|تعداد مشاهده مقاله||10,702,508|
|تعداد دریافت فایل اصل مقاله||5,167,329|
The Relationship between Oral and Dental Health Self-care and Hemoglobin A1c in Adults with Diabetes
|Journal of Dentistry|
|مقاله 6، دوره 23، شماره 1 - شماره پیاپی 74، خرداد 2022، صفحه 33-39 اصل مقاله (366.91 K)|
|نوع مقاله: Original Article|
|شناسه دیجیتال (DOI): 10.30476/dentjods.2021.87966.1300|
|Atousa Haghdoost 1؛ Soheila Bakhshandeh 2؛ Zahra Ghorbani 2؛ Mahshid Namdari 3|
|1Dental Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.|
|2Dept. of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.|
|3Dept. of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.|
|Statement of the Problem: Due to the mutual relationship between periodontal diseases and diabetes, it seems that adopting oral self-care in a way to prevent and control the progress of periodontal diseases, improves the oral health of diabetic patients as well as their general health. |
Purpose: The aim of this study was to investigate the relationship between the oral self-care behaviors and the hemoglobin A1c (Hb A1c) levels in adults with diabetes.
Materials and Method: In this cross-sectional study with convenience sampling, 120 adults between 18 to 50 years old, who had at least two healthy functional teeth, were selected from private endocrinology offices in Tehran in August 2019. The exclusion criteria were illiterate individuals and pregnant women. A standard questionnaire was used which included the information about demographic, diabetes, and self-care behaviors. The outcome variable was the latest Hb A1c rate.
Results: The mean age of participants was 35.8±10.5 years. The average Hb A1c was 7.4± 1.55%. 35.0% of participants brushed their teeth twice a day or more and 60.8% flossed rarely. The proportion of Hb A1c <7% was higher in three groups including the participants who had information about the effect of periodontal disease on diabetes (p = 0.032), participants who brushed twice a day or more (p = 0 .014), and those who used dental floss once a day or more (p < 0.001). The likelihood of having Hb A1c <7% in participants who had information about the effect of periodontal disease on diabetes was about three times more than those who had no information (OR= 3.05, p = 0.036). Furthermore, it was about six times higher in participants who used dental floss once a day or more than those who used rarely (OR= 5.66, p = 0.001).
Conclusion: Results of the present study show that people who had better oral health self-care behaviors had better Hb A1c and diabetes control.
|Oral Health؛ Self-Care؛ Diabetes؛ Hemoglobin A1c|
سایر فایل های مرتبط با مقاله
 Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87: 4-14.
 Bakhshandeh S, Murtomaa H, Vehkalahti MM, Mofid R, Suomalainen K. Oral health behaviour and periodontal treatment needs in a group of Iranian adults with diabetes one year after an oral health intervention. Oral Health Dent Manag. 2010; 9: 122-130.
 Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014; 103: 137-149.
 Javanbakht M, Mashayekhi A, Baradaran HR, Haghdoost A, Afshin A. Projection of diabetes population size and associated economic burden through 2030 in Iran: evidence from micro-simulation Markov model and Bayesian meta-analysis. PLoS One. 2015; 10: e0132505.
 Kojić-Damjanov S, Đerić M, Eremić-Kojić N. Glycated hemoglobin A1c as a modern biochemical marker of glucose regulation. Makedon Med Pregl. 2014; 67: 339-344.
 Gregory J. Brook’s clinical paediatric endocrinology. 5th ed. BMJ Publishing Group Ltd. Oxford: Blackwell Publishing; 2006. p. 546.
 Care D. Glycemic targets: standards of medical care in diabetes- 2019. Diabetes Care. 2019; 42: S61-S70.
 Orbak R, Simsek S, Orbak Z, Kavrut F, Colak M. The influence of type-1 diabetes mellitus on dentition and oral health in children and adolescents. Yonsei Med. J. 2008; 49: 357-365.
 Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient. 7th ed. St. Louise: Mosby, Elsevier; 2008. p. 211-221, 268-278.
