DOI QR코드

DOI QR Code

A study of oral health and quality of life in patients with dyslipidemia

이상지질혈증 환자의 구강건강과 삶의 질에 관한 연구

  • Sung-Lim Lee (Department of Dental Hygiene, Wonkwang Health Science University)
  • Received : 2024.08.12
  • Accepted : 2024.09.10
  • Published : 2024.10.30

Abstract

Objectives: This study analyzed factors influencing oral health and quality of life in patients with dyslipidemia using raw data from the first year (2019) and third year (2021), where the quality of life was assessed using the HINT-8 tool from the 8th National Health and Nutrition Survey data. Methods: Frequency analysis, descriptive statistics, general linear model analysis, and linear regression analysis were performed on the collected data using SPSS program 26.0, and the data of 1,926 participants were analyzed. Results: The mean quality of life (HINT-8) score was 0.78 out of 1.00. Quality of life according to general characteristics, showed significant differences according to gender, age, household income, education level, lifetime smoking status, and lifetime alcohol consumption. In terms of oral health, it significantly differed according to chewing discomfort, speaking discomfort, oral examination history, toothbrushing frequency, toothache history, untreated dental care needs, subjective oral health status and use of oral care products. The predictors of quality of life were gender, household income, education level, lifetime alcohol consumption, chewing discomfort, speaking discomfort, toothache history, and untreated dental care needs. Conclusions: These results confirm that oral health influences the quality of life of patients with dyslipidemia and are expected to provide basic data for research on improving oral health and quality of life in these patients.

연구목적: 본 연구는 국민건강영양조사 제8기 자료 중 HINT-8 도구를 활용하여 삶의 질이 조사된 1차 년도(2019년)와 3차 년도(2021년) 원시자료를 이용하여 이상지질혈증 환자의 구강건강과 삶의 질에 미치는 요인을 분석하였다. 연구방법: 수집된 자료는 SPSS 프로그램 26.0을 활용하여 빈도분석, 기술통계, 일반선형모형분석, 선형회귀분석을 실시하였으며, 1,926명의 대상자를 분석하였다. 연구결과: 이상지질혈증 환자의 삶의 질(HINT-8)은 0.78점/1점으로 조사되었다. 일반적 특성에 따른 삶의 질은 성별, 연령, 가구소득, 교육 수준, 평생 흡연 여부, 평생 음주 경험에서 유의한 차이를 보였고, 구강건강에 따른 삶의 질은 씹기 불편감, 말하기 불편감, 구강검진 여부, 칫솔질 횟수, 치통 경험 여부, 치과 미충족 의료 여부, 주관적 구강건강상태, 구강용품 사용 여부 등 모든 변수에서 통계적으로 유의한 차이를 보였다. 삶의 질에 영향을 미치는 요인은 성별, 가구소득, 교육 수준, 평생 음주 경험, 씹기 불편감, 말하기 불편감, 치통 경험과 치과 미충족 의료 여부로 조사되었다. 결론: 이상의 결과로 이상지질혈증 환자의 구강건강이 삶의 질에 영향을 미치는 요인임을 확인하였고, 이를 바탕으로 구강건강과 삶의 질 개선을 위한 연구의 기초자료로 활용될 것으로 기대한다.

Keywords

Acknowledgement

This paper was supported by Wonkwang Health Science University in 2024.

