Goal: 16 - Barış, Adalet ve Güçlü Kurumlar
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Paper Associations between mental and oral health in Spain: a cross-sectional study of more than 23,000 people aged 15 years and over
2020-09-01T00:00:00Z, Jacob, Louis, Lopez-Sanchez, Guillermo F., Carvalho, Andre F., Shin, Jae Il, Oh, Hans, Yang, Lin, Veronese, Nicola, SOYSAL, PINAR, Grabovac, Igor, Koyanagi, Ai, Smith, Lee, SOYSAL, PINAR
Background: This study aimed to investigate associations between mental health and several parameters of oral health, controlling for a variety of important covariates, in a large representative sample of Spanish people. Methods: Data from the Spanish National Health Survey 2017 were analysed. Mental (i.e., depression, chronic anxiety, other psychiatric disorders) and oral health (i.e., dental caries, dental extraction, dental filling, gingival bleeding, tooth movement, dental material, missing tooth) were evaluated. Control variables included sex, age, marital status, education, smoking, alcohol consumption, and physical multimorbidity. Associations between psychiatric conditions (independent variables) and the number of poor oral health outcomes (dependent vari-able) were assessed using Poisson regression models. The associations were investigated in the overall popu-lation, in married participants and in those who were single/widowed/divorced/separated. Results: There were 23,089 participants [54.1% women; mean (standard deviation) age 53.4 (18.9) years]. The prevalence of at least one psychiatric condition was 15.4% in the overall sample, while the mean (standard deviation) number of poor oral health outcomes was 2.9 (1.4). There was a positive association between any psychiatric condition and the number of poor oral health outcomes [incidence rate ratio (IRR)=1.10; 95% con fidence interval: 1.07-1.12], and there was a signi ficant interaction between any psychiatric condition and marital status. The association was stronger in those participants who were single/widowed/divorced/sepa-rated. Limitations: Cross-sectional study. Oral and mental health were assessed with Yes/No questions. Exposure, outcome and covariates were self-reported. Conclusions: Those with poor mental health have worse oral health but being married has some protective benefits.
Nutritional supplements for neuropsychiatric symptoms in people with dementia: A systematic review and meta-analysis
2020-08-01T00:00:00Z, Haider, Sandra, Schwarzinger, Angela, Stefanac, Sinisa, SOYSAL, PINAR, Smith, Lee, Veronese, Nicola, Dorner, Thomas E., Grabovac, Igor, SOYSAL, PINAR
Objectives The aim of the present study was to assess the effects of nutritional supplementation on neuropsychiatric symptoms among people with dementia. Methods/Design Randomized controlled trials (RCTs) were searched in the Databases PubMed, EMBASE, SCOPUS, Cochrane Central Register of Controlled Trials and from inception until January 31, 2020. Studies of RCTs carried out on people with any type of dementia who were taking nutritional supplements and had neuropsychiatric symptoms were included in this systematic review and meta-analysis. Neuropsychiatric symptoms were assessed with the validated Neuropsychiatric Inventory (NPI). Effect sizes were calculated with standardized mean differences (SMD) and 95% confidence intervals (95%CI), applying a random effect model. Results The search yielded 1034 studies with four studies being included in the meta-analysis with a total of 377 people with dementia (mean age 69.3 [SD: 7.7] years). The diagnoses comprised mild to late Alzheimer-s disease and frontotemporal dementia. Two studies included a multicomponent supplementation, one an omega-3, and one a special supplement tailored for cognitive impairment. The median follow-up was 18 weeks, with a range from 12 to 24 weeks. Pooled data showed that nutritional supplementation did not improve NPI (SMD = -0.33; [95%CI: -0.74 to 0.08];P= 0.11; I-2= 45%). Conclusions The findings of this meta-analysis demonstrated no significant impact on NPI through nutritional supplementation. However, the generalization of the results is limited, as different supplements were used in different stages of dementia with a short follow-up time.