Nutrición Hospitalaria 03786 / http://dx.doi.org/10.20960/nh.03786

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Is there a relationship between oral hygiene and nutritional status in peritoneal dialysis patients?

Sonia López-Cisneros, Ailema González-Ortiz, Samuel Ramos-Acevedo, Ángeles Espinosa-Cuevas

Prepublicado: 2021-11-26

Publicado: 2022-03-22

VOLUMEN 39, NÚM. 2, marzo-abril (2022), PAG. 355-364

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Brackground: in the early stages of kidney disease, oral manifestations (gingivitis and periodontitis) may cause premature tooth loss and limit food intake. There is scarce evidence of the relationship of oral hygiene and nutritional status in patients on Peritoneal Dialysis (PD). Objective: we aimed to assess the relationship of oral hygiene with nutritional, clinical, and physical performance parameters in PD patients. Methods: this cross-sectional study included outpatients aged 34-69 years. Oral health questionnaire, nutritional, functional, and clinical assessment tools such as Malnutrition Inflammation Score (MIS), Subjective Global Assessment (SGA), handgrip strength, and Gastrointestinal Symptoms Questionnaire (GSQ) were applied. Patients were divided according to debris, calculus, and Simplified Oral Hygiene Index (OHI-S) in two groups: “clean-slightly dirty” and “dirty-very dirty”. Results: in total, 41 patients were included, those in the “dirty-very dirty” group had a worse nutritional status with higher scores on the MIS tool and worse nutritional diagnosis with SGA as compared to the “clean-slightly dirty” group. The handgrip strength was higher in patients in the best category of oral hygiene, and those with the worst hygiene presented greater severity of gastrointestinal symptoms. The risks of malnutrition in the three indices of oral hygiene with the worst category were statistically significant. Conclusion: poor oral hygiene was associated with poorer nutritional status, lower handgrip, and worse GSQ. Poor oral hygiene might be related to persistent inflammation status and catabolism that favored protein-energy wasting.

Palabras Clave: Oral hygiene. Peritoneal dialysis. Protein-energy wasting. Periodontitis. Probiotics.

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Tomás I, Marinho JS, Limeres J, Santos MJ, Araújo L, Diz P. Changes in salivary composition in patients with renal failure. Arch Oral Biol 2008;53(6):528-32.
DOI: 10.1016/j.archoralbio.2008.01.006

Akar H, Akar GC, Carrero JJ, Stenvinkel P, Lindholm B. Systemic consequences of poor oral health in chronic kidney disease patients. Clin J Am Soc Nephrol [Internet] 2011;6(1):218-26. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21115624.
DOI: 10.2215/CJN.05470610

Tadakamadla J, Kumar S, Mamatha GP. Comparative evaluation of oral health status of chronic kidney disease (CKD) patients in various stages and healthy controls. Spec Care Dent 2014;34(3):122-6.
DOI: 10.1111/scd.12040

Gürkan A, Köse T, Atilla G. Oral health status and oral hygiene habits of an adult Turkish population on dialysis. Oral Health Prev Dent 2008;6(1):37-43.

Xie T, Yang Z, Dai G, Yan K, Tian Y, Zhao D, et al. Evaluation of the oral health status in Chinese hemodialysis patients. Hemodial Int 2014;18(3):668-73.
DOI: 10.1111/hdi.12149

Klassen JT, Krasko BM. The dental health status of dialysis patients. J Can Dent Assoc 2002;68(1):34-8.

Grubbs V, Plantinga LC, Tuot DS, Powe NR. Chronic kidney disease and use of dental services in a United States public healthcare system: a retrospective cohort study. BMC Nephrol 2012;13(16):1-6.
DOI: 10.1186/1471-2369-13-16

Vijaya KL, Aruna M, Narayana Rao SVL, Rama Mohan P. Dietary counseling by renal dietician improves the nutritional status of hemodialysis patients. Indian J Nephrol 2019;29(3):179-85.
DOI: 10.4103/ijn.IJN_272_16

Kramer H, Jimenez EY, Brommage D, Vassalotti J, Montgomery E, Steiber A, et al. Medical Nutrition Therapy for Patients with Non–Dialysis-Dependent Chronic Kidney Disease: Barriers and Solutions. J Acad Nutr Diet 2018;118(10):1958-65.
DOI: 10.1016/j.jand.2018.05.023

