Oral health-related quality of life in diabetic patients: comparison of the Persian version of Geriatric Oral Health Assessment Index and Oral Health Impact Profile: A descriptive-analytic study

Journal of Diabetes & Metabolic Disorders

Mina Motallebnejad⁴  Soraya khafri²  Niloofar Jenabian⁵  Mohammadali Bayani¹  Ava Nikbin³ 

[1]Department of Internal Medicine, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran

[2]Department of Social Health Medicine, Babol University of Medical Sciences, Babol, Iran

[3]Faculty of Dentistry, Dentistry Student Research committee(DSRC), Babol University of Medical Sciences, Babol, Iran

[4]Cellular & Molecular Biology Research Center, Department of Oral Medicine, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran

[5]Dental Materials Research Center ,Department of Periodontology & Implantology, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran

关键词: OHIP-14;    GOHAI;    Quality of Life;    Oral health;    Type 2;    Diabetes mellitus;   

Others  :  806118
DOI  :  10.1186/2251-6581-13-32

 received in 2013-08-04, accepted in 2014-01-19,  发布年份 2014

【 摘 要 】

Background

Diabetes mellitus is one of the systemic disease which is show important oral manifestation and influence oral health. This study describes how diabetes mellitus affects oral health and oral health-related quality of life. The aim of this study was to evaluate the oral health and oral health-related quality of life of diabetic patients and compare the discriminative capability of Persian versions of two GOHAI and OHIP-14 questionnaires in these patients.

Methods

A total of 350 patients with Type II diabetes mellitus, referring to the Diabetes Clinic, were selected and data were collected by GOHAI and OHIP-14 questionnaires completed by patients and clinical examinations. Oral health parameters (CAL,BI,GI,PLI,DMFT and xerostomia) were measured, also concurrent validity and conformity of two questionnaires were assessed. In order to test Discriminant analysis capabilities of two questionnaires, ADD and SC scores of questionnaires were divided into two parts and a logistic regression model was designed, which included subjective and objective variables.

Results

Mean patients age was 55 years (with 75.4% female patients). The results showed that some oral conditions such as xerostomia, clinical attachment loss, number of missing teeth and plaque index were correlated to diabetes control level (HbA1c) and type of anti-diabetic medication. ADD and SC scores of two questionnaires were at high level. However, the effect of oral problems on decreasing OHRQoL was evident. Both questionnaires had acceptable concurrent validity and conformity. Moreover, there was a strong correlation between GOHAI and OHIP-14. OHIP-14 questionnaire had a higher discriminant analysis capability compared to GOHAI and better diagnosed patients who needed dental treatments: patients with higher GI, xerostomia and those wearing partial dentures.

Conclusion

Diabetic patients did not show acceptable oral health status and in some extent, oral problems affected oral health-related quality of life. Psychotherapy courses and solving oral problems of the patients can improve OHRQoL. OHIP-14 had higher discriminant analysis capability and was more effective in diagnosing oral problems.

