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Eating disorders and oral health: a scoping review on the role of dietitians
Journal of Eating Disorders ( IF 4.1 ) Pub Date : 2020-10-13 , DOI: 10.1186/s40337-020-00325-0 Tiffany Patterson-Norrie 1 , Lucie Ramjan 2 , Mariana S Sousa 3 , Lindy Sank 4 , Ajesh George 5
Journal of Eating Disorders ( IF 4.1 ) Pub Date : 2020-10-13 , DOI: 10.1186/s40337-020-00325-0 Tiffany Patterson-Norrie 1 , Lucie Ramjan 2 , Mariana S Sousa 3 , Lindy Sank 4 , Ajesh George 5
Affiliation
Background Compromised nutritional intake due to eating disorder related behaviors, such as binge eating and purging, can lead to multi-system medical complications, including an irreversible impact on oral health. However, dental anxiety, fear or embarrassment may hinder individuals with an eating disorder from seeking assistance for their oral health concerns. As key health professionals in eating disorder treatment, dietitians are well positioned to provide basic dental screening, however, their capacity to perform this role in practice has not been established. The aim of this review was to identify current evidence on the role of dietitians in promoting oral health among individuals with eating disorders. Methods A comprehensive search of eight electronic databases and the grey literature was conducted to address the following three focus areas: 1) guidelines and recommendations on the role of dietitians in oral health 2) knowledge, attitudes and practices of dietitians regarding oral health promotion and; 3) current models of oral health care and resources for dietitians. Results Twelve articles were included. The review indicated that current national and international position statements encourage dietitians to conduct basic oral health screening and promote oral health in high risk populations, such as those with an eating disorder. However, no evidence was found to indicate dietitians performed oral health screening or education in populations with an eating disorder. In other population settings, dietitians were found to play a role in oral health promotion, however, were noted to have mixed knowledge on oral health risk factors, prevention and treatment and generally were not providing referrals. Some oral health promotion resources existed for dietitians working in pediatric, HIV and geriatric clinical areas however no resources were identified for dietitians working in eating disorder settings. Conclusion Despite current evidence showing that dietitians can play a role in oral health care, no models of care exist where dietitians promote oral health among individuals with an eating disorder. There are also no training resources and screening tools for dietitians in this area. Further research is required to develop this model of care and assess its feasibility and acceptability.
中文翻译:
饮食失调和口腔健康:对营养师作用的范围审查
背景 由于饮食失调相关行为(例如暴饮暴食和暴饮暴食)导致营养摄入受损,可能会导致多系统并发症,包括对口腔健康造成不可逆转的影响。然而,牙科焦虑、恐惧或尴尬可能会阻碍饮食失调患者就口腔健康问题寻求帮助。作为饮食失调治疗的关键卫生专业人员,营养师有能力提供基本的牙科筛查,但他们在实践中发挥这一作用的能力尚未确定。本次综述的目的是确定营养师在促进饮食失调患者口腔健康方面作用的最新证据。方法 对八个电子数据库和灰色文献进行全面检索,以解决以下三个重点领域:1)关于营养师在口腔健康中的作用的指南和建议;2)营养师关于口腔健康促进的知识、态度和实践;3)当前的口腔保健模式和营养师资源。结果 纳入 12 篇文章。审查表明,当前的国家和国际立场声明鼓励营养师进行基本的口腔健康筛查,并促进高风险人群(例如饮食失调人群)的口腔健康。然而,没有发现证据表明营养师对饮食失调人群进行了口腔健康筛查或教育。在其他人群中,营养师被发现在口腔健康促进方面发挥着作用,然而,他们对口腔健康风险因素、预防和治疗的了解不一,而且通常不提供转介。为在儿科、艾滋病毒和老年临床领域工作的营养师提供了一些口腔健康促进资源,但没有为在饮食失调环境中工作的营养师找到资源。结论 尽管目前的证据表明营养师可以在口腔保健中发挥作用,但不存在营养师促进饮食失调患者口腔健康的护理模式。该领域也没有针对营养师的培训资源和筛选工具。需要进一步的研究来开发这种护理模式并评估其可行性和可接受性。
更新日期:2020-10-13
中文翻译:
饮食失调和口腔健康:对营养师作用的范围审查
背景 由于饮食失调相关行为(例如暴饮暴食和暴饮暴食)导致营养摄入受损,可能会导致多系统并发症,包括对口腔健康造成不可逆转的影响。然而,牙科焦虑、恐惧或尴尬可能会阻碍饮食失调患者就口腔健康问题寻求帮助。作为饮食失调治疗的关键卫生专业人员,营养师有能力提供基本的牙科筛查,但他们在实践中发挥这一作用的能力尚未确定。本次综述的目的是确定营养师在促进饮食失调患者口腔健康方面作用的最新证据。方法 对八个电子数据库和灰色文献进行全面检索,以解决以下三个重点领域:1)关于营养师在口腔健康中的作用的指南和建议;2)营养师关于口腔健康促进的知识、态度和实践;3)当前的口腔保健模式和营养师资源。结果 纳入 12 篇文章。审查表明,当前的国家和国际立场声明鼓励营养师进行基本的口腔健康筛查,并促进高风险人群(例如饮食失调人群)的口腔健康。然而,没有发现证据表明营养师对饮食失调人群进行了口腔健康筛查或教育。在其他人群中,营养师被发现在口腔健康促进方面发挥着作用,然而,他们对口腔健康风险因素、预防和治疗的了解不一,而且通常不提供转介。为在儿科、艾滋病毒和老年临床领域工作的营养师提供了一些口腔健康促进资源,但没有为在饮食失调环境中工作的营养师找到资源。结论 尽管目前的证据表明营养师可以在口腔保健中发挥作用,但不存在营养师促进饮食失调患者口腔健康的护理模式。该领域也没有针对营养师的培训资源和筛选工具。需要进一步的研究来开发这种护理模式并评估其可行性和可接受性。