Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

A study on oral health and quality of life in patients with hypertension

고혈압 환자의 구강건강과 삶의 질에 관한 연구

  • Sung-Lim Lee (Department of Dental Hygiene, Wonkwang Health Science University)
  • Received : 2023.08.17
  • Accepted : 2023.09.11
  • Published : 2023.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study investigated the oral health and quality of life of patients with hypertension using the raw data of the 8th National Health and Nutrition Examination Survey, the second year (2020) and 1,269 subjects were analyzed. Methods: The data underwent frequency analysis, descriptive statistics, general linear model analysis, and linear regression analysis using SPSS Statistics 26.0. Results: The quality of life (EuroQol-5 dimension: EQ-5D) of patients with hypertension was surveyed at 0.92 points/1 point. Quality of life according to general characteristics showed significant differences in gender (p<0.001), age (p<0.001), household income (p<0.001), and education level (p<0.001). Quality of life according to oral health showed significant differences in chewing discomfort (p<0.001), speaking discomfort (p<0.001), oral examination (p=0.004), toothache experience (p=0.020), subjective oral health (p<0.001) and oral care product use (p=0.006). Factors affecting quality of life were gender, age, household income, education level, chewing discomfort (B=-0.027, p=0.018), speaking discomfort (B=-0.049, p=0.026), toothache experience (B=-0.018, p=0.027) and subjective oral health (B=0.022, p<0.001). Conclusions: Based on the above results, it was confirmed that the oral health of patients with hypertension is a factor influencing the quality of life; thus, it is considered that it will be used as basic data for research on measures to improve oral health and quality of life.

Keywords

Acknowledgement

This paper was supported by Wonkwang Health Science University in 2023.