【 授权许可】

   
2014 Nikbin et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Hoseinpour Jajarm H, Mohtasham N, Rangiani A: Evaluation of oral mucosa epithelium in type II diabetic patients by an exfoliative cytology method. Oral Sciences 2008, 50:355-40.
• [2]Powers AC: Diabetes Mellitus. In Harrisons Principle Of Internal Medicine, Volume 2. 17th edition. Edited by Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J. United states of America: McGraw-Hil; 2008:2276-2277. 2292 – 2293
• [3]Shareef BT, Ang KT, Naik VR: Qualitative and quantitative exfoliative cytology of normal oral mucosa in type 2 diabetic patients. Med Oral Pathol Oral cir Bucal 2008, 13:693-696.
• [4]Kuzuya T, Nakagawa S, Satoh J, Kanazawa Y, Iwamoto Y, Kobayashi M, Nanjo K, Sasaki A, Seino Y, Ito C, Shima K, Nonaka K, Kadowaki T: Report of the committee on the classification and diagnostic criteria of diabetes mellitus. Diabetes Res Clin Pract 2002, 55:65-85.
• [5]Little JW, Falace DA, Miller CS, Rhodis NL: Dental Management Of The Medically Compromised Patient. ST Louis: Mosby; 2002.
• [6]Newman MG, Takei HH, Klol levold PR, Carranza FA: Carranza’S Clinical Periodontology. China: Saunders; 2006.
• [7]Sandberg GE, Sundberg HE, Fjellstrom CA, Wikblad KF: Type 2 diabetes and oral health : a comporison between diabetic and non- diabetic Subjects. Diabetes Res Clin Pract 2000, 50:27-34.
• [8]Sardberg GE, Wikblod KF: Oral health and health – related quality Of life in type 2 diabetic patients and non – diabetic controls. Acta Odontal Scand 2003, 61:141-148.
• [9]Motallebnejad M, Mottaghi K, Mehdizade S, Alaedini F, Bijani A: Reliability and validity of the Persian version of the general oral health assessment index (GOHAI). Caspian J Dent Res 2012- 2013, 1:8-17.
• [10]Motallebnejad M, Hadian H, Mehdizade S, Hajiahmadi M: Validity and reliability of the Persian version of the oral health impact profile (OHIP)-14. Caspian J Intern Med 2011, 2:314-320.
• [11]EL Osta N, Tubert-Jeannin S, Hennequin M, Bou Abboud Naaman N, EL Osta L, Geahchan N: Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon. Health Qual life outcomes 2012, 10:31. doi: 10.1186/1477-7525-10-131 BioMed Central Full Text
• [12]Seob JS, Chang Chung S, Hong KH, Young KU, Chung JW: Dry mouth among the elderly in Korea: a survey of prevalence, severity, and associated factors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010, 110:403-475.
• [13]Torres SR, Peixoto CB, Coldas DM, Silva EB, Akiti T, Nucci M, de Uzeda M: Relationship between salivary flow rates and condida counts in subjects with xerostomia. Oral Surg Oral Med Oral Path Oral Radial Endod 2002, 93:144-150.
• [14]Madhusudan K, Pralhad L: Dasar: Principles and Practice of Public Health Dentistry. New Delhi: Jaypee Brothers; 2010.
• [15]Augusta Bessa Rebelo M, Corrêa de Queiroz A: Gingival Indices: State of Art. In Gingival Diseases - Their Aetiology, Prevention and Treatmen. 1st edition. Edited by Panagakos FS, Davies RM. Croatia: InTech; 2011:44-45.
• [16]Locker D: Health outcomes of oral disorders[abstract]. Int J Epidemiol 1995, 24(Suppl 1):s85-s89.
• [17]Slade GD: Assessing change in quality of life using the oral health impact profile. Community Dent Oral Epidemiol 1998, 26:52-61.
• [18]Gift HC: Quality of life–an outcome of oral health care? J Public Health Dent 1996, 56:67-68.
• [19]Drumond-Santana T, Costa FO, Zenóbio EG, Soares R, Santana TD: Impact of periodontal disease on quality of life for dentate diabetics. Cad Saude Publica 2007, 23:637-644.
• [20]Manfredi M, McCullough MJ, Vescovi P, Al-Kaarawi ZM, Porter SR: Update on diabetes mellitus and related oral diseases. Oral Dis 2004, 10:187-200.
• [21]Vernillo AT: Dental considerations for the treatment of patients with diabetes mellitus. J Am Dent Assoc 2003, 134:245-335.
• [22]Lux J, BA MSW: Review of the oral disease-systemic disease link. Part I: heart disease, diabetes. CJDH 2006, 40:288-342.
• [23]Ueta E, Osaki T, Yoneda K, Yamamoto T: Prevalence of diabetes mellitus in odontogenic infections and oral candidiasis: an analysis of neutrophil suppression. J Oral Pathol Med 1993, 22:168-174.
• [24]Hallmon WW, Mealey BL: Implications of diabetes mellitus and periodontal disease. Diabetes Educ 1992, 18:310-315.
• [25]Sharma R, Sunder Raj S, Vinod K, Reddy YG, Vela D, Bailoor D: Comparison of oral health indicators in type 2 diabetes mellitus patients and controls. J Indian Acad Oral Med Radiol 2011, 23:168-172.
• [26]Obradović R, Kesić LJ, Gašić J, Petrović M, Živković N: Role of smoking in periodontal disease among diabetic patients. West Indian Med J 2012, 61:98-101.
• [27]Soskolne WA: Epidemiological and clinical aspects of periodontal diseases in diabetics. Ann Periodontol 1998, 3:3-12.
• [28]Hebling E, Pereira AC: Oral health-related quality of life: a critical appraisal of assessment tools used in elderly people. Gerodontology 2007, 24:151-161.
• [29]Li Z, Zhu L, Sha Y: Effects of periodontal health and related factors on the oral health – related quality of life in type 2 diabetic patients with chronic periodontitis[abstract]. Hua Xi Kou Qiang Yi Xue Za Zhi 2011, 29:s379.
• [30]de Pinho AM S, Borges CM, de MH NG˜aA, Ferreira e Ferreira F, Duarte Vargas AM: Impact of periodontal disease on the quality of life of diabetics based on different clinical diagnostic criteria. Int J Clin Dent 2012. doi:10.1155/2012/986412
• [31]Ghaem H, Borhani Haghighi A, Zeighami B, Dehghan A: Validity and reliability of the Persian version of the Parkinson disease quality of life (PDQL) questionnaire. Journal of Kerman University of Meical Sciences 2010, 17:49-58.
• [32]Hassel AJ, Steuker B, Rolko C, Keller L, Rammelsberg P, Nitschke I: Oral health-related quality of life of elderly Germans–comparison of GOHAI and OHIP-14. Community Dent Health 2010, 27:242-7.
• [33]Ikebe K, Hazeyama T, Enoki K, Murai S, Okada T, Kagawa R, Matsuda K, Maeda Y: Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese. Community Dent Oral Epidemiol 2012, 40:406-414. doi:10.1111/j.1600-0528.2012.00683.x. Epub 2012 Mar 31
• [34]Locker D, Matear D, Stephens M, Lawrence H, Payne B: Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dent Oral Epidemiol 2001, 29:373-81.
• [35]Hassel AJ, Danner D, Schmitt M, Nitschke I, Rammelsberg P, Wahl HW: Oral health-related quality of life is linked with subjective well-being and depression in early old age. Clin Oral Investig 2011, 15:691-697. doi:10.1007/s00784-010-0437-3. Epub 2010 Jun 26