Tooth Loss Strongly Associates With Malnutrition in Chronic Kidney Disease

Background: In chronic kidney disease (CKD), inadequate nutritional intake, inflammation, and increased oxidative stress have been the major contributing factors in malnutrition pathogenesis. However, there is still a paucity of evidence assessing the magnitude of the effect of tooth loss on malnutr...

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Bibliographic Details
Published in:Journal of periodontology (1970) 2014-07, Vol.85 (7), p.899-907
Main Authors: Ioannidou, E., Swede, H., Fares, G., Himmelfarb, J.
Format: Article
Language:English
Subjects:
Albuminuria - urine
Biomarkers - blood
Biomarkers - urine
Creatinine - blood
Creatinine - urine
Cystatin C - urine
Denture, Complete - statistics & numerical data
Denture, Partial - statistics & numerical data
Diabetes Mellitus - epidemiology
Diet
Educational Status
Female
Glomerular Filtration Rate
Humans
Male
Malnutrition
Malnutrition - epidemiology
Middle Aged
Mouth, Edentulous - epidemiology
Nutrition Surveys
Nutritional Status
Poverty - statistics & numerical data
Protein-Energy Malnutrition - epidemiology
renal insufficiency, chronic
Renal Insufficiency, Chronic - epidemiology
Serum Albumin - analysis
Smoking - epidemiology
tooth loss
Tooth Loss - epidemiology
United States - epidemiology
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Summary:Background: In chronic kidney disease (CKD), inadequate nutritional intake, inflammation, and increased oxidative stress have been the major contributing factors in malnutrition pathogenesis. However, there is still a paucity of evidence assessing the magnitude of the effect of tooth loss on malnutrition in CKD populations. The authors hypothesize that among patients with CKD, tooth loss may affect nutritional status, using the National Health and Nutrition Examination Survey 1988 to 1994 (NHANES III). Methods: Glomerular filtration rate (GFR) was estimated based on cystatin C levels using the relevant equation. Urinary albumin‐to‐creatinine ratio (albuminuria) was calculated in milligrams per gram with a cutoff point of 30 mg/g. CKD was defined based on estimated GFR
ISSN:0022-3492
1943-3670
DOI:10.1902/jop.2013.130347