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Salivary flow rate and risk of malnutrition – a study among dentate,community‐dwelling older people
Authors:Anna‐Maija H Syrjälä  Päivi I Pussinen  Kaija Komulainen  Irma Nykänen  Matti Knuuttila  Piia Ruoppi  Sirpa Hartikainen  Raimo Sulkava  Pekka Ylöstalo
Institution:1. Department of Periodontology, Institute of Dentistry, University of Oulu, Oulu, Finland;2. Finnish Student Health Service, Jyv?skyl?, Finland;3. Kuopio Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland;4. Social and Health Centre of Kuopio, Kuopio, Finland;5. Unit of Clinical Pharmacology and Geriatric Pharmacotherapy, Kuopio Research Centre for Geriatric Care, School of Pharmacy, University of Eastern Finland, Kuopio, Finland;6. Institute of Dentistry, University of Oulu, Oulu, Finland;7. Lepp?virta Health Centre, Lepp?virta, Finland;8. Department of Geriatrics, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland;9. Department of Neurology, Kuopio University Hospital, Kuopio, Finland;10. Institute of Dentistry, University of Eastern finland, Kuopio, Finland
Abstract:doi: 10.1111/j.1741‐2358.2012.00679.x Salivary flow rate and risk of malnutrition – a study among dentate, community‐dwelling older people Objective: To analyse the relation between unstimulated and stimulated salivary secretion and the risk of malnutrition among home‐dwelling elderly people. Background: Saliva has an important role in eating. Despite this, there are only a few studies on the role of salivary secretion in the development of malnutrition among elderly people. Materials and methods: The study population consisted of 157 subjects aged 75 or older. This was a part of GeMS study carried out in Kuopio, in eastern Finland. The data used in this study were collected by means of interviews and geriatric and oral clinical examinations. The risk of malnutrition was measured using the Mini Nutritional Assessment Short‐Form. Logistic regression models were used to estimate odds ratios (OR) and their 95% Confidence Intervals (CI). Results: Subjects with a low unstimulated salivary flow rate (<0.1 ml/min) or stimulated salivary flow rate (<1.0 ml/min) had no statistically significant increase in risk of malnutrition, OR: 1.3, CI: 0.5–3.9, OR: 1.5, CI: 0.5–4.2, respectively, when compared with those with a normal unstimulated and stimulated salivary flow rate. Conclusion: Our results do not support the concept that low salivary secretion is an important risk factor for malnutrition among community‐dwelling elders.
Keywords:stimulated salivary flow rate  unstimulated salivary flow rate  malnutrition  elderly people
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