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Oral health‐related quality of life in patients with disorders of nutrition
Author(s) -
Shay Boaz,
Ben Ami Orly,
Levy Ianculovici Dana,
Zini Avraham,
Ianculovici Clariel,
Almoznino Galit
Publication year - 2019
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12754
Subject(s) - medicine , quality of life (healthcare) , demographics , oral health , national health and nutrition examination survey , physical disability , gerontology , physical therapy , environmental health , family medicine , demography , population , nursing , sociology
Summary Background Researchers demonstrated a correlation between nutrition and health‐related quality of life ( HRQ oL). Little is known about the correlation between disorders of nutrition ( DON ) and Oral HRQ oL ( OHRQ oL). Objectives (a) To measure OHRQ oL in DON patients compared to patients attending nutritional counselling for other reasons (eg, systemic diseases or general dietary counselling) ( NCOR ) and to healthy controls attending routine dental screenings. (b) To analyse associations between OHRQ oL and demographics, health‐related behaviours and nutritional practices. We hypothesised that OHRQ oL is impaired in DON patients and correlates with poor health‐related behaviours and nutritional practices Methods Demographic, smoking, alcohol and physical activity habits, verbal pain scale, oral health impact profile‐14 ( OHIP ‐14) and nutritional practice data were collected from 63 DON , 35 NCOR and 100 controls. Results Compared to controls, DON patients exhibited poorer OHIP ‐14 global scores and had more functional limitation, physical disability, psychological disability, social disability and handicap. OHIP ‐14 global score was positively associated with maternal origin, oral symptoms, eggs and eggplant consumption, avoiding seasoning, hot drinks and fibrous food and negatively associated with physical activity and fresh vegetable consumption. In the conceptual hierarchical multiple regression model, verbal pain scale, eggplant consumption and physical activity were mediators in the relationship between DON and OHIP ‐14. DON , physical activity and eggplant consumption also directly associated with OHRQ oL. Conclusions Oral HRQ oL was impaired in DON patients and correlated with poor health‐related behaviours and nutritional practices. Routine workup of DON patients should include OHRQ oL assessment.