanti, Sonila Alia, Sofia Pugnaloni, Erminia Coccia, Marco Mascitti, Andrea Santarelli, Luisa Limongelli, Gianfranco Favia, Margherita Mancini, Arianna Vignini, Giorgio Rappelli
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/3/130
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author Luca Aquilanti
Sonila Alia
Sofia Pugnaloni
Erminia Coccia
Marco Mascitti
Andrea Santarelli
Luisa Limongelli
Gianfranco Favia
Margherita Mancini
Arianna Vignini
Giorgio Rappelli
author_facet Luca Aquilanti
Sonila Alia
Sofia Pugnaloni
Erminia Coccia
Marco Mascitti
Andrea Santarelli
Luisa Limongelli
Gianfranco Favia
Margherita Mancini
Arianna Vignini
Giorgio Rappelli
author_sort Luca Aquilanti
collection DOAJ
description <i>Background and Objectives:</i> Masticatory limitations on the dietary habits of edentulous subjects restrict their access to adequate nutrition, exposing them to a greater risk of protein energy malnutrition. The aim of this study is to verify the existence of an association between Masticatory Performance (MP) and nutritional changes in the elderly. <i>Materials and Methods:</i> 76 participants were enrolled. MP testing was performed using the two-color chewing gum mixing test. The system used reveals the extent to which the two differently colored chewing gums mix, and allows discrimination between different MPs. The assessment of the participants&#8217; nutritional statuses was carried out through a food interview. Anthropometric parameters were collected, and bioimpedance analysis was performed. <i>Results:</i> Mean MP was 0.448 &#177; 0.188. No statistically significant differences were detected between male and female subjects (<i>p</i> &gt; 0.05). According to the Body Mass Index (BMI), obese patients had a lower MP than overweight and normal weight subjects (0.408 &#177; 0.225, 0.453 &#177; 0.169 and 0.486 &#177; 0.181, respectively). MP values were lower both in male and female subjects with a waist circumference above the threshold than those below it (0.455 &#177; 0.205 vs. 0.476 &#177; 0.110, respectively, in males and 0.447 &#177; 0.171 vs. 0.501 &#177; 0.138, respectively, in females). No relationship was noticed between MP and bioimpedance parameters (<i>p</i> &gt; 0.05). <i>Conclusions:</i> A statistically significant relation was observed between MP and the number of missing teeth. A reduced MP could worsen nutritional parameters. A reduced MP did not seem to negatively affect bioimpedance parameters.
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spelling doaj.art-f4e3e839ab914dd8b2ef282069256cc12023-09-02T13:55:04ZengMDPI AGMedicina1010-660X2020-03-0156313010.3390/medicina56030130medicina56030130Impact of Elderly Masticatory Performance on Nutritional Status: An Observational StudyLuca Aquilanti0Sonila Alia1Sofia Pugnaloni2Erminia Coccia3Marco Mascitti4Andrea Santarelli5Luisa Limongelli6Gianfranco Favia7Margherita Mancini8Arianna Vignini9Giorgio Rappelli10Department of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Interdisciplinary Medicine, University of Bari, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari, 70124 Bari, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Clinical Specialistic and Dental Sciences, Polytechnic University of Marche, 60126 Ancona, Italy<i>Background and Objectives:</i> Masticatory limitations on the dietary habits of edentulous subjects restrict their access to adequate nutrition, exposing them to a greater risk of protein energy malnutrition. The aim of this study is to verify the existence of an association between Masticatory Performance (MP) and nutritional changes in the elderly. <i>Materials and Methods:</i> 76 participants were enrolled. MP testing was performed using the two-color chewing gum mixing test. The system used reveals the extent to which the two differently colored chewing gums mix, and allows discrimination between different MPs. The assessment of the participants&#8217; nutritional statuses was carried out through a food interview. Anthropometric parameters were collected, and bioimpedance analysis was performed. <i>Results:</i> Mean MP was 0.448 &#177; 0.188. No statistically significant differences were detected between male and female subjects (<i>p</i> &gt; 0.05). According to the Body Mass Index (BMI), obese patients had a lower MP than overweight and normal weight subjects (0.408 &#177; 0.225, 0.453 &#177; 0.169 and 0.486 &#177; 0.181, respectively). MP values were lower both in male and female subjects with a waist circumference above the threshold than those below it (0.455 &#177; 0.205 vs. 0.476 &#177; 0.110, respectively, in males and 0.447 &#177; 0.171 vs. 0.501 &#177; 0.138, respectively, in females). No relationship was noticed between MP and bioimpedance parameters (<i>p</i> &gt; 0.05). <i>Conclusions:</i> A statistically significant relation was observed between MP and the number of missing teeth. A reduced MP could worsen nutritional parameters. A reduced MP did not seem to negatively affect bioimpedance parameters.https://www.mdpi.com/1010-660X/56/3/130masticatory performancebmiwaist circumferencebioimpedance
spellingShingle Luca Aquilanti
Sonila Alia
Sofia Pugnaloni
Erminia Coccia
Marco Mascitti
Andrea Santarelli
Luisa Limongelli
Gianfranco Favia
Margherita Mancini
Arianna Vignini
Giorgio Rappelli
Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study
Medicina
masticatory performance
bmi
waist circumference
bioimpedance
title Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study
title_full Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study
title_fullStr Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study
title_full_unstemmed Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study
title_short Impact of Elderly Masticatory Performance on Nutritional Status: An Observational Study
title_sort impact of elderly masticatory performance on nutritional status an observational study
topic masticatory performance
bmi
waist circumference
bioimpedance
url https://www.mdpi.com/1010-660X/56/3/130
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