Correlation between geriatric nutritional risk index and oral condition in gastric cancer patients

• Published in: Oral diseases Vol. 29; no. 2; pp. 836 - 842
• Main Authors: Abe, Atsushi, Ito, Yu, Hayashi, Hiroki, Ishihama, Takanori, Momokita, Moeko, Taniguchi, Shinichi
• Format: Journal Article
• Language: English
• Published: Denmark Wiley Subscription Services, Inc 01.03.2023
• Subjects: Aged; Body Mass Index; Cell number; Dentures; Eichner classification; Gastric cancer; Geriatric Nutritional Risk Index; Geriatrics; Humans; Lymphocytes; Malnutrition - etiology; Nutrition Assessment; Nutritional Status; perioperative oral management; Prognosis; Retrospective Studies; Risk Factors; Stomach Neoplasms - complications; Teeth; Undernutrition; Eichner classification; gastric cancer; perioperative oral management; Geriatric Nutritional Risk Index
• ISSN: 1354-523X; 1601-0825
• DOI: 10.1111/odi.14035

Objectives Nutritional status is a useful prognostic factor in gastric cancer patients. Since oral hypofunction may cause undernutrition, we cross‐sectionally investigated whether the Geriatric Nutritional Risk Index (GNRI) is affected by the number of remaining teeth, occlusal support status and denture use. Materials and Methods The participants were 114 patients diagnosed with gastric cancer between April 2017 and March 2020. The stage of gastric cancer, body mass index, albumin level, total lymphocyte count, C‐reactive protein level and GNRI were evaluated. The number of remaining teeth was also evaluated, and the occlusion state was determined based on the Eichner classification. The patients were divided into three main groups representing different occlusal states based on the Eichner index and were also categorised based on denture use. Results The mean age ± standard deviation of the patients was 75.2 ± 5.5 years. The Eichner classification had a significant positive correlation with GNRI. Low GNRI was associated with a poor occlusal state in group C, while a higher GNRI was associated with a stable occlusal state in group A. However, the denture‐related groups showed no significant differences in GNRI. Conclusion The GNRI was associated with the occlusal support level but not with denture use.