Clinical Oral Investigations

, Volume 23, Issue 1, pp 235–243 | Cite as

Oral health and chemotherapy act as cofactors in malnutrition in the elderly with other cancers than head and neck malignancies

  • Nada El Osta
  • Lana El Osta
  • Claire Lassauzay
  • Marwan Ghosn
  • Stephanie Tubert-Jeannin
  • Martine HennequinEmail author
Original Article



This study explores whether the chemotherapy regimen has a role in inducing oral health problems and malnutrition in elderly patients with other cancers than head and neck malignancies.

Material and methods

An observational cross-sectional study was designed to compare the relationships between oral health and nutritional status between four groups of elderly differing in cancer or chemotherapy regimen. Data were collected using a questionnaire including the Mini-Nutritional Assessment (MNA), the Geriatric Oral Health Assessment Index (GOHAI) and questions about perception of xerostomia. The oral examinations recorded the number of functional dental units (PFU) and the presence of oral lesions.


The sample comprised 46 patients receiving chemotherapy, 48 patients on a non-chemotherapy regimen, 45 persons in complete remission not under treatment and 53 non-cancer patients. Oral health perception was significantly worse in chemotherapy patients. They reported limiting the kinds of food they consumed, the discomfort felt when eating and took medications for oral pain. Oral lesions were frequent in chemotherapy participants. Nutritional status was related to the cancer treatment regimen (OR = 4.17; p value = 0.017), the presence of oral lesions (OR = 4.51; p value = 0.003), perception of xerostomia (OR = 3.54; p value = 0.012), the number of PFU (OR = 2.51; p value = 0.046) and GOHAI score (OR = 1.617; p value = 0.019).


The presence of oral lesions and the chemotherapeutic regimen were highly associated with nutritional status in older patients with cancer.

Clinical relevance

Dental professionals should be asked to intervene preventively and per-therapy to optimise oral health status in elderly patients with other cancers than head and neck malignancies.


Cancer Oral health Nutrition status Elderly Chemotherapy 



The authors would like to thank Professor Paul Riordan (Write2Publish; and Accent Europe for corrections of the English manuscript. We would like to thank Professor Negib Geahchan for his supportive involvement in the study.


This work was supported by the Medical Research Council of Saint-Joseph University (grant number: FMD96 – CRENDUnovember2013).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Nada El Osta
    • 1
    • 2
    • 3
  • Lana El Osta
    • 2
  • Claire Lassauzay
    • 3
    • 4
  • Marwan Ghosn
    • 2
    • 5
  • Stephanie Tubert-Jeannin
    • 3
    • 6
  • Martine Hennequin
    • 3
    • 6
    Email author
  1. 1.Department of Prosthetic Dentistry, School of DentistrySaint-Joseph UniversityBeirutLebanon
  2. 2.Department of Public Health, School of MedicineSaint-Joseph UniversityBeirutLebanon
  3. 3.University Clermont AuvergneCROC EA 4847, Dental FacultyClermont-FerrandFrance
  4. 4.University of Nice Sophia Antipolis St Jean d’AngélyFrance
  5. 5.Department of Hematology-Oncology, School of MedicineSaint-Joseph UniversityBeirutLebanon
  6. 6.CHU of Clermont-Ferrand, Dental serviceClermont-FerrandFrance

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