References

  1. Hypertension in Koreans Recognized by National Health Insurance Big Data. Seoul: National Health Insurance Service & The Korean Society of Hypertension 2023:1-55. 
  2. Statistics Korea. Cause of Death Statistics for 2021[Internet][cited 2023 Aug 01]. Available from: https://www.kostat.go.kr/board.es?mid=a10301060200&bid=218&act=view&list_no=420715. 
  3. Health Insurance Review & Assessment Service. Frequent Disease Statistics 2022 [Internet][cited 2023 Aug 01]. Available from: https://opendata.hira.or.kr/op/opc/olapHifrqSickInfoTab1.do. 
  4. Guidelines for use of the 8th National Health and Nutrition Survey. Chungcheongbuk-do: Korea Disease Control and Prevention Agency; 2023:182. 
  5. Brdage C, Isacson DG. Hypertension and health-related quality of life: an epidemiological study in Sweden. J Clin Epidemiol 2001;54(2):172-81. https://doi.org/10.1016/s0895-4356(00)00293-6 
  6. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Prospective studies C. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002;360(9349):1903-13. https://doi.org/10.1016/s0140-6736(02)11911-8 
  7. Lesniak KT, Dubbert PM. Exercise and hypertension. Current Opinion in Cardiology 2001;16(6):356-9.  https://doi.org/10.1097/00001573-200111000-00007
  8. Xue M, Liu L, Wang S, Su Y, Lv K, Zhang M, et al. A simple nomogram score for screening patients with type 2 diabetes to detect those with hypertension: a cross-sectional study based on a large community survey in China. PLoS One 2020;15(8):e0236957. https://doi.org/10.1371/journal.pone.0236957 
  9. Fuchs FD, Chambless LE, Whelton PK, Nieto FJ, Heiss G. Alcohol consumption and the incidence of hypertension:the atherosclerosis risk in communities study. Hypertension 2001;37(5):1242-50. https://doi.org/10.1161/01.hyp.37.5.1242 
  10. Marpillat NL, Macquin-Mavier I, Tropeano AI, Bachoud-Levi AC, Maison P. Anti hypertensive classes, cognitive decline and incidence of dementia: a network meta-analysis. J Hypertens 2013;31(6):1073-82. https://doi.org/10.1097/HJH.0b013e3283603f53 
  11. Korean Dental Hygienists Association. Clinical Dental Hygiene Practice. Seoul: DaehanNarae Publishing Inc.; 2015:275. 
  12. Lee HY, Shin JS, Kim GH, Park SH, Lhm SH, Kim HC, et al. 2018 Korean Society of Hypertension Guidelines for the management of hypertension: partII-diagnosis and treatment of hypertension. Clin Hypertens 2019;25(1):20. https://doi.org/10.1186/s40885-019-0124-x 
  13. Munoz Aguilera E, Suvan J, Buti J, Czesnikiewicz-Guzik M, Barbosa Ribeiro A, Orlandi M, et al. Periodontitis is associated with hypertension: a systematic review and meta-analysis. Cardiovasc Res 2020;116(1):28-39. https://doi.org/10.1093/cvrcvz201 
  14. Desvarieux M, Demmer RT, Rundek T, Boden-Albala B, Jacobs DR Jr, Papapanou PN, et al. Relationship between periodontal disease, tooth loss, and carotid artery plaque; the oral infections and vascular disease epidemiology study (INVEST). Stroke 2003;34(9):2120-5. https://doi.org/10.1161/01.STR.0000085086.50957.22 
  15. Tada A, Tano R, Miura H. The relationship between tooth loss and hypertension: a systematic review and meta-analysis. Sci Rep 2022;12(1):13311. https://doi.org/10.1038/s41598-022-17363-0 
  16. Nakagawa K, Matsuo K, Takagi D, Morita Y, Ooka T, Hironake S, et al. Effects of gum chewing exercises on saliva secretion and occlusal force in community-dwelling elderly individuals: a pilot study. Geriatr gerontol int 2017;17(1):48-53. https://doi.org/10.1111/ggi.12670 
  17. Ann HJ, Kang GJ, Kim ME, Kim YJ, Lim SY, Jung JK, et al. Oral Medicine. Seoul: Medipub; 2021:51. 
  18. Hwang SY. The associations of periodontal disease and oral health behavior with hypertension[Doctoral Dissertation]. Seoul: Korea University, 2021. 
  19. World Health Organization. Oral health[Internet][cited 2023 Aug 01]. Available from: https://www.who.int/health-topics/oralhealth/#tab=tab_2. 
  20. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life: a conceptual model of patient outcomes. JAMA 1995;273(1):59-65.  https://doi.org/10.1001/jama.1995.03520250075037
  21. Brooks R, Rabin R, De Charro F. The measurement and valuation of health status using EQ-5D: a European perspective: evidence from the EuroQol BIOMED research programme. 1st ed. Springer Scinence & Business Media: Berlin; 2013:2-299. 
