Factors Related to the Quality of Life of Middle-aged and Senior Vulnerable Classes by Diabetes: Focusing on Oral Health and Nutritional Status
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this study is to identify factors related to quality of life, focusing on oral health and nutritional status of vulnerable elderly people. A total of 368 middle and high-aged people aged 45 or older were selected as subjects of the study by conducting a full survey of vulnerable residents registered in the C-City Health and Living Center. From October 10 to December 20, 2019, the quality of writing, pronunciation, nutrition, subjective health, and quality of life were measured through a visit interview using structured questionnaires. There was a significant difference in the quality of life for the subjects (P = 0.003) between diabetes (2.93) and non-diabetic (3.09). The greater the discomfort of masticatory movement and pronunciation, the lower the quality of life (r = -0.239, r = -0.241), the higher the nutritional state, the higher the quality of life (r = 0.345). For diabetes, the factors affecting quality of life were subjective health (β= 0.376, P < 0.001), masticatory movement discomfort (β= -0.277, P = 0.049), nutritional status (β= 0.252, P = 0.005), and the modified explanation of the model was 29.1%. Overall, the quality of life of diabetics was an important factor in masticatory movement discomfort and nutrition. Therefore, it is suggested that a strategy is necessary to carry out proper oral health care in diabetes care.
Abstract
The purpose of this study is to identify factors related to quality of life, focusing on oral health and nutritional status of vulnerable elderly people. A total of 368 middle and high-aged people aged 45 or older were selected as subjects of the study by conducting a full survey of vulnerable residents registered in the C-City Health and Living Center. From October 10 to December 20, 2019, the quality of writing, pronunciation, nutrition, subjective health, and quality of life were measured through a visit interview using structured questionnaires. There was a significant difference in the quality of life for the subjects (P = 0.003) between diabetes (2.93) and non-diabetic (3.09). The greater the discomfort of masticatory movement and pronunciation, the lower the quality of life (r = -0.239, r = -0.241), the higher the nutritional state, the higher the quality of life (r = 0.345). For diabetes, the factors affecting quality of life were subjective health (β= 0.376, P < 0.001), masticatory movement discomfort (β= -0.277, P = 0.049), nutritional status (β= 0.252, P = 0.005), and the modified explanation of the model was 29.1%. Overall, the quality of life of diabetics was an important factor in masticatory movement discomfort and nutrition. Therefore, it is suggested that a strategy is necessary to carry out proper oral health care in diabetes care.
참고문헌 (21)
- Bramantoro, T, "The impact of oral health on physical fitness: a systematic review", Heliyon, 6, pp.e03774~ (2020)
- Cassolato, S. F., "Xerostomia : clinical aspects and treatment", Gerodontology, 20, pp.64~77 (2003)
- 최윤영, "성인당뇨환자의 비외과적 치주치료에 의한 구강건강상태 개선에 따른 삶의 질 변화", 대한구강보건학회지, 39(3), pp.207~213 (2015), 대한예방치과·구강보건학회
- Gil-Montoya, J. A., "Oral health in the elderly patient and its impact on general well-being : A nonsystematic review", Clinical Interventions in Aging, 10, pp.461~467 (2015)
- Iwasaki, M, "Oral health status : relationship to nutrient and food intake among 80-year old Japanese adults", Community Dentistry and Oral Epidemiology, 42, pp.441~450 (2014)
- 정정옥, "한국 성인의 당뇨병과 치주질환의 관련성", 치위생과학회지, 11(3), pp.221~228 (2011), 한국치위생과학회
- Khader, Y. S., "Periodontal status of diabetics compared with nondiabetics : a metaanalysis", Journal of Diabetes Complications, 20, pp.59~68 (2006)
- Kim, Y. J., "The effect of an oral self-care intervention program on the oral care of diabetic elderly", Indian Journal of Public Health Research & Development, 10, pp.4343~4348 (2019)
- 김영재, "지역사회 당뇨병 노인의 삶의 질 관련요인", 보건의료산업학회지, 8(1), pp.75~86 (2014), 보건의료산업학회
- 고승현, "2011 Clinical Practice Guidelines for Type 2 Diabetes in Korea", Diabetes and Metabolism Journal, 35(5), pp.431~436 (2011), 대한당뇨병학회
- "2015 Health behavior and chronic disease statistics: Korea national health and nutrition examination survey ․ Youth health behavior online survey" (2016)[URL]
- Locker, D., "Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly", Community Dentistry and Oral Epidemiology, 29, pp.373~381 (2001)
- Min, S. K., "Development of Korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF)", Journal of Korean Neuropsychiatric Association, 39, pp.571~579 (2000)
- Korea national health and nutrition examination survey analytic guidelines, "Ministry of Health & Welfare, Korea Centers for Disease Control & Prevention", Ministry of Health & Welfare, 5~25 (2011)
- 신보미, "한국 노인의 20개 이상 자연치아보유율 및 저작불편호소율에 따른 불평등 현황 및 관련요인 분석", 대한구강보건학회지, 36(3), pp.195~202 (2012), 대한예방치과·구강보건학회
- 신지원, "한국노인 당뇨환자의 삶의 질 영향요인", 한국노년학, 31(3), pp.479~487 (2011), 한국노년학회
- Tada, A., "Systematic review of the association of mastication with food and nutrient intake in the independent elderly", Archives of Gerontology and Geriatrics, 59, pp.497~505 (2014)
- Ware, J. E., "Evaluating Translations of Health Status Questionnaires. Methods from the IQOLA Project. International Quality of Life Assessment", International Journal of Technological Assessment Health Care, 11(3), pp.525~551 (1995)
- 원재희, "치주질환과 당뇨병의 관련성", 치위생과학회지, 14(2), pp.107~113 (2014), 한국치위생과학회
- Yang, F., "Frailty and life satisfaction in Shanghai older adults : The roles of age and social vulnerability", Archives of gerontology and geriatrics, 67, pp.68~73 (2016)
- Yurie, M, "Association between decrease in frequency of going out and oral function in older adults living in major urban areas", Geriatrics & Gerontology International, 19, pp.792~797 (2019)
