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Open AccessArticle

Frequency of Fruit and Vegetable Consumption and the Oral Health-Related Quality of Life among Japanese Elderly: A Cross-Sectional Study from the Kyoto-Kameoka Study

1
Department of Nutrition and Metabolism, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, Japan
2
Department of Health and Sports Sciences, Kyoto Gakuen University, Kyoto 621-8555, Japan
3
Laboratory of Applied Health Sciences, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan
4
Department of Health, Sports and Nutrition, Faculty of Health and Welfare, Kobe Women’s University, Hyogo 650-0046, Japan
5
Faculty of Nursing, Doshisha Women’s College of Liberal Arts, Kyoto 610-0395, Japan
6
Faculty of Health and Sports Science, Doshisha University, Kyoto 610-0394, Japan
7
Senior Citizens’ Welfare Section, Kameoka City Government, Kyoto 621-8501, Japan
8
Department of Data Science, Shiga University, Shiga 522-8522, Japan
9
Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, Japan
10
Department of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical & Health Sciences, Hiroshima 734-8553, Japan
11
Division of Rehabilitation for Speech and Swallowing Disorders, Nippon Dental University, Tokyo 184-0011, Japan
*
Author to whom correspondence should be addressed.
Current address: Department of Nutrition and Metabolism, National Institutes of Biomedical Innovation, Health and Nutrition, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8636, Japan.
Nutrients 2017, 9(12), 1362; https://doi.org/10.3390/nu9121362
Received: 24 August 2017 / Revised: 10 December 2017 / Accepted: 13 December 2017 / Published: 15 December 2017
(This article belongs to the Special Issue Nutrition and Ageing)
Objective: Many previous studies have reported that fruit and vegetable consumption is associated with a reduced risk of various disease, but whether or not their consumption is associated with the oral health-related quality of life (OHRQoL) is unclear. The objective of this study was to examine the association between the frequency of fruit and vegetable consumption and the OHRQoL in elderly subjects by sex. Methods: We analyzed cross-sectional data from a population-based Kyoto-Kameoka Study in 2012 of 3112 men and 3439 women (age ≥ 65 years). The frequencies of fruit and vegetable consumption were assessed using a validated food frequency questionnaire. We evaluated the OHRQoL using the General Oral Health Assessment Index (GOHAI), a self-reported measure designed to assess the oral health problems in old adults. Results: After adjusting for age, body mass index, alcohol, smoking, education, socioeconomic status, history of disease, medication use, mobility disability, and total energy intake, a higher frequency of combined fruit and vegetable consumption showed a significant positive association with the GOHAI score in both men and women (p-trend < 0.001 in both sexes). These associations remained significant after adjustment for poor mastication and denture use (p-trend all < 0.05 in both sexes). We observed a significant positive association even when the frequencies of fruit or vegetable consumption were analyzed separately (all p-trend < 0.05 in both sexes). Conclusions: A higher frequency of fruit and/or vegetable consumption independently showed a strong positive association with the OHRQoL in both men and women. Further prospective studies are needed to confirm these findings. View Full-Text
Keywords: fruit; vegetable; the oral health-related quality of life; elderly fruit; vegetable; the oral health-related quality of life; elderly
MDPI and ACS Style

Nanri, H.; Yamada, Y.; Itoi, A.; Yamagata, E.; Watanabe, Y.; Yoshida, T.; Miyake, M.; Date, H.; Ishikawa-Takata, K.; Yoshida, M.; Kikutani, T.; Kimura, M. Frequency of Fruit and Vegetable Consumption and the Oral Health-Related Quality of Life among Japanese Elderly: A Cross-Sectional Study from the Kyoto-Kameoka Study. Nutrients 2017, 9, 1362.

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