Ioannidou E, Swede H, Fares G, Himmelfarb J. Tooth Loss Strongly Associates With Malnutrition in Chronic Kidney Disease. J Periodontol 2014;85(7):899-907.
DOI: 10.1902/jop.2013.130347

Cengiz MI, Bal S, Gökçay S, Cengiz K. Does Periodontal Disease Reflect Atherosclerosis in Continuous Ambulatory Peritoneal Dialysis Patients? J Periodontol 2007;78(10):1926-34.
DOI: 10.1902/jop.2007.060499

Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc [Internet] 1964;68:7-13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14076341.
DOI: 10.14219/jada.archive.1964.0034

Palmer SC, Tunnicliffe DJ, Singh-Grewal D, Mavridis D, Tonelli M, Johnson DW, et al. Induction and Maintenance Immunosuppression Treatment of Proliferative Lupus Nephritis: A Network Meta-analysis of Randomized Trials. Am J Kidney Dis [Internet] 2017;70(3):324-36.
DOI: 10.1053/j.ajkd.2016.12.008

Palmer SC, Ruospo M, Wong G, Craig JC, Petruzzi M, De Benedittis M, et al. Dental health and mortality in people with end-stage kidney disease treated with hemodialysis: A multinational cohort study. Am J Kidney Dis 2015;66(4):666-76.
DOI: 10.1053/j.ajkd.2015.04.051

Kalantar-Zadeh K, Kopple JD, Block G, Humphreys MH. A malnutrition-inflammation score is correlated with morbidity and mortality in maintenance hemodialysis patients. Am J Kidney Dis 2001;38(6):1251-63.
DOI: 10.1053/ajkd.2001.29222

González-Ortiz AJ, Arce-Santander CV, Vega-Vega O, Correa-Rotter R, Espinosa-Cuevas MA. Assessment of the reliability and consistency of the “Malnutrition Inflammation Score” (MIS) in Mexican adults with chronic kidney disease for diagnosis of protein-energy wasting syndrome (PEW). Nutr Hosp 2015;31(3):1352-8.

Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? J Parenter Enter Nutr 1987;11(1):8-13.
DOI: 10.1177/014860718701100108

Bilbrey GL, Cohen TL. Identification and treatment of protein calorie malnutrition in chronic hemodialysis patients. Dial Transplant 1989;18:660-78.

Frisancho AR. New standards of weight and body composition by frame size and height for assessment of nutritional status of adults and the elderly. Am J Clin Nutr 1984;40(4):808-19.
DOI: 10.1093/ajcn/40.4.808

Durnin JVGA, Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 Years. Br J Nutr 1974;32(01):77-97.
DOI: 10.1079/BJN19740060

Carrera-Jiménez D, Miranda-Alatriste P, Atilano-Carsi X, Correa-Rotter R, Espinosa-Cuevas Á. Relationship between nutritional status and gastrointestinal symptoms in geriatric patients with end-stage renal disease on dialysis. Nutrients 2018;10(4):1-12.
DOI: 10.3390/nu10040425

Carrero JJ, Thomas F, Nagy K, Arogundade F, Avesani CM, Chan M, et al. Global Prevalence of Protein-Energy Wasting in Kidney Disease: A Meta-analysis of Contemporary Observational Studies From the International Society of Renal Nutrition and Metabolism. J Ren Nutr [Internet] 2018;28(6):380-92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30348259.
DOI: 10.1053/j.jrn.2018.08.006

Carrero JJ, Stenvinkel P, Cuppari L, Ikizler TA, Kalantar-Zadeh K, Kaysen G, et al. Etiology of the Protein-Energy Wasting Syndrome in Chronic Kidney Disease: A Consensus Statement From the International Society of Renal Nutrition and Metabolism (ISRNM). J Ren Nutr 2013;23(2):77-90.
DOI: 10.1053/j.jrn.2013.01.001

Chen L-P, Chiang C-K, Peng Y-S, Hsu S-P, Lin C-Y, Lai C-F, et al. Relationship between periodontal disease and mortality in patients treated with maintenance hemodialysis. Am J Kidney Dis 2011;57(2):276-82.
DOI: 10.1053/j.ajkd.2010.09.016

Ogawa M, Satomi-Kobayashi S, Yoshida N, Ysuboi Y, Komaki K, Nanba N, et al. Relationship between oral health and physical frailty in patients with cardiovascular disease. J Cardiol 2021;77(2):131-8.
DOI: 10.1016/j.jjcc.2020.07.016