References

  1. The Korean Society of Lipid and Atherosclerosis. Cholesterol [Internet][cited 2024 Jul 30]. Available from: https://www.lipid.or.kr/dyslipidemia_arteriosclerosis/lipids.php. 
  2. Korea Disease Control and Prevention Agency. Dyslipidemia prevention and management information for me and my family 2023 [Internet][cited 2024 Jul 30]. Available from: https://health.kdca.go.kr/healthinfo/biz/health/ntcnInfo/helthEdcRecsroom/helthEdcRecsroomView.do?phledu_recsroom_sn=1703. 
  3. The Korean Society of Lipid and Atherosclerosis. Dyslipidemia fact sheet in Korea. 2022. Seoul: The Korean society of lipid and atherosclerosis;2022:1-52. 
  4. Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, April P, et al. Heart disease and stroke statistics-2019 update: a report From The American Heart Association. Crculation 2019;139(10):e56-e528. https://doi.org/10.1161/CIR.0000000000000659 
  5. Statistics Korea. Cause of death statistics for 2022 [Internet][cited2024Aug01]. Available from: https://www.kostat.go.kr/board.es?mid=a10301010000&bid=218&act=view&list_no=427216. 
  6. Lee KJ. Relationship between relative handgrip strength and dyslipidemia in non-patient[Master's thesis]. Seoul: Yonsei University, 2022. 
  7. Korea Disease Control and Prevention Agency. Dyslipidemia [Internet][cited 2024 Aug 01]. Available from: https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do. 
  8. The JoongAng. Dyslipidemia, the most fatal disease in the world, and the number of teenage patients is also on the rise [Internet][cited2024 Aug01]. Available from: https://www.joongang.co.kr/article/25264760#home 
  9. Hwang DG. Relationship of dyslipidemia and oral chewing status in the elderly [Master's thesis]. Daegu: Kyungpook National University, 2024. 
  10. Chen HM, Li KY, Li TL, Kwong E, Yan Wong GH, McGrath C, et al. The association between tooth loss and cognitive decline in the aged population: the mediating role of HDL-cholesterol. J Dent 2023;135:104570. https://doi.org/10.1016/j.jdent.2023.104570 
  11. Choi JS. Association between periodontitis and hypertriglyceridemia in Korean adults aged 30 and older: based on data from 2015 Korea National Health and Nutrition Examination Survey. J Korean Soc Dent Hyg 2020;20(1):53-62. https://doi.org/10.13065/jksdh.20200006 
  12. Griffiths R, Barbour S. Lipoproteins and lipoprotein metabolism in periodontal disease. Clin Lipidol 2010;5(3):397-411. https://doi.org/10.2217/clp.10.27 
  13. Song TJ, Kim JW, Kim JW. Oral health and changes in lipid profile: a nationwide cohort study. J Clin Periodontol 2020;47(12):1437-45. https://doi.org/10.1111/jcpe.13373
  14. Lee SL. A study on oral health and quality of life in patients with hypertension. J Korean Soc Dent Hyg 2023;23(5):361-8. https://doi.org/10.13065/jksdh.20230040 
  15. 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. 
  16. Kim SH, Cho SH. Factors influencing the quality of life (EQ-5D) of patients with diabetes mellitus: study based on data from the second annual Korea health panel survey (2019). KSIM 2023;11(3):99-114. https://doi.org/10.15268/ksim.2023.11.3.099 
  17. Jee YJ, Park YS. Factors influencing the quality of life of diabetics. AJMAHS 2019;9(10):459-67. https://doi.org/10.35873/ajmahs.2019.9.10.039 
  18. 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 
  19. Castellano-Guerrero AM, Guerrero R, Ruiz-Aranda D, Perea S, Pumar A, Relimpio F, et al. Gender differences in quality of life in adults with long-standing type 1 diabetes mellitus. Diabetol Metab Syndr 2020;17(12):64. https://doi.org/10.1186/s13098-020-00571-x 
  20. 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. Soc Sci Med 2006;63(9):2367-80. https://doi.org/10.1016/j.socscimed.2006.06.017 
  21. 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 
  22. Lim JH, Oh CS. Medical care utilization status and quality of life in diabetes mellitus patients. The Journal of Digital Policy & Management 2013;11(10):609-18. 
  23. Lee EK, Jung SY. Associated factors with health-related quality of life among older adults with diabetes in Korea. Korean J Rehabil Nurs 2022;25(2):61-9. https://doi.org/10.7587/kjrehn.2022.61 
  24. Kim HJ, Min ES. Health behaviors and quality of life by life cycle of hypertensive patients. J Converg Inf Technol 2020;10(7):58-66. https://doi.org/10.22156/CS4SMB.2020.10.07.058 
  25. 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. A 2016;16(5):399-409. https://doi.org/10.5392/JKCA.2016.16.05.399 
  26. Reisine ST. Dental disease and work loss. J Dent Res 1982;61(10):1158-62. https://doi.org/10.1177/00220345820610100901 
  27. Park CM, Yoon HS. Oral management behavior and EQ-5D index of older adults over 65 years of age diagnosed with diabetes. JNCIST 2022;6(11):2214-22. https://doi.org/10.33097/JNCTA.2022.06.11.2214 
  28. 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 
  29. Lee JW. Effect of unmet healthcare needs on quality of life. JKAIS 2020;21(9):283-90. https://doi.org/10.5762/KAIS.2020.21.9.283 
  30. Son MS. Factors associated with unmet healthcare needs in adults with hypertension: based on the eighth Korea National Health and Nutrition Examination Survey 2019. J Korean Assn Learn Cent Curric Instr 2022;22(19):149-58. https://doi.org/10.22251/jlcci.2022.22.19.149