Status kesehatan oral dan asupan zat gizi berhubungan dengan status gizi lansia
Akhdrisa Mura Wijaya(1*), I Dewa Putu Pramantara(2), Retno Pangastuti(3)
(1) Instalasi Gizi Rumah Sakit Umum Daerah Siti Aisyah, Lubuklinggau Sumatera Selatan
(2) Bagian Penyakit Dalam Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta
(3) Instalasi Gizi Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta
(*) Corresponding Author
Abstract
Background: Central Bureau of Statistics data in 2006, showed that the average life expectancy of the population living in Yogyakarta (DIY) was 73 years, and 73.8 years for those living in Sleman. This was higher than the average national life expectancy of 68.5 years. National Health Survey in 2007 showed that the prevalence of oral and dental problems in DIY was 23.6%, while the pulp and periapical tissue diseases in the elderly in Sleman districts was approximately 1704 cases. Hence, it was classified as one of the 10 most prevalent diseases in Public Health Centre. In addition, there were 406 older adults who were underweight.
Objectives: To investigate the relationship between oral health status, nutrient intake and nutritional status in older adults.
Methods: This study is an observational study with cross sectional design. Subjects were 310 patients aged 60-74 years old in Sleman district. Data obtained by interview, examination of the oral health status, measurement of body weight and arm span. Data were analyzed with Chi-square test.
Results: There was a significant association between oral health status and protein intake (RP=2.38; 95%CI:1.42-3.970). Energy, fat and carbohydrates intake were not associated with oral health status (p>0,05). Nutritional status was significantly associated with the intake of the energy (RP=2.98, 95%CI:1.58-5.58), protein (RP=2.44, 95%CI:1,05-5.67), fat (RP=3.68, 95%CI:1.93-7.03) and carbohydrates (RP=4.89, 95%CI:2.54-9.4). However, there were no relationship found between oral health and nutritional status (RP=1.79, 95%CI:0.94-3.43.)
Conclusion: There was a significant association between oral health status and protein intake. The intake of nutrients (energy, protein, fat, and carbohydrate) was significantly associated with nutritional status. However, there was no significant relationship found between oral health and nutritional status in older adults.
Keywords
Full Text:
PDFReferences
Nugroho H, Wahjudi. Keperawatan gerontik 1. & geriatrik. Jakarta: Penerbit Buku Kedokteran, EGC; 2008.
Anonimous. Kondisi kesehatan lansia di Kabupaten Sleman [serial online] 2007 [cited 2009 Jun 5]. Avaliable from: http://www.dinkes-sleman.go.id
Rochmah W. Peranan nutrisi pada usia lanjut. Naskah Lengkap Pertemuan Ilmiah tahunan 2000 Ilmu Penyakit Dalam Fakultas Kedokteran UGM. Yogyakarta: Medika Fakultas Kedokteran UGM bekerjasama dengan Pendidikan Kedokteran Berkelanjutan Bagian Ilmu Penyakit Dalam FK UGM; 2000.
Fatimah-Muis S. Gizi pada lansia. Dalam: Darmojo RB, Martono HH. Buku ajar geriatri (ilmu kesehatan lansia). Jakarta: Fakultas Kedokteran Universitas Indonesia; 2006.
Depkes. Riset kesehatan dasar 2007. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2008.
Dinkes Sleman. Profil kesehatan Kabupaten Sleman. Sleman: Dinas Kesehatan Kabupaten Sleman; 2008.
Lemeshow S, Hosmer DWJr, Klar J, Lwanga SK. Besaran sampel dalam penelitian kesehatan. Pramono D (Alih bahasa). Yogyakarta: Gadjah Mada University Press; 1997.
Departemen Kesehatan. Pedoman tatalaksana gizi usia lanjut untuk tenaga kesehatan. Jakarta: Direktorat Jenderal Bina Kesehatan Masyarakat; 2006.
Gibson RS. Principles of nutrition assessment. New York: Oxford University Press; 2005.
Depkes. Pedoman praktis pemantauan status gizi orang dewasa. Jakarta: Direktorat Jenderal Bina Kesehatan Masyarakat; 2008.
Depkes. Pedoman survei dasar kesehatan gigi dan mulut di Indonesia. Jakarta: Direktorat Jenderal Pelayanan Medik; 2002.
Budiman H, Djaya N. Status gizi dan pola makan kelompok lanjut usia di DKI Jakarta. Majalah Kesehatan Perkotaan 2005;12(2):9-21.
Appollonio I, Carabellese C, Frattola A, Trabucchi M. Influence of dental status on dietary intake and survival in community-dwelling elderly subjects. Age Ageing 1997;26(6):445-55.
Seman K, Manaf AH, Ismail AR. Association between functional dentition with inadequate calorie intake and underweight in elderly people living in “Pondok” in Kelantan. Archives of Orofacial Sciences 2007;2(1):10-9.
Setia A, Pramantara IDP, Pangastuti R. Faktor-faktor yang mempengaruhi tingkat kebugaran lanjut usia penghuni Panti Budi Agung Kupang di Kota Kupang. Jurnal Gizi Klinik Indonesia 2006; 3(2):56-65.
Sheiham A, Steele JG, Marcenes W, Lowe C, Finch S, Bates CJ, Prentice A, Walls AW. The relationship among 157 Status kesehatan oral dan asupan zat gizi berhubungan dengan status gizi lansia dental status, nutrient intake, and nutritional status in older people. J Dent Res 2001;80(2):408-13.
Rahardjo TBW, Helsy K, Kusdhany LS, 17. Soenawan. Peran kesehatan gigi dan mulut dalam memenuhi nutrisi usia lanjut. Naskah Lengkap Kongres Nasional III dan Temu Ilmiah II Perhimpunan Gerontologi Medik Indonesia (PERGEMI). Yogyakarta: Medika Fakultas Kedokteran UGM bekerja sama dengan PERGEMI Cabang Yogyakarta; 2004.
Sahyoun NR, Lin CL, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 2003;103(1):61-6.
Marcenes W, Steele JG, Sheiham A, Walls AW. The relationship between dental status, food
selection, nutrient intake, nutritional status, and body mass index in older people. Cad Saude Publica 2003;19(3):809-16.
DOI: https://doi.org/10.22146/ijcn.18211
Article Metrics
Abstract views : 7283 | views : 8422Refbacks
- There are currently no refbacks.
Copyright (c) 2017 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.