Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
BMC Oral Health
Published in: BMC Oral Health 1/2016

Open Access 01-12-2016 | Research article

Health-related quality of life and prospective caries development

Authors: Marie-Louise Åkesson, Elisabeth Wärnberg Gerdin, Ulf Söderström, Bernt Lindahl, Ingegerd Johansson

Published in: BMC Oral Health | Issue 1/2016

Login to get access

Abstract

Background

The present study was conducted to prospectively assess the association between health-related quality of life (HRQoL) and the development of dental caries in adults in northern Sweden. The SF-36 questionnaire was used to estimate HRQoL.

Methods

Adults who had (i) participated in a population-based health screening in northern Sweden between 2003 and 2009 and had completed the SF-36 questionnaire, and (ii) received a dental check-up within 1 year (n = 15,615) were included in the study. Of these, 9,838 had a second caries examination 2–7 years after the baseline recording. Information regarding SF-36, lifestyle factors and medical conditions was retrieved by questionnaires, and anthropometric status and blood lipid levels were measured. The association between dental caries (outcome) and SF-36 scores (exposure) with the inclusion of potential confounders was analysed by linear and logistic regression.

Results

Caries increment increased significantly with decreasing scores for both physical and mental dimensions of SF-36 in women, but no association was seen in men. However, lifelong caries experience (DMFS) increased linearly with decreasing physical HRQoL in both men and women; this was also observed for the single dimension of mental HRQoL. The crude odds ratio for being in the highest caries quintile compared to the lowest when having the poorest physical HRQoL compared with the best physical HRQoL was 1.88 (95 % CI: 1.54–2.3). Several factors were identified as potential confounders in the associations between DMFS and SF-36 scores, including education level, smoking, age, medications, higher levels of total cholesterol, triglycerides, systolic blood pressure, body mass index and sugar intake. Except for education level and smoking, the effect sizes for the association between gradually decreasing SF-36 scores and increasing caries were generally moderate.

