Risk of malnutrition among orally compromised community-living, older adults in Winnipeg
Notice bibliographique
Résumé
Older adults, who are malnourished but remain undíagnosed due to the similarities between aging and the symptoms of early protein-calorie malnutrition, are at risk for increased morbidity and mortality.Based on evidence that nutritional counseling is effective in changing diet, the Canadian Task Force on Preventive Health Care (1994) recommended screening for protein/calorie malnutrition for certain high-risk groups.Many dental researchers consider edentulous patients to be high-risk and therefore advocate routine dietary counseling for these patients.This assumption results in two questionable outcomes.lt suggests that treatment should be performed without diagnosis.lt will also result in precluding dentate individuals at nutritional risk from counseling.The purpose of this preliminary study was to determine the prevalence of malnutrition and risk of malnutrition in orally functional and orally compromised community-living older adults who attend a teaching facility for dental care and to assess further factors associated with risk of malnutrition.The prevalence of malnutrition was determined by using a nutritional screening tool, the Mini Nutritional Assessment.Variables associated with risk of malnutrition were determined by univariate testing from a test instrument against risk of malnutrition.Fon¡rard stepwise logistic regression was then utilized to identify the variables that made a unique contribution to a patient's odds of being at risk of malnutrition.No subjects were determined to be malnourished.Prevalence of risk of malnutrition was 11 .60/o,with prevalence for orally compromised at 13.9% and for those orally functional at 9.6%.Four variables were identified to be associated i ABSTRACT with risk of malnutrition.These variables were then adjusted due to differing age distributions in the sample population to determine the adjusted odds ratio.Subjects with dry mouths were found to be 7.724 times more at risk, those not satisfied with their chewing ability were 5.868 times more at risk, and subjects who grew up in larger urban cities were found to be 7.937 times more at risk for malnutrition.Risk increased 15.8Yo per year or 4.336 times per decade after age 65.A table was developed to assist in predicting individuals at increased risk of malnutrition.A conceptual model was also developed to assist in demonstrating risk determinants, markers, and indicators responsible for dietary intake and the role of the oral/dental complex in this process.This preliminary cross-sectional study provides information to oral healthcare providers that risk of malnutrition exists in both orally functional and orally compromised patients.Practitioners who do not wish to perform routine nutritional screening should consider screening based on the variables found to be associated with malnutrition.Modifications to a recommended diagnostic tool, the Mini Nutritional Assessment, were included to reflect these variables for the community-living older adult.I wish to express my gratitude to Dr. Tom Hassard for his endless patience, generosity with severely limited time, and genuine kindness.His actions will serye to guide me in my ultimate goal to be as gentle and empowering a role model to my students as he is for his.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».