Current Oral Health Reports

, Volume 5, Issue 2, pp 96–101 | Cite as

Oral Health and Dietary Intake in Older Adults

  • Motoyoshi Fukutake
  • Chisato Inomata
  • Taiji Ogawa
  • Kazunori IkebeEmail author
Oral Disease and Nutrition (F Nishimura, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Oral Disease and Nutrition


Purpose of Review

Previous studies have reported that dietary intake is related to systemic diseases and functions. The oral cavity is the first passage through which food passes for consumption, and decline of oral health is considered to be associated with a lower intake of some foods or nutrients. We focused on the relationship between oral health and dietary intake in older adults.

Recent Findings

Most studies have reported oral health, such as number of teeth, tooth loss, occlusal contacts, masticatory ability, denture use, occlusal force, dysphagia, and hyposalivation are associated with intake of some foods and nutrients adjusting for socioeconomic factors.


Healthy oral function can lead to enough intake of key nutrients. It is also necessary to clarify the association between oral health and malnutrition, such as weight loss or underweight, and the pathways from oral health to several systemic diseases.


Oral health Dietary intake Older adults Gerodontology Nutrition Malnutrition 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance, •• Of major importance

  1. 1.
    Moynihan P, Thomason M, Walls A, Gray-Donald K, Morais JA, Ghanem H, et al. Researching the impact of oral health on diet and nutritional status: methodological issues. J Dent. 2009;37:237–49.CrossRefPubMedGoogle Scholar
  2. 2.
    Cox BD, Whichelow MJ, Prevost AT. Seasonal consumption of salad vegetables and fresh fruit in relation to the development of cardiovascular disease and cancer. Public Health Nutr. 2000;3:19–29.CrossRefPubMedGoogle Scholar
  3. 3.
    Terry P, Giovannucci E, Michels KB, Bergkvist L, Hansen H, Holmberg L, et al. Fruit, vegetables, dietary fiber, and risk of colorectal cancer. J Natl Cancer Inst. 2001;93:525–33.CrossRefPubMedGoogle Scholar
  4. 4.
    Lo YL, Hsieh YT, Hsu LL, Chuang SY, Chang HY, Hsu CC, et al. Dietary pattern associated with frailty: results from nutrition and health survey in Taiwan. J Am Geriatr Soc. 2017;65:2009–15.CrossRefPubMedGoogle Scholar
  5. 5.
    Ramos MI, Allen LH, Mungas DM, Jagust WJ, Haan MN, Green R, et al. Low folate status is associated with impaired cognitive function and dementia in the Sacramento Area Latino Study on Aging. Am J Clin Nutr. 2005;82:1346–52.CrossRefPubMedGoogle Scholar
  6. 6.
    Ritchie CS, Joshipura K, Hung HC, Douglass CW. Nutrition as a mediator in the relation between oral and systemic disease: associations between specific measures of adult oral health and nutrition outcomes. Crit Rev Oral Biol Med. 2002;13:291–300.CrossRefPubMedGoogle Scholar
  7. 7.
    Savoca MR, Arcury TA, Leng X, Chen H, Bell RA, Anderson AM, et al. Association between dietary quality of rural older adults and self-reported food avoidance and food modification due to oral health problems. J Am Geriatr Soc. 2010;58:1225–32.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Marshall TA, Warren JJ, Hand JS, Xie XJ, Stumbo PJ. Oral health, nutrient intake and dietary quality in the very old. J Am Dent Assoc. 2002;133:1369–79.CrossRefPubMedGoogle Scholar
  9. 9.
    Hung HC, Willett W, Ascherio A, Rosner BA, Rimm E, Joshipura KJ. Tooth loss and dietary intake. J Am Dent Assoc. 2003;134:1185–92.CrossRefPubMedGoogle Scholar
  10. 10.
    Yoshihara A, Watanabe R, Nishimuta M, Hanada N, Miyazaki H. The relationship between dietary intake and the number of teeth in elderly Japanese subjects. Gerodontology. 2005;22:211–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Nowjack-Raymer RE, Sheiham A. Numbers of natural teeth, diet, and nutritional status in US adults. J Dent Res. 2007;86:1171–5.CrossRefPubMedGoogle Scholar
