ARTICLE DU MOIS


Commentaire: E. Alix
       Page actualisée le : 01/11/2004


The Journal of Nutrition, Health & Aging© Volume 8, Number 5, 2004

DIETARY FIBER INTAKE AND DENTAL HEALTH STATUS IN URBAN,
URBAN-MARGINAL, AND RURAL COMMUNITIES IN CENTRAL MEXICO

S.A. BORGES-YANEZI, G. MAUPOMÉ2, M. MARTINEZ-GONZALEZI, L. CERVANTES-TURRUBIATES3, L.M. GUTIÉRREZ-ROBLEDO

e-mail aborges@servidor.unam.mx

 Abstract: Introduction. Oral health status in older people is frequently poor which can contribute to inadequate dietary patterns and nutrition status. Objective. To investigate whether an association between the number of teeth present and dietary fiber intake exists in elderly people living independently, across different geographic and socioeconomic locations. Methods. A cross-sectional household survey was undertaken in three Mexican communities (urban, marginal urban, and rural), incorporating geographic and socio-demographic information and a 24-hour diet recall. Dental status (teeth present, coronal and root caries, and periodontal status) was determined by clinical examination. Data were analyzed using ANOVA, Pearson's X2 and Tukey's range tests. Results. 407 persons 60 years old and over participated in the study. Subjects in the rural community had better dental/periodontal status and more teeth present than urban and marginal-urban participants. Intake of fiber was 8.4 g/day for the urban, 7.6 g/day for the marginal-urban, and 13.5 g/day for the rural community. While gender had no detectable effect, the location of residence and the number of teeth present were associated with mean fiber intake; having more than 21 teeth and/or living in a rural location were associated with increased mean fiber intake.

Key words: Dental health, Mexico, dietary fiber, nutrition, elderly, teeth.

 

 

The Journal of Nutrition, Health & Aging© Volume 8, Number 5, 2004

 VALIDITY OF MEASURING KNEE-HEIGHT AS AN ESTIMATE OF HEIGHT
IN DISEASED FRENCH ELDERLY PERSONS

P. RITZ AND INVESTIGATORS OF SOURCE

e-mail  paritz@chu-angers.fr.

 Abstract: Body mass index is a tool to screen undernourished persons. Cut-off values of 22 or 24 kg/m2 are used for elderly persons. However, standing height cannot be measured in every elderly person. Knee-height has been proposed to, estimate standing height, with equations derived from North-American people. The present study analyses the validity of these equations. Standing height and knee-height were measured in 126 elderly persons hospitalized in 6 French geriatrics wards. Consequences of using one of the either height was evaluated on body mass index, body surface area, and total body water as estimated from bioelectrical impedance measurements. Standing height and height derived from knee-height differed significantly by 0.9 cm (P=0.05). This has very limited consequences on the calculation of BMI (0.5 kg/m2), body surface area (0.04 m2) and on total body water (0.2 litres). A regression model was derived from covariates and found the same features as that in the model of Chumlea and Guo. In conclusion, knee-height can be used with sufficient accuracy as a surrogate for standing height in diseased French elderly persons.

 Key words: Elderly, malnutrition, anthropometric markers.


 

Commentaires: Le rôle des fibres dans l'alimentation et la santé des seniors est essentiel. L'équipe de Miguel Gutierrez s'est attaché à confirmer une hypothèse à priori plutôt simple :" les apports en fibres dépendant des sources la campagne en a de meilleures, et les capacités de mastications de l'individu". Ce travail confirme que la quantité de fibres ingérées dépend du lieu de vie et du nombre de dents.

Les cliniciens gériatres, dans le cadre du dépistage de la dénutrition, utilisent la taille comme paramètre de l'IMC. La connaissance de la taille par la personne âgée ou sa mesure est affectée par de nombreux éléments en réduisant son exactitude. Le caractère invariable de la taille du tibia permet une estimation de la taille d'un individu au prix d'équation pas forcement universelle. Les auteurs montrent que l'équation de Chumlea et Guo est opérationnelle pour la mesure de seniors français