Conclusions

Increased development of caries was associated with low physical HRQoL and some aspects of mental HRQoL. The mechanisms underlying these associations, which are likely confounded by both biological and lifestyle factors, remain to be elucidated. The study implies that, when possible, subjects with poor HRQoL would benefit from caries prevention measures meeting the underlying situation.
Appendix
Available only for authorised users
Literature
1.
Saxena S, Orley J, WHOQOL Group W. Quality of life assessment: The world health organization perspective. Eur Psychiatry. 1997;12 Suppl 3:263S–6S.CrossRefPubMed
2.
3.
Bowling A. Measuring disease: a review of disease specific quality of life measurement scales. 2nd ed. Buckingham: Open University Press; 2001.
4.
Bowling A. Measuring health: a review of quality of life measurement scales. 3rd ed. Buckingham: Open University Press; 2005.
5.
Fejerskov O, Nyvad B, Kidd E. Dental Caries: The Disease and its Clinical Management. 3rd ed. Chichester: West Sussex: Wiley-Blackwell; 2015.
6.
Dimberg L, Lennartsson B, Bondemark L, Arnrup K. Oral health-related quality-of-life among children in Swedish dental care: The impact from malocclusions or orthodontic treatment need. Acta Odontol Scand. 2015;24:1–7.
7.
Gururatana O, Baker SR, Robinson PG. Determinants of children's oral-health-related quality of life over time. Community Dent Oral Epidemiol. 2014;42:206–15.CrossRefPubMed
8.
Batista MJ, Perianes LB, Hilgert JB, Hugo FN, Sousa ML. The impacts of oral health on quality of life in working adults. Braz Oral Res. 2014;28:S1806.CrossRefPubMed
9.
Tan H, Peres KG, Peres MA. Do people with shortened dental arches have worse oral health-related quality of life than those with more natural teeth? A population-based study. Community Dent Oral Epidemiol. 2015;43:33–46.CrossRefPubMed
10.
Mello dos Santos C, Hugo FN, Leal AF, Hilgert JB. Comparison of two assessment instruments of quality of life in older adults. Braz J Epidemiol. 2013;16:328–37.
11.
Broder HL, Slade G, Caine R, Reisine S. Perceived impact of oral health conditions among minority adolescents. J Public Health Dent. 2000;60:189–92.CrossRefPubMed
12.
13.
Sullivan M, Karlsson J, Taft C, Ware J. The SF-36 health survey questionnaire: Swedish Manual and Interpretation Guide. 2nd ed. Gothenburg: Sahlgrenska University Hospital; 2002.
14.
15.
Sullivan M, Karlsson J, Ware Jr JE. The Swedish SF-36 Health Survey--I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med. 1995;41:1349–58.CrossRefPubMed
16.
Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.CrossRefPubMed
17.
Sullivan M, Karlsson J. The Swedish SF-36 Health Survey III. Evaluation of criterion-based validity: results from normative population. J Clin Epidemiol. 1998;51:1105–13.CrossRefPubMed
18.
Jenkinson C. Comparison of UK and US methods for weighting and scoring the SF-36 summary measures. J Public Health Med. 1999;21:372–6.CrossRefPubMed
19.
20.
Weinehall L, Hallgren CG, Westman G, Janlert U, Wall S. Reduction of selection bias in primary prevention of cardiovascular disease through involvement of primary health care. Scand J Prim Health Care. 1998;16:171–6.CrossRefPubMed
21.
22.
Johansson I, Hallmans G, Wikman A, Biessy C, Riboli E, Kaaks R. Validation and calibration of food-frequency questionnaire measurements in the Northern Sweden Health and Disease cohort. Public Health Nutr. 2002;5:487–96.CrossRefPubMed
23.
Johansson I, Nilsson LM, Stegmayr B, Boman K, Hallmans G, Winkvist A. Associations among 25-year trends in diet, cholesterol and BMI from 140,000 observations in men and women in Northern Sweden. Nutr J. 2012;11:40.PubMedCentralCrossRefPubMed
24.
Goldberg GR. From individual variation in energy intakes … to variations in energy requirements and adaptations to them. Br J Nutr. 1997;78 Suppl 2:S81–94.CrossRefPubMed
25.
Wareham NJ, Jakes RW, Rennie KL, Schuit J, Mitchell J, Hennings S, et al. Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutr. 2003;6:407–13.CrossRefPubMed
26.
Norberg M, Blomstedt Y, Lonnberg G, Nystrom L, Stenlund H, Wall S, et al. Community participation and sustainability--evidence over 25 years in the Vasterbotten Intervention Programme. Glob Health Action. 2012;5:1–9.PubMed
27.
28.
29.
Norderyd O, Koch G, Papias A, Kohler AA, Helkimo AN, Brahm CO, et al. Oral health of individuals aged 3-80 years in Jonkoping, Sweden during 40 years (1973-2013). II. Review of clinical and radiographic findings. Swed Dent J. 2015;39:69–86.PubMed
30.
Ericson D. The concept of minimally invasive dentistry. Dent Update. 2007;34:9–18.PubMed
31.
Costa SM, Vasconcelos M, Abreu MH. Impact of dental caries on quality of life among adults resident in greater Belo Horizonte, State of Minas Gerais, Brazil. Cien Saude Colet. 2013;18:1971–80.CrossRef
32.
Craig J. Complex diseases: Research and applications. Nat Educ. 2008;1:184.
33.
Tanner AC, Kent Jr RL, Holgerson PL, Hughes CV, Loo CY, Kanasi E, et al. Microbiota of severe early childhood caries before and after therapy. J Dent Res. 2011;90:1298–305.PubMedCentralCrossRefPubMed
34.
Shungin D, Cornelis MC, Divaris K, Holtfreter B, Shaffer JR, Yu YH, et al. Using genetics to test the causal relationship of total adiposity and periodontitis: Mendelian randomization analyses in the Gene-Lifestyle Interactions and Dental Endpoints (GLIDE) Consortium. Int J Epidemiol. 2015;44:638–50.CrossRefPubMed
35.
Shwartz M, Grondahl HG, Pliskin JS, Boffa J. A longitudinal analysis from bite-wing radiographs of the rate of progression of approximal carious lesions through human dental enamel. Arch Oral Biol. 1984;29:529–36.CrossRefPubMed
36.
Pitts NB. Monitoring of caries progression in permanent and primary posterior approximal enamel by bitewing radiography. Community Dent Oral Epidemiol. 1983;11:228–35.CrossRefPubMed
Metadata
Title
Health-related quality of life and prospective caries development
Authors
Marie-Louise Åkesson
Elisabeth Wärnberg Gerdin
Ulf Söderström
Bernt Lindahl
Ingegerd Johansson
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2016
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-016-0166-3

Other articles of this Issue 1/2016

BMC Oral Health 1/2016 Go to the issue

Study protocol

The CATFISH study protocol: an evaluation of a water fluoridation scheme

Research article

Oral health-related quality of life and early childhood caries among preschool children in Trinidad

Research article

Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients

Research article

Consequences of orthodontic treatment in malocclusion patients: clinical and microbial effects in adults and children

Research article

A randomized, double-blind, crossover, placebo-controlled clinical trial to assess effects of the single ingestion of a tablet containing lactoferrin, lactoperoxidase, and glucose oxidase on oral malodor

Research article

Do the ball-ended probe cause less damage than sharp explorers?—An ultrastructural analysis