  12. 12.
    Savoca MR, Arcury TA, Leng X, Chen H, Bell RA, Anderson AM, et al. Severe tooth loss in older adults as a key indicator of compromised dietary quality. Public Health Nutr. 2010;13:466–74.CrossRefPubMedGoogle Scholar
  13. 13.
    Tsakos G, Herrick K, Sheiham A, Watt RG. Edentulism and fruit and vegetable intake in low-income adults. J Dent Res. 2010;89:462–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Wakai K, Naito M, Naito T, Kojima M, Nakagaki H, Umemura O, et al. Tooth loss and intakes of nutrients and foods: a nationwide survey of Japanese dentists. Community Dent Oral Epidemiol. 2010;38:43–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Yoshida M, Kikutani T, Yoshikawa M, Tsuga K, Kimura M, Akagawa Y. Correlation between dental and nutritional status in community-dwelling elderly Japanese. Geriatr Gerontol Int. 2011;11:315–9.CrossRefPubMedGoogle Scholar
  16. 16.
    • Iwasaki M, Yoshihara A, Ogawa H, Sato M, Muramatsu K, Watanabe R, et al. Longitudinal association of dentition status with dietary intake in Japanese adults aged 75 to 80 years. J Oral Rehabil. 2016;43:737–44. This manuscript conducted longitudinal study to investigate the association between oral health and dietary intake. CrossRefPubMedGoogle Scholar
  17. 17.
    Shinkai RS, Hatch JP, Rugh JD, Sakai S, Mobley CC, Saunders MJ. Dietary intake in edentulous subjects with good and poor quality complete dentures. J Prosthet Dent. 2002;87:490–8.CrossRefPubMedGoogle Scholar
  18. 18.
    Nowjack-Raymer RE, Sheiham A. Association of edentulism and diet and nutrition in US adults. J Dent Res. 2003;82:123–6.CrossRefPubMedGoogle Scholar
  19. 19.
    Sahyoun NR, Krall E. Low dietary quality among older adults with self-perceived ill-fitting dentures. J Am Diet Assoc. 2003;103:1494–9.CrossRefPubMedGoogle Scholar
  20. 20.
    Liedberg B, Norlen P, Owall B, Stoltze K. Masticatory and nutritional aspects on fixed and removable partial dentures. Clin Oral Investig. 2004;8:11–7.CrossRefPubMedGoogle Scholar
  21. 21.
    Tsai AC, Chang TL. Association of dental prosthetic condition with food consumption and the risk of malnutrition and follow-up 4-year mortality risk in elderly Taiwanese. J Nutr Health Aging. 2011;15:265–70.CrossRefPubMedGoogle Scholar
  22. 22.
    Awad MA, Morais JA, Wollin S, Khalil A, Gray-Donald K, Feine JS. Implant overdentures and nutrition: a randomized controlled trial. J Dent Res. 2012;91:39–46.CrossRefPubMedGoogle Scholar
  23. 23.
    Moynihan PJ, Elfeky A, Ellis JS, Seal CJ, Hyland RM, Thomason JM. Do implant-supported dentures facilitate efficacy of eating more healthily? J Dent. 2012;40:843–50.CrossRefPubMedGoogle Scholar
  24. 24.
    Osterberg T, Tsuga K, Rothenberg E, Carisson GE, Steen B. Masticatory ability in 80-year-old subjects and its relation to intake of energy, nutrients and food items. Gerodontology. 2002;19:95–101.CrossRefPubMedGoogle Scholar
  25. 25.
    Inomata C, Ikebe K, Kagawa R, Okubo H, Sasaki S, Okada T, et al. Significance of occlusal force for dietary fibre and vitamin intakes in independently living 70-year-old Japanese: from SONIC Study. J Dent. 2014;42:556–64.CrossRefPubMedGoogle Scholar
  26. 26.
    •• Inomata C, Ikebe K, Okubo H, Takeshita H, Mihara Y, Hatta K, et al. Dietary intake is associated with occlusal force rather than number of teeth in 80-y-old Japanese. JDR Clin Trans Res. 2017;2:187–97. This manuscript reported suggested that occlusal force was associated with dietary intake after adjusting for many socioeconomic factors. CrossRefGoogle Scholar
  27. 27.
    Bradbury J, Thomason JM, Jepson NJ, Walls AW, Mulvaney CE, Allen PF, et al. Perceived chewing ability and intake of fruit and vegetables. J Dent Res. 2008;87:720–5.CrossRefPubMedGoogle Scholar
  28. 28.
    Okada K, Enoki H, Izawa S, Iguchi A, Kuzuya M. Association between masticatory performance and anthropometric measurements and nutritional status in the elderly. Geriatr Gerontol Int. 2010;10:56–63.CrossRefPubMedGoogle Scholar