  22. Han MH. Health behavior, disease management, and factors related quality of life of young adults with hypertension or diabetes: 2019 Community Health Survey. Korean Public Health Research 2022;48(3):1-17. https://doi.org/10.22900/kphr.2022.48.3.001 
  23. Im JY. Relevant factors and levels of the quality of life among in aged 40 and over with hypertension patients[Master's thesis]. Daejeon: Chungnam National University, 2020. 
  24. Lee JJ, Lee HJ, Park EJ. Effect of staged education program for hypertension, diabetes patients in a community (assessment of quality of life using EQ-5D). J Agric Med Community Health 2014;39(1):37-45. https://doi.org/10.5393/JAMCH.2014.39.1.037 
  25. Kim HJ, Min ES. Health behaviors and quality of life by life cycle of hypertensive patients. JCIT 2020;10(7):58-66. https://doi.org/10.22156/CS4SMB.2020.10.07.058 
  26. Tibblin G, Bengtsson C, Furunes B, Lapidus L. Symptoms be age and sex. The population studies of men and women in Gothenburg, Sweden. Scand J Prim Health Care 1990;8(1):61-76. https://doi.org/10.3109/02813439008994923 
  27. Orfila F, Ferrer M, Lamarca R, Tebe C, Domingo-Salvany A, Alonso J. Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions. Social Science & Medicine 2006;63(9):2367-80. https://doi.org/10.1016/j.socscimed.2006.06.017 
  28. 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(11):1105-13. https://doi.org/10.1016/s0895-4356(98)00102-4 
  29. Kim SI, Woo SJ, Jung YH. Factors related to hypertension patients' quality of life: The 7th Korean National Health and Nutrition Examination (1st year, 2016). JKSSCHE 2020;21(1):61-74. https://doi.org/10.35133/kssche.20200531.05 
  30. Kim AS, Bea HJ. Impact of physical activity, body mass index and depression on the health related quality of life according to the presence of hypertension in the elderly women. KAIS 2020;21(11):543-53. https://doi.org/10.5762/KAIS.2020.21.11.543 
  31. Lee KE, Cho EH. Factors influencing health related quality of life in patients with hypertension:based on the 5th Korean National Health and Nutrition Examination Survey. Jour. of KoCon. a2016;16(5):399-409. https://doi.org/10.5392/JKCA.2016.16.05.399 
  32. Kim SH, Kim MJ. Factors influencing quality of life in a serious case: the sixth Korea National Health and Nutrition Examination Survey. JKSSCHE 2018;19(1):13-25. https://doi.org/10.35133/kssche.20180430.02 
  33. Kim SW, Cho HS. The impact of financial condition on life satisfaction for Korean baby boomers: comparison between employed and non-employed baby boomers. FPR 2013;6(3):1-33. 
  34. Reisine ST. Dental disease and work loss. J Dent Res 1984;63(9):1158-61. https://doi.org/10.1177/00220345840630091301 
  35. Choi JH, Lee SL. Convergence study on the relationship between mental health and oral health problems in Korean elderly. JKCS 2021;12(10):121-8. https://doi.org/10.15207/JKCS.2021.12.10.121 
  36. Ju OJ, Kim IJ, Son JL. Influence of health-related quality of life (EQ-5D) on oral health problems in the elderly in the National Health and Nutrition Survey. JKCS 2020;11(1):309-15. https://doi.org/10.15207/JKCS.2020.11.1.309 
  37. Kim SH. A study on demographic, physical.mental health, oral health and quality of life in cancer patients-the 7th Korea National Health and Nutrition Examination Survey KNHANESVII-3(2018)-. JKAIS 2021;22(1):445-53. https://doi.org/10.5762/KAIS.2021.22.1.445 
  38. Kim SY, Jang HG. Influence of metabolic on periodontal disease in Korean adults. J Korean Soc Dent Hyg 2015;15(3):399-410. https://doi.org/10.13065/JKSDH.2015.15.03.399 
  39. Hong MH. Relationship between oral health behavior, chronic disease and periodontal disease in middle and older adults according to gender. JKAIS 2018;19(11):403-10. https://doi.org/10.5762/KAIS.2018.19.11.403 
  40. Jeong SR, Jang JE. The effects of toothache experience and oral health behavior on health-related quality of life in Korean adults-using the second edition of the 8th National Health Nutrition Survey (2019-2020). J Korean Acad Oral Health 2022;46(4):169-73. https://doi.org/10.11149/jkaoh.2022.46.4.169 
  41. Jung YK, Yoo EY. The effect of disease-related characteristics and oral health state on oral health-related quality of life in the elderly with hypertension. JCCT 2022;8(6):505-14. https://doi.org/10.17703/JCCT.2022.8.6.505 
  42. Choi ES, Lyu JY, Kim HY. Association between oral health status and health related quality of life (EuroQoL-5 Dimension). J Dent Hyg Sci 2015;15(4):480-7. https://doi.org/10.17135/jdhs.2015.15.4.480