Having few remaining teeth is associated with a low nutrient intake and low serum albumin levels in middle-aged and older Japanese individuals: findings from the NIPPON DATA2010.

Mieko Nakamura; Toshiyuki Ojima; Tomomi Nagahata; Imako Kondo; Toshiharu Ninomiya; Katsushi Yoshita; Yusuke Arai; Takayoshi Ohkubo; Keiko Murakami; Nobuo Nishi; Yoshitaka Murakami; Naoyuki Takashima; Nagako Okuda; Aya Kadota; Naoko Miyagawa; Keiko Kondo; Tomonori Okamura; Hirotsugu Ueshima; Akira Okayama; Katsuyuki Miura; Nippon Data2010 Research Group

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Having few remaining teeth is associated with a low nutrient intake and low serum albumin levels in middle-aged and older Japanese individuals: findings from the NIPPON DATA2010.

Author: Mieko NAKAMURA ¹ ; Toshiyuki OJIMA ² ; Tomomi NAGAHATA ³ ; Imako KONDO ⁴ ; Toshiharu NINOMIYA ⁵ ; Katsushi YOSHITA ⁶ ; Yusuke ARAI ⁷ ; Takayoshi OHKUBO ⁸ ; Keiko MURAKAMI ⁸ ; Nobuo NISHI ⁹ ; Yoshitaka MURAKAMI ¹⁰ ; Naoyuki TAKASHIMA ¹¹ ; Nagako OKUDA ¹² ; Aya KADOTA ¹¹ ; Naoko MIYAGAWA ¹¹ ; Keiko KONDO ¹¹ ; Tomonori OKAMURA ¹³ ; Hirotsugu UESHIMA ¹¹ ; Akira OKAYAMA ¹⁴ ; Katsuyuki MIURA ¹¹ ; NIPPON DATA2010 Research Group
Author Information

1. Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan. miekons@hama-med.ac.jp.
2. Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan.
3. Department of Nutrition, School of Health and Nutrition, Tokaigakuen University, Nagoya, Japan.
4. Department of Food and Nutritional Sciences, College of Bioscience and Biotechnology, Chubu University, Kasugai, Japan.
5. Department of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
6. Department of Food Science and Nutrition, Osaka City University, Osaka, Japan.
7. Department of Nutrition, Chiba Prefectural University of Health Sciences, Chiba, Japan.
8. Department of Hygiene and Public Health, Teikyo 451University School of Medicine, Tokyo, Japan.
9. International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan.
10. Department of Medical Statistics, Toho University School of Medicine, Tokyo, Japan.
11. Department of Public Health, Shiga University of Medical Science, Otsu, Japan.
12. Department of Health and Nutrition, University of Human Arts and Sciences, Saitama, Japan.
13. Department of Preventive Medicine and Public Health, School of Medicine, Keio University, Tokyo, Japan.
14. Research Institute of Strategy for Prevention, Tokyo, Japan.
Collective Name:NIPPON DATA2010 Research Group
Publication Type:Journal Article
Keywords: Albumin; Diet; Older people; Oral health; Socioeconomic status
MeSH: Aged; Aged, 80 and over; Carbohydrates; Cross-Sectional Studies; Diet; Energy Intake; physiology; Female; Humans; Japan; Male; Middle Aged; Nutrients; Nutrition Surveys; Nutritional Status; Serum Albumin; analysis; Socioeconomic Factors; Tooth; Vegetables
From:Environmental Health and Preventive Medicine 2019;24(1):1-1
CountryJapan
Language:English
Abstract: BACKGROUND:Oral health is thought to be associated with diet quality, and socioeconomic status (SES) affects both oral health and diet. The aim of this study was to investigate the association between the number of teeth and dietary intake as well as nutritional biomarker, considering the subjects' SES.
METHODS:We conducted a cross-sectional analysis of data from 2049 individuals aged ≥ 50 years from the National Integrated Project for Prospective Observation of Non-communicable Disease and its Trends in the Aged 2010. The number of remaining teeth was categorized into age-specific quartiles (Q1 to Q4). We assessed the adjusted means and 95% confidence intervals for dietary variables by the number of teeth using analysis of covariance. Stratified analyses by SES were also conducted.
RESULTS:The intake of grain products was 31 g higher, and those of vegetables and meat were 30 g and 8 g lower, respectively, in Q1 (fewer teeth) than in Q4 (more teeth). Carbohydrate intake was higher whereas protein, minerals (potassium, magnesium, and zinc), vitamins (vitamins A, E, B, B, β-carotene, and folic acid), and dietary fiber intakes were lower among individuals with fewer teeth. Adjusted mean serum albumin levels were low in Q1. The associations between the number of teeth and dietary intake were more evident in individuals with a low SES.
CONCLUSIONS:Having few remaining teeth was associated with a low nutrient intake and low serum albumin levels in middle-aged and older Japanese adults, and these associations were more evident in individuals with low SES.