Fang F, Wu B, Qu Q, Gao J, Yan W, Huang X, et al. The clinical response and systemic effects of non-surgical periodontal therapy in end-stage renal disease patients: A 6-month randomized controlled clinical trial. J Clin Periodontol 2015;42(6):537-46.
DOI: 10.1111/jcpe.12411

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019;48(1):16-31.
DOI: 10.1093/ageing/afy169

Ausavarungnirun R, Wisetsin S, Rongkiettechakorn N, Chaichalermsak S, Udompol U, Rattanasompattikul M. Association of dental and periodontal disease with chronic kidney disease in patients of a single, tertiary care centre in Thailand. BMJ Open 2016;6(7):1-8.
DOI: 10.1136/bmjopen-2016-011836

Cunha FL, Tagliaferro EPS, Pereira AC, Meneghim MC, Hebling E. Oral health of a Brazilian population on renal dialysis. Spec Care Dent 2007;27(6):227-31.
DOI: 10.1111/j.1754-4505.2007.tb01754.x

Gautam NR, Gautam NS, Rao TH, Koganti R, Agarwal R, Alamanda M. Effect of end-stage renal disease on oral health in patients undergoing renal dialysis: A cross-sectional study. J Int Soc Prev Community Dent 2014;4(3):164-9.
DOI: 10.4103/2231-0762.142006

Shukla A, Abreu Z, Bargman JM. Streptococcal PD peritonitis - A 10-year review of one centre’s experience. Nephrol Dial Transplant 2006;21(12):3545-9.
DOI: 10.1093/ndt/gfl407

Prasad N, Gupta A, Sharma RK, Sinha A, Kumar R. Impact of nutritional status on peritonitis in CAPD patients. Perit Dial Int 2007;27(1):42-7.
DOI: 10.1177/089686080702700110

Oka H, Yamada S, Kamimura T, Aihara S, Hyodo M, Terakado N, et al. Better Oral Hygiene Habits Are Associated With a Lower Incidence of Peritoneal Dialysis-Related Peritonitis. Ther Apher Dial 2019;23(2):187-94.
DOI: 10.1111/1744-9987.12757

López-Cisneros S, Espinosa-Cuevas M de LÁ, Reyes-Guerrero R. La periodontitis en el paciente con enfermedad renal crónica. Rev Mex Nutr Ren 2019;2(2):34-40.

Cholewa M, Madziarska K, Radwan-Oczko M. The association between periodontal conditions, inflammation, nutritional status and calcium-phosphate metabolism disorders in hemodialysis patients. J Appl Oral Sci 2018;26:e20170495.
DOI: 10.1590/1678-7757-2017-0495

Chen L-P, Hsu S-P, Peng Y-S, Chiang C-K, Hung K-Y. Periodontal disease is associated with metabolic syndrome in hemodialysis patients. Nephrol Dial Transpl 2011;26(12):4068-73.
DOI: 10.1093/ndt/gfr209

Kocyigit I, Yucel HE, Cakmak O, Dogruel F, Durukan DB, Korkar H, et al. An ignored cause of inflammation in patients undergoing continuous ambulatory peritoneal dialysis: periodontal problems. Int Urol Nephrol [Internet] 2014;46(10):2021-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24756531.
DOI: 10.1007/s11255-014-0716-z

Tekce M, Ince G, Gursoy H, Dirikan Ipci S, Cakar G, Kadir T, et al. Clinical and microbiological effects of probiotic lozenges in the treatment of chronic periodontitis: A 1-year follow-up study. J Clin Periodontol 2015;42(4):363-72.
DOI: 10.1111/jcpe.12387

Ismail FB, Ismail G, Dumitriu AS, Baston C, Berbecar V, Jurubita R, et al. Identification of subgingival periodontal pathogens and association with the severity of periodontitis in patients with chronic kidney diseases: a cross-sectional study. Biomed Res Int [Internet] 2015;2015:370314. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25922833.
DOI: 10.1155/2015/370314

Takeuchi Y, Ishikawa H, Inada M, Shinozuka O, Umeda M, Yamazaki T. Study of the oral microbial flora in patients with renal disease. Nephrology 2007;12(2):182-90.
DOI: 10.1111/j.1440-1797.2007.00767.x

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