Evidence map›Paper›PMID 40889540›Full record

SynthesisJournal of dentistry2025

Nutritional status in non-cancer older adults experiencing dry mouth -meta-analysis and systematic review.

Sanjana Santhosh Kumar, Raquel Cantillo, Xiuhui Xu, Rachel Chacko, Alhanoof Khaled Alarfaj, Waldir Martineli Filho, Abdul Basir Barmak, Szilvia Arany

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. 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

8 authors.

Sanjana Santhosh KumarDepartment of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: sanjana_santhoshkumar@urmc.rochester.edu.
Raquel CantilloDepartment of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: Raquel_cantillo@urmc.rochester.edu.
Xiuhui XuDepartment of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: Xiuhui_xu@urmc.rochester.edu.
Rachel ChackoDepartment of Health Promotion and Behavioral Science, University of Texas Health Science Center, Houston, TX, USA. Electronic address: Rachel.chacko@uth.tmc.edu.
Alhanoof Khaled AlarfajDepartment of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: Alhanoof_alarfaj@urmc.rochester.edu.
Waldir Martineli FilhoDepartment of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: Waldir_filho@urmc.rochester.edu.
Abdul Basir BarmakDepartment of Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: Abasir_barmak@urmc.rochester.edu.
Szilvia AranyDepartment of Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA. Electronic address: szilvia_arany@urmc.rochester.edu.

Funding

Impact of Anticholinergic Medication on Salivary Function; Exploring Potential Genetic Markers for Dry MouthK23DE031021 · NIDCR · UNIVERSITY OF ROCHESTER · PI ARANY, SZILVIA · 2021 to 2025
$638k
NIDCR NIH HHS K23 DE031021
6 · The paper itself

Abstract

objectivesOlder adults are at increased risk of nutritional deficiencies due to age-related physiological changes, chronic diseases, medication side effects, socioeconomic factors, and declining oral health. This systematic review examines the association between hyposalivation and nutritional status in non-cancer older adults. DATA: The study protocol was registered in PROSPERO (CRD42025645149). Data were extracted from eligible studies, and quality assessment and bias evaluation were conducted. Using a random effects model, a meta-analysis estimated the pooled prevalence of hyposalivation, xerostomia, and malnutrition. SOURCES: A comprehensive search of PubMed, CINAHL, Web of Science, and Embase was performed from inception to December 2024. STUDY SELECTION: Longitudinal, cross-sectional, and case-control studies were included. After screening 774 potential studies, 14 (11 cross-sectional, two case-control, and one longitudinal cohort) met the inclusion criteria. Heterogeneity was assessed using Cochran's Q and I² statistics, while publication bias was evaluated with Egger's test and funnel plots.

conclusionsThirteen studies reported a significant association between hyposalivation and malnutrition in older adults. All studies highlighted impaired chewing, swallowing difficulties, and reduced taste sensitivity. The pooled prevalence of xerostomia was 38 % (95 % CI: 22-57 %) with substantial heterogeneity (I² = 97 %), while the estimated prevalence of malnutrition was 55 % (95 % CI: 34-74 %). The findings suggested a strong link between hyposalivation and malnutrition in non-cancer older adults. However, variability in study designs underscores the need for standardized diagnostic criteria and longitudinal studies to explore the interplay between salivary function and nutritional health in aging populations. CLINICAL SIGNIFICANCE: This review highlights the association between hyposalivation and malnutrition in non-cancer older adults. Dry mouth impairs oral function, leading to poor nutrient intake and an increased risk of malnutrition. Early detection and management of hyposalivation are crucial to prevent nutritional problems. The variability in prevalence suggests a need for standardized diagnostic tools and further research to understand better nutritional health concerns associated with hyposalivation, as well as to improve patients' overall health and quality of life..

Indexed as

MalnutritionNutritional StatusXerostomiaAgedHumansPrevalenceDry mouthHyposalivationMalnutritionNon-cancerNutritional statusOlder adults

Identifiers

PMID40889540
PMCPMC12430987

What OpenQuestion holds

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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.