Prevalence of chewing difficulty in older people in long-term care: A systematic review and meta-analysis

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dc.contributor.authorCavalcanti, Renata Veiga Andersen
dc.contributor.authorAbreu, Maria Helena Dantas
dc.contributor.authorSilva, Anayza Priscila Lourenço da
dc.contributor.authorRegalo, Simone Cecilio Hallak
dc.contributor.authorSiéssere, Selma
dc.contributor.authorGonçalves, Flávio Magno
dc.contributor.authorAraujo, Cristiano Miranda de
dc.contributor.authorTaveira, Karinna Veríssimo Meira
dc.contributor.authorIDhttps://orcid.org/0000-0002-3953-4881pt_BR
dc.date.accessioned2023-07-03T21:36:23Z
dc.date.available2023-07-03T21:36:23Z
dc.date.issued2022
dc.description.resumoBackground: Many factors can influence chewing, including age. The ageing process causes morphophysiological changes in the body, including in the performance of the stomatognathic system, which directly affect chewing and swallowing. Objective: To determine the prevalence of chewing difficulty in older people in long-term care. Methods: We searched six electronic databases and the grey literature. Qualitative and quantitative analyses, including risk of bias, were performed on studies that met the inclusion criteria. The meta-analysis of proportions with a random effects model was performed, and heterogeneity was explored by meta-regression. Risk of bias was determined using the Joanna Briggs Institute's Critical Appraisal Checklist. The certainty of evidence was verified using the GRADE tool. Results: Twelve articles were included in the meta-analysis. The pooled prevalence estimate was 35% (95% confidence interval, 0.19-0.54). As heterogeneity still persisted even after sensitivity analysis, the predictors of mean sample age and sample size were meta-regressed to assess whether these covariates explained the variance between effect sizes. The covariable sample size of the study included in the analysis explained 84.3% of the heterogeneity existing in the analysis (R2 = 84.3%; P = .0008). The risk of bias was low in three studies, eight studies had a moderate risk of bias and one study had a high risk of bias. As for the prevalence of chewing difficulty, the GRADE criteria were considered very low. Conclusion: About one in three older people in long-term care have difficulty in chewing.pt_BR
dc.identifier.citationABREU, Maria Helena Dantas; SILVA, Anayza Priscila Lourenço da; CAVALCANTI, Renata Veiga Andersen; REGALO, Simone Cecilio Hallak; SIÉSSERE, Selma; GONÇALVES, Flávio Magno; ARAUJO, Cristiano Miranda de; TAVEIRA, Karinna Veríssimo Meira. Prevalence of chewing difficulty in older people in long‐term care: a systematic review and meta⠰analysis. Gerodontology, [S.L.], v. 40, n. 1, p. 10-25, 6 jan. 2022. Wiley. http://dx.doi.org/10.1111/ger.12617. Disponível em: https://onlinelibrary.wiley.com/doi/10.1111/ger.12617. Acesso em: 27 jun. 2023.pt_BR
dc.identifier.doihttps://doi.org/10.1111/ger.12617
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/52987
dc.languageenpt_BR
dc.publisherWileypt_BR
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/br/*
dc.subjectinstitutionalpt_BR
dc.subjectolder peoplept_BR
dc.subjectprevalencept_BR
dc.subjectsystematic reviewpt_BR
dc.titlePrevalence of chewing difficulty in older people in long-term care: A systematic review and meta-analysispt_BR
dc.typearticlept_BR

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