  29. 29.
    Kagawa R, Ikebe K, Inomata C, Okada T, Takeshita H, Kurushima Y, et al. Effect of dental status and masticatory ability on decreased frequency of fruit and vegetable intake in elderly Japanese subjects. Int J Prosthodont. 2012;25:368–75.PubMedGoogle Scholar
  30. 30.
    Mann T, Heuberger R, Wong H. The association between chewing and swallowing difficulties and nutritional status in older adults. Aust Dent J. 2013;58:200–6.CrossRefPubMedGoogle Scholar
  31. 31.
    Flores-Orozco EI, Tiznado-Orozco GE, Osuna-Gonzalez OD, Amaro-Navarrete CL, Rovira-Lastra B, Martinez-Gomis J. Lack of relationship between masticatory performance and nutritional status in adults with natural dentition. Arch Oral Biol. 2016;71:117–21.CrossRefPubMedGoogle Scholar
  32. 32.
    Nishida M, Grossi SG, Dunford RG, Ho AW, Trevisan M, Genco RJ. Dietary vitamin C and the risk for periodontal disease. J Periodontol. 2000;71:1215–23.CrossRefPubMedGoogle Scholar
  33. 33.
    Nagvi AZ, Buettner C, Phillips RS, Davis RB, Mukamal KJ. n-3 fatty acids and periodontitis in US adults. J Am Diet Assoc. 2010;110:1669–75.CrossRefGoogle Scholar
  34. 34.
    Quandt SA, Chen H, Bell RA, Savoca MR, Anderson AM, Leng X, et al. Food avoidance and food modification practices of older rural adults: association with oral health status and implications for service provision. Gerontologist. 2010;50:100–11.CrossRefPubMedGoogle Scholar
  35. 35.
    Iwasaki M, Manz MC, Moynihan P, Yoshihara A, Muramatsu K, Watanabe R, et al. Relationship between saturated fatty acids and periodontal disease. J Dent Res. 2011;90:861–7.CrossRefPubMedGoogle Scholar
  36. 36.
    Iwasaki M, Yoshihara A, Ito K, Sato M, Minagawa K, Muramatsu K, et al. Hyposalivation and dietary nutrient intake among community-based older Japanese. Geriatr Gerontol Int. 2016;16:500–7.CrossRefPubMedGoogle Scholar
  37. 37.
    Poisson P, Laffond T, Campos S, Dupuis V, Bourdel-Marchasson I. Relationships between oral health, dysphagia and undernutrition in hospitalised elderly patients. Gerodontology. 2016;33:161–8.CrossRefPubMedGoogle Scholar
  38. 38.
    Walls AW, Steele JG, Sheiham A, Marcenes W, Moynihan PJ. Oral health and nutrition in older people. J Public Health Dent. 2000;60:304–7.CrossRefPubMedGoogle Scholar
  39. 39.
    Gilbert GH, Meng X, Duncan RP, Shelton BJ. Incidence of tooth loss and prosthodontic dental care: effect on chewing difficulty onset, a component of oral health-related quality of life. J Am Geriatr Soc. 2004;52:880–5.CrossRefPubMedGoogle Scholar
  40. 40.
    Tatematus M, Mori T, Kawaguchi T, Takeuchi K, Hattori M, Morita I, et al. Masticatory performance in 80-year-old individuals. Gerodontology. 2004;21:112–9.CrossRefGoogle Scholar
  41. 41.
    Ikebe K, Amemiya M, Morii K, Matsuda K, Furuya-Yoshinaka M, Yoshinaka M, et al. Association between oral stereognostic ability and masticatory performance in aged complete denture wearers. Int J Prosthodont. 2007;20:245–50.PubMedGoogle Scholar
  42. 42.
    Barton GM, Medzhitov R. Toll-like receptor signaling pathways. Science. 2003;300:1524–5.CrossRefPubMedGoogle Scholar
  43. 43.
    Ritchie CS, Joshipura K, Silliman RA, Miller B, Douglas CW. Oral health problems and significant weight loss among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2000;55:366–71.CrossRefGoogle Scholar
  44. 44.
    Toniazzo MP, Amorim PS, Muniz FW, Weidlich P. Relationship of nutritional status and oral health in elderly: systematic review with meta-analysis. Clin Nutr. 2017;28Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Motoyoshi Fukutake
    • 1
  • Chisato Inomata
    • 1
  • Taiji Ogawa
    • 1
  • Kazunori Ikebe
    • 1
    Email author
  1. 1.Department of Prosthodontics, Gerodontology and Oral RehabilitationOsaka University Graduate School of DentistryOsakaJapan

Personalised recommendations