Nutritional status and oral health of elderly patients with diabetes
Azumesi Nguni Forchin1,&, Jean-Claude Njabou Katte2, André Michel Bimbai3, Blandine Messang1, Claire Tatnkam4, Clément Ewo5, Michael Agbor6, Mesmin Dehayem7, Eugène Sobngwi7,
1Faculty of Medicine and Biomedical Sciences, University of Yaounde
1, Yaounde, Cameroon, 2Department of Public Health, University of
Yaoundé 1, Yaoundé, Cameroon, 3Health of Population in Transition
(HoPiT) Research group, Yaounde, Cameroon, 4Université des montagnes,
Bangangté, Cameroon, 5Dentistry Service, Central Hospital of Yaounde,
Yaounde, Cameroon, 6Department of Dentistry, Université des Montagnes,
Banganté, Cameroon, 7Department of Internal Medicine and Specialties,
Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Cameroon
Azumesi Nguni Forchin, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
oral health is a prerequisite for a good chewing function, which may have an impact on food choices and nutritional well-being. Thus this study was carried out to evaluate the association between oral health and the nutritional studies of elderly patients with diabetes in the Yaoundé Central Hospital.
we carried out a cross-sectional descriptive and analytical study at the National Obesity Centre of the Yaoundé Central hospital. We included consecutively 90 elderly patients with diabetes (60 years and above).
We assessed their oral health by carrying out a complete oral examination and a subjective oral health assessment of the participants was also carried out. We then assessed the nutritional status of participants using anthropometric parameters, Mini nutritional assessment (MNA) and fasting serum albumin concentrations.
ninety participants (60 females and 30 males) aged 66.9 ± 6.1 years were included
in our study. With 37% of our participants haven been known diabetic for
more than 10 years. Severe and moderate periodontitis was observed in 56(62.2%)
29(32.2%) of our participants respectively. At least a decay tooth was present
in the mouth of 70(77.8%) of our participants. Half 45((50.0%) of our participants
declared to be unsatisfied with their oral health, 52(57.8%) limit their
food choice because of their oral health. Using the percentage total body
men and 11(36.7%) women were underweight. The mean BMI of the study population
was 27.6 ± 5.26. Seventeen (18.9%) of our participants were malnourished, 70(77.8%)
at risk of malnutrition. Mean serum albumin concentration was 29.4 ± 2.2g/l.
There was a statistical significance between CPI severity and serum albumin
levels of our participants (P value = 0.02) and also between remaining natural
teeth and MNA score (P value = 0.001).
oral health problems were frequent in our study population, all our participants had moderate to severe periodontitis with some to the extent of edentulism. We found a strong relation between the severity of periodontitis, number of remaining natural teeth and the nutritional status of our study participants.