Oral health‐related quality of life in patients with disorders of nutrition

Abstract

Background

Researchers demonstrated a correlation between nutrition and health‐related quality‐of‐life (HRQoL). Little is known about the correlation between disorders of nutrition (DON) and Oral HRQoL (OHRQoL).

Objectives

1) to measure OHRQoL in DON patients compared to patients attending nutritional counseling for other reasons (e.g. systemic diseases or general dietary counseling) (NCOR) and to healthy controls attending routine dental screenings.(2) analyze associations between OHRQoL and demographics, health‐related behaviors and nutritional practices. We hypothesized that OHRQoL is impaired in DON patients and correlates with poor health‐related behaviors 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 OHRQoL.

Conclusions

OHRQoL was impaired in DON patients and correlated with poor health‐related behaviors and nutritional practices. Routine work‐up of DON patients should include OHRQoL assessment.

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