Evidence map›Paper›PMID 33468264›Full record

ArticleThe British journal of nutrition2021

Poor oral health and the association with diet quality and intake in older people in two studies in the UK and USA.

Eftychia Kotronia, Heather Brown, A Olia Papacosta, Lucy T Lennon, Robert J Weyant, Peter H Whincup, S Goya Wannamethee, Sheena E Ramsay

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The British journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  20. A comparison of oral health, nutrition, and swallowing function in older adults with and without sarcopenia: A cross-sectional study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Eftychia KotroniaPopulation Health Sciences Institute, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle Upon TyneNE2 4AX, UK.ORCID 0000-0001-5173-2357
Heather BrownPopulation Health Sciences Institute, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle Upon TyneNE2 4AX, UK.
A Olia PapacostaDepartment of Primary Care & Population Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Lucy T LennonDepartment of Primary Care & Population Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Robert J WeyantDepartment of Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Peter H WhincupPopulation Health Research Institute, St George's University of London, London, UK.
S Goya WannametheeDepartment of Primary Care & Population Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Sheena E RamsayPopulation Health Sciences Institute, Newcastle University, The Baddiley-Clark Building, Richardson Road, Newcastle Upon TyneNE2 4AX, UK.
Newcastle University · GBUniversity College London · GBSt George's, University of London · GBUniversity of Pittsburgh · US

Funding

Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
Understanding the contribution of poor oral health to sarcopenia in older age and underlying mechanisms using UK and US cohort studiesR03DE028505 · NIDCR · UNIVERSITY OF NEWCASTLE · PI RAMSAY, SHEENA ESTHER · 2019 to 2020
$213k
British Heart Foundation RG/08/013/25942British Heart Foundation RG/13/16/30528British Heart Foundation RG/19/4/34452Medical Research Council MR/K02325X/1NIA NIH HHS R01 AG028050NIDCR NIH HHS R03 DE028505NINR NIH HHS R01 NR012459The Dunhill Medical Trust R592/0717
6 · The paper itself

Abstract

We aimed to investigate the associations of poor oral health cross-sectionally with diet quality and intake in older people. We also examined whether change in diet quality is associated with oral health problems. Data from the British Regional Heart Study (BRHS) comprising British males aged 71-92 years and the Health, Aging and Body Composition (HABC) Study comprising American males and females aged 71-80 years were used. Dental data included tooth loss, periodontal disease, dry mouth and self-rated oral health. Dietary data included diet quality (based on Elderly Dietary Index (BRHS) and Healthy Eating Score (HABC Study)) and several nutrients. In the BRHS, change in diet quality over 10 years (1998-2000 to 2010-2012) was also assessed. In the BRHS, tooth loss, fair/poor self-rated oral health and accumulation of oral health problems were associated with poor diet quality, after adjustment. Similar associations were reported for high intake of processed meat. Poor oral health was associated with the top quartile of percentage of energy content from saturated fat (self-rated oral health, OR 1·34, 95 % CI 1·02, 1·77). In the HABC Study, no significant associations were observed for diet quality after adjustment. Periodontal disease was associated with the top quartile of percentage of energy content from saturated fat (OR 1·48, 95 % CI 1·09, 2·01). In the BRHS, persistent low diet quality was associated with higher risk of tooth loss and accumulation of oral health problems. Older individuals with oral health problems had poorer diets and consumed fewer nutrient-rich foods. Persistent poor diet quality was associated with oral health problems later in life.

Indexed as

DietOral HealthPeriodontal DiseasesTooth LossAgedCross-Sectional StudiesEnergy IntakeFemaleHumansMaleUnited KingdomUnited StatesChange in diet qualityDental problemsEnergy from fatMacronutrientsMicronutrientsProcessed meatProtein intakeVitamins

Identifiers

PMID33468264
PMCPMC8187263
OpenAlexW3119500027

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.