Evidence map›Paper›PMID 34709606›Full record

ArticleEuropean geriatric medicine2022

Relationship between weight loss and regular dental management of older adults residing in long-term care facilities: a 1-year multicenter longitudinal study.

Yusuke Sunakawa, Hideki Tsugayasu, Yutaka Watanabe, Takae Matsushita, Yuki Ohara, Masanori Iwasaki, Maki Shirobe, Kayoko Ito, Junko Nakajima, Yasuyuki Iwasa and 10 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Oral care measures for preventing nursing home-acquired pneumonia.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 13 institutions in 1 country.

Yusuke SunakawaGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Nishi-7, Kita-13, Kita-ku, Sapporo, Hokkaido, 060-8586, Japan.
Hideki TsugayasuTsugayasu Dental Clinic, Hokkaido, Japan.
Yutaka WatanabeGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Nishi-7, Kita-13, Kita-ku, Sapporo, Hokkaido, 060-8586, Japan. ywata@den.hokudai.ac.jp.ORCID 0000-0002-4983-2399
Takae MatsushitaGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Nishi-7, Kita-13, Kita-ku, Sapporo, Hokkaido, 060-8586, Japan.
Yuki OharaTokyo Metropolitan Institute of Gerontology, Tokyo, 173-0015, Japan.
Masanori IwasakiTokyo Metropolitan Institute of Gerontology, Tokyo, 173-0015, Japan.
Maki ShirobeTokyo Metropolitan Institute of Gerontology, Tokyo, 173-0015, Japan.
Kayoko ItoNiigata University Medical and Dental Hospital, Niigata, 951-8520, Japan.
Junko NakajimaDepartment of Oral Medicine and Hospital Dentistry, Tokyo Dental College, Chiba, 272-8513, Japan.
Yasuyuki IwasaHaradoi Hospital, Fukuoka, 813-0025, Japan.
Masataka ItodaDepartment of Oral Rehabilitation, Osaka Dental University Hospital, Osaka, 573-1144, Japan.
Rikimaru SasakiRehabilitation Clinic for Speech and Swallowing Disorders, The Nippon Dental University Hospital, Tokyo, 102-8158, Japan.
Yasuhiro NishiDepartment of Oral and Maxillofacial Prosthodontics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, 890-8544, Japan.
Junichi FuruyaDepartment of Geriatric Dentistry, Showa University School of Dentistry, Tokyo, 145-8515, Japan.
Yoshihiko WatanabeTohoku Fukushi University, Miyagi, 981-8522, Japan.
Yukie IshiguroMaibara Community Medicine and Welfare Center Fukushia, Shiga, Japan.
Hirohiko HiranoTokyo Metropolitan Institute of Gerontology, Tokyo, 173-0015, Japan.
Yuji SatoDepartment of Geriatric Dentistry, Showa University School of Dentistry, Tokyo, 145-8515, Japan.
Mitsuyoshi YoshidaDepartment of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, 734-0037, Japan.
Yutaka YamazakiGerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Nishi-7, Kita-13, Kita-ku, Sapporo, Hokkaido, 060-8586, Japan.
Tokyo Metropolitan Institute of Gerontology · JPHokkaido University · JPShowa University · JPTohoku Fukushi University · JPHaradoi Hospital · JPHiroshima University · JPJapan Association for Development of Community Medicine · JPKagoshima University · JPNiigata University Medical and Dental Hospital · JPNippon Dental University Hospital · JPOsaka Dental University · JPTakayanagi Dental Clinic · JPTokyo Dental College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to determine the association between home visits by a dentist and regular oral hygiene management by a dental hygienist (regular dental management: RDM) and weight loss among older adults in long-term care facilities.

methodsA total of 468 older residents from 26 Japanese long-term care facilities participated in two surveys in 2018 and 2019. Participants were divided into two groups based on their diet during the baseline survey (regular diet, n = 256; dysphagia diet, n = 212). Participants with a regular diet were further divided into those who exhibited a weight loss ≥ 5% over 1 year (weight loss group: n = 77) and those with a weight loss < 5% (consistent weight group: n = 179). The explanatory variables were age, sex, baseline weight, Barthel index, and clinical dementia rating, as well as the patients' medical history of pneumonia, stroke, diabetes, and depression (which is reportedly associated with weight). Additionally, a Poisson regression with robust standard error, was carried out to analyze the explanatory variables, namely the prevalence of RDM noted during the study and functional teeth (which seemed to affect weight loss).

resultsA multivariate analysis revealed that older residents' lack of RDM, clinical dementia assessment, and their history of pneumonia (prevalence rate ratio: 0.35, 95% confidence interval 0.24-0.95) were all significantly associated with weight loss when on a regular diet.

conclusionThus, weight loss and RDM were related to each other. Weight loss may be suppressed by incorporating RDMs during the early nursing care for older residents on regular diets.

Indexed as

Long-Term CareSkilled Nursing FacilitiesAgedDental CareHumansLongitudinal StudiesWeight LossDysphasia dietFacility residentsLong-term careRegular dental managementRegular dietWeight loss

Identifiers

PMID34709606
OpenAlexW3211071862

What OpenQuestion holds

Textmetadata
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.