{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T09:11:42Z","timestamp":1777972302735,"version":"3.51.4"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Older care home residents are particularly vulnerable to both malnutrition and chronic dental diseases, such as caries and periodontal disease. While high\u2010sugar oral nutritional supplements and fortified foods are commonly used to prevent undernutrition, excessive sugar intake increases the risk of dental caries. Despite the well\u2010established interplay between nutrition and oral health, existing guidelines and policy documents tend to address these aspects separately, resulting in fragmented care. This study aims to examine how oral health is considered within guidelines and policy documents focused on nutritional status and dietary intake for care home residents in the United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review was conducted using Arksey and O'Malley's framework. A systematic search identified UK and Irish based guidelines and policy documents addressing both nutrition and oral health in care homes. Documents exclusively covering either nutrition or oral health were excluded. Data were extracted, reviewed and analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve documents were included: five nutritional documents incorporating oral health and seven oral health documents referencing dietary intake. Nutritional documents acknowledged sugar\u2010related oral health risks but lacked practical caries prevention strategies. Oral health documents emphasised sugar restriction and hygiene but provided limited guidance on balancing nutritional adequacy with oral health preservation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Current guidelines and policy documents insufficiently integrate oral health and nutrition, resulting in fragmented care. Future policies should adopt an interdisciplinary approach, incorporating evidence\u2010based dietary and oral health strategies to improve care home residents' well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.70032","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T05:51:36Z","timestamp":1766987496000},"page":"137-158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Consideration of Oral Health Within Guidelines and Policy Documents Focused on Nutritional Status and Dietary Intake for Older Adults in Care Homes in the\n                    <scp>UK<\/scp>\n                    : A Scoping Review"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8235-7664","authenticated-orcid":false,"given":"Sachi","family":"Makino","sequence":"first","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayne","family":"Woodside","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3931-5358","authenticated-orcid":false,"given":"Aziza","family":"Sallam","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8542-7665","authenticated-orcid":false,"given":"Noleen","family":"McCorry","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Harvey","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Heilmann","sequence":"additional","affiliation":[{"name":"University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Lappin","sequence":"additional","affiliation":[{"name":"Department of Health  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2133-2998","authenticated-orcid":false,"given":"Gary","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinead","family":"Watson","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciaran","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5086-235X","authenticated-orcid":false,"given":"Georgios","family":"Tsakos","sequence":"additional","affiliation":[{"name":"University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Brocklehurst","sequence":"additional","affiliation":[{"name":"Public Health Wales  Wales UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8478-1673","authenticated-orcid":false,"given":"Gerry","family":"McKenna","sequence":"additional","affiliation":[{"name":"Queen's University Belfast  Belfast Northern Ireland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,28]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Age UK \u201cState of Health and Care of Older People in England 2024 \u201d(2025) https:\/\/www.ageuk.org.uk\/discover\/2024\/september\/state\u2010of\u2010health\u2010and\u2010care\u2010of\u2010older\u2010people\u2010in\u2010england\u20102024\/."},{"key":"e_1_2_12_3_1","unstructured":"Office for National Statistics \u201cNational Population Projections: 2021\u2010Based Interim \u201d(2025) https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationprojections\/bulletins\/nationalpopulationprojections\/2022based."},{"key":"e_1_2_12_4_1","unstructured":"The King's Fund \u201cSocial Care 360: Access \u201d(2025) https:\/\/www.kingsfund.org.uk\/insight\u2010and\u2010analysis\/long\u2010reads\/social\u2010care\u2010360\u2010access."},{"key":"e_1_2_12_5_1","unstructured":"NHS England \u201cAdult Social Care Activity and Finance Report England 2023\u20132024 \u201d(2025) https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/adult\u2010social\u2010care\u2010activity\u2010and\u2010finance\u2010report\/2023\u201024\/long\u2010term\u2010care."},{"key":"e_1_2_12_6_1","unstructured":"Statista \u201cNumber of People Living in Care Homes in the United Kingdom in 2022 by Country \u201d(2024) https:\/\/www.statista.com\/statistics\/1082379\/number\u2010of\u2010people\u2010living\u2010in\u2010care\u2010homes\u2010in\u2010the\u2010united\u2010kingdom\/."},{"key":"e_1_2_12_7_1","unstructured":"Department of Health & Social Care \u201cAdult Social Care in England Monthly Statistics: January 2025 \u201d(2025) 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https:\/\/www.ada.org\/resources\/ada\u2010library\/oral\u2010health\u2010topics\/nutrition\u2010and\u2010oral\u2010health."},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2020.09.014"},{"key":"e_1_2_12_22_1","unstructured":"R.StrattonandT.Smith \u201cNational Survey of Malnutrition and Nutritional Care in Adults. Malnutrition Action Group A Standing Committee of BAPEN \u201d(2025) https:\/\/www.bapen.org.uk\/pdfs\/reports\/mag\/national\u2010survey\u2010of\u2010malnutrition\u2010and\u2010nutritional\u2010care\u20102019.pdf."},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12592"},{"key":"e_1_2_12_24_1","unstructured":"Medicines Management Care Setting Governance Team NHS Shropshire Telford and Wrekin in collaboration with Community Dietitians andTrust SaTHN \u201cThink Food Approach in Care Homes. A Practical Guide for the Treatment of Malnutrition With Everyday Food and Drinks \u201d(2025) https:\/\/www.shropshiretelfordandwrekin.nhs.uk\/wp\u2010content\/uploads\/20221222\u2010Think\u2010Food\u2010Approach\u2010in\u2010Care\u2010Homes\u2010A\u2010practical\u2010guide\u2010for\u2010the\u2010treatment\u2010of\u2010malnutrition\u2010V2.pdf."},{"key":"e_1_2_12_25_1","unstructured":"Kent Community Health NHS Foundation Trust \u201cFood First for Care Homes \u201d(2025) https:\/\/www.kentcht.nhs.uk\/leaflet\/food\u2010first\u2010for\u2010care\u2010homes\/."},{"key":"e_1_2_12_26_1","unstructured":"Action on Sugar \u201cSugars and Tooth Decay \u201d(2024) https:\/\/www.actiononsugar.org\/sugar\u2010and\u2010health\/sugars\u2010and\u2010tooth\u2010decay\/."},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.115.009365"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41405\u2010024\u201000265\u2010w"},{"key":"e_1_2_12_29_1","unstructured":"World Health Organization \u201cOral Health \u201d(2025) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/oral\u2010health."},{"key":"e_1_2_12_30_1","unstructured":"C.ParkinsonandS.Mason \u201cImproving Oral Health: How Industry Can Help. Nature \u201d2025 https:\/\/www.nature.com\/articles\/d42473\u2010021\u201000517\u20105."},{"key":"e_1_2_12_31_1","unstructured":"European Fereration of Periodontology \u201cRelationship Between Caries and Gum Disease \u201d(2025) https:\/\/www.bsperio.org.uk\/assets\/downloads\/Relationship_between_caries_and_gum_disease.pdf."},{"issue":"2","key":"e_1_2_12_32_1","first-page":"98","article-title":"The Effect of the Loss of Teeth on Diet and Nutrition","volume":"34","author":"Chauncey H. 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