Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study

Abstract Background To examine the association between teeth loss and nasogastric tube feeding dependency in older people. Methods The National Health Interview Survey (NHIS) 2005, 2009, and 2013 in Taiwan. Participants were selected by a multistage stratified sampling method and baseline characteri...

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Autores principales:	Chun-Chieh Wang, Yu-Yen Chen, Kuo-Chuan Hung, Shang-Jung Wu, Yung-Feng Yen, Chu-Chieh Chen, Yun-Ju Lai
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Teeth loss Nasogastric tube feeding Older people Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/15fb9a1560e440c38fc511907eb33287
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spelling	oai:doaj.org-article:15fb9a1560e440c38fc511907eb332872021-11-14T12:11:10ZAssociation between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study10.1186/s12877-021-02596-x1471-2318https://doaj.org/article/15fb9a1560e440c38fc511907eb332872021-11-01T00:00:00Zhttps://doi.org/10.1186/s12877-021-02596-xhttps://doaj.org/toc/1471-2318Abstract Background To examine the association between teeth loss and nasogastric tube feeding dependency in older people. Methods The National Health Interview Survey (NHIS) 2005, 2009, and 2013 in Taiwan. Participants were selected by a multistage stratified sampling method and baseline characteristics, including socioeconomic status and health habits, were obtained by well-trained interviewers. The NHIS was linked with the National Health Insurance research database 2000–2016 and the National Deaths Dataset, which contains all the medical information of ambulatory and inpatient care. Cox regression was used to examine the association between the number of teeth lost and nasogastric tube feeding dependency. Results There were 6165 adults older than 65 years old enrolled in the analysis, with 2959 male (48%) and the mean (SD) age was 73.95(6.46) years old. The mean follow-up duration was 6.5(3.3) years. Regarding the teeth loss categories, 1660 (26.93%), 2123 (34.44%), and 2382 (38.64%) of participants were categorized as having no teeth loss, loss of 1–9 teeth, and loss of 10–28 teeth, respectively. During 39,962 person-years of follow-up, new-onset nasogastric feeding dependency was recognized in 220(13.25%), 256(12.06%), and 461(19.35%) participants who were categorized as having no teeth loss, loss of 1–9 teeth, and loss of 10–28 teeth, respectively. Kaplan-Meier curves demonstrated significant findings (Log-rank P < 0.01). After potential confounders were adjusted, compared with those without teeth loss, older adults who had lost 10–28 teeth had significantly increased risks of occurrence nasogastric feeding dependency (AHR, 1.31; 95% CI, 1.05–1.62; p-value = 0.02). Furthermore, a significant dose-response relation between the number of teeth lost and increased risk of nasogastric feeding was found (p for trend< 0.01). Conclusions Older adults who had lost 10–28 teeth had a significantly increased risk of nasogastric tube feeding dependency. Early identification of the oral disease is crucial for the prevention of the occurrence of teeth loss and the following nutrition problems, which would reduce risk of nasogastric tube feeding dependency.Chun-Chieh WangYu-Yen ChenKuo-Chuan HungShang-Jung WuYung-Feng YenChu-Chieh ChenYun-Ju LaiBMCarticleTeeth lossNasogastric tube feedingOlder peopleGeriatricsRC952-954.6ENBMC Geriatrics, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Teeth loss Nasogastric tube feeding Older people Geriatrics RC952-954.6
spellingShingle	Teeth loss Nasogastric tube feeding Older people Geriatrics RC952-954.6 Chun-Chieh Wang Yu-Yen Chen Kuo-Chuan Hung Shang-Jung Wu Yung-Feng Yen Chu-Chieh Chen Yun-Ju Lai Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study
description	Abstract Background To examine the association between teeth loss and nasogastric tube feeding dependency in older people. Methods The National Health Interview Survey (NHIS) 2005, 2009, and 2013 in Taiwan. Participants were selected by a multistage stratified sampling method and baseline characteristics, including socioeconomic status and health habits, were obtained by well-trained interviewers. The NHIS was linked with the National Health Insurance research database 2000–2016 and the National Deaths Dataset, which contains all the medical information of ambulatory and inpatient care. Cox regression was used to examine the association between the number of teeth lost and nasogastric tube feeding dependency. Results There were 6165 adults older than 65 years old enrolled in the analysis, with 2959 male (48%) and the mean (SD) age was 73.95(6.46) years old. The mean follow-up duration was 6.5(3.3) years. Regarding the teeth loss categories, 1660 (26.93%), 2123 (34.44%), and 2382 (38.64%) of participants were categorized as having no teeth loss, loss of 1–9 teeth, and loss of 10–28 teeth, respectively. During 39,962 person-years of follow-up, new-onset nasogastric feeding dependency was recognized in 220(13.25%), 256(12.06%), and 461(19.35%) participants who were categorized as having no teeth loss, loss of 1–9 teeth, and loss of 10–28 teeth, respectively. Kaplan-Meier curves demonstrated significant findings (Log-rank P < 0.01). After potential confounders were adjusted, compared with those without teeth loss, older adults who had lost 10–28 teeth had significantly increased risks of occurrence nasogastric feeding dependency (AHR, 1.31; 95% CI, 1.05–1.62; p-value = 0.02). Furthermore, a significant dose-response relation between the number of teeth lost and increased risk of nasogastric feeding was found (p for trend< 0.01). Conclusions Older adults who had lost 10–28 teeth had a significantly increased risk of nasogastric tube feeding dependency. Early identification of the oral disease is crucial for the prevention of the occurrence of teeth loss and the following nutrition problems, which would reduce risk of nasogastric tube feeding dependency.
format	article
author	Chun-Chieh Wang Yu-Yen Chen Kuo-Chuan Hung Shang-Jung Wu Yung-Feng Yen Chu-Chieh Chen Yun-Ju Lai
author_facet	Chun-Chieh Wang Yu-Yen Chen Kuo-Chuan Hung Shang-Jung Wu Yung-Feng Yen Chu-Chieh Chen Yun-Ju Lai
author_sort	Chun-Chieh Wang
title	Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study
title_short	Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study
title_full	Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study
title_fullStr	Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study
title_full_unstemmed	Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study
title_sort	association between teeth loss and nasogastric tube feeding dependency in older adults from taiwan: a retrospective cohort study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/15fb9a1560e440c38fc511907eb33287
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Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study

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