 Llambés F, Arias-Herrera S, Caffesse R. Relationship between diabetes and periodontal infection. World J Diabetes. 2015; 6: 927.
 Meenawat A, Punn K, Srivastava V, Meenawat AS, Dolas R, Govila V. Periodontal disease and type I diabetes mellitus: Associations with glycemic control and complications. J Indian Soc Periodontol. 2013; 17: 597.
 Campus G, Salem A, Uzzau S, Baldoni E, Tonolo G. Diabetes and periodontal disease: A case‐control study. J Periodontol. 2005; 76: 418-425.
 Khader Y, Albashaireh Z, Hammad M. Periodontal status of type 2 diabetics compared with nondiabetics in north Jordan. East Mediterr Health J. 2008; 14: 654-661.
 Boehm TK, Scannapieco FA. The epidemiology, consequences and management of periodontal disease in older adults. J Am Dent Assoc. 2007; 138: S26-S33.
 Jones JA, Miller DR, Wehler CJ, Rich SE, Krall‐Kaye EA, McCoy LC, et al. Does periodontal care improve glycemic control? The department of veterans affairs dental diabetes study. J Clin Periodontol. 2007; 34: 46-52.
 Lang WP, Ronis DL, Farghaly MM. Preventive behaviors as correlates of periodontal health status. J Public Health Dent. 1995; 55: 10-17.
 Preshaw P, Alba A, Herrera D, Jepsen S, Konstantinidis A, Makrilakis K, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012; 55: 21-31.
 Darling-Fisher CS, Kanjirath PP, Peters MC, Borgnakke WS. Oral health: an untapped resource in managing glycemic control in diabetes and promoting overall health. J Nurse Pract. 2015; 11: 889-896.
 Bahammam MA. Periodontal health and diabetes awareness among Saudi diabetes patients. Patient Prefer Adherence. 2015; 9: 225.
 Eldarrat AH. Awareness and attitude of diabetic patients about their increased risk for oral diseases. Oral Health Prev Dent. 2011; 9.
 Yuen HK, Mountford WK, Magruder KM, Bandyopadhyay D, Hudson PL, Summerlin LM, et al. Adequacy of oral health information for patients with diabetes. J Public Health Dent. 2009; 69: 135-141.
 Yuen HK, Wolf BJ, Bandyopadhyay D, Magruder KM, Salinas CF, London SD. Oral health knowledge and behavior among adults with diabetes. Diabetes Res Clin Pract. 2009; 86: 239-246.
 Poudel P, Griffiths R, Wong VW, Arora A, Flack JR, Khoo CL, et al. Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review. BMC Public Health. 2018; 18: 577.
 Sheiham A, Watt RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol. 2000; 28: 399-406.
 Karikoski A. Oral self-care among Finnish adults with diabetes mellitus a focus on periodontal diseases. PhD thesis, University of Helsinki; 2003. Available at: https://helda.helsinki.fi/handle/10138/20256
 Farahat F, Daneshkazemi A, Amiri M, Ebrahimpoor Aghdari A. Evaluation of DMFT index in type II diabetic patients and its correlation with Hb A1cC in Yazd city in 2013. Tolooebehdasht. 2016; 15: 150-161.
 Merchant AT, Oranbandid S, Jethwani M, Choi YH, Morrato EH, Pitiphat W, et al. Oral care practices and A1c among youth with type 1 and type 2 diabetes. J Periodontol. 2012; 83: 856-863.
 Bakhshandeh S, Murtomaa H, Vehkalahti MM, Mofid R, Suomalainen K. Oral self-care and use of dental services among adults with diabetes mellitus. Oral Health Prev Dent. 2008; 6: 279-286.
 Shimpi N, Glurich I, Schroeder D, Katrak C, Chyou PH, Acharya A. Patient Awareness of Association of Diabetes and Periodontal Disease. Health Promot Pract. 2020; 21: 464-472.
 Shanmukappa SM, Nadig P, Puttannavar R, Ambareen Z, Gowda TM, Mehta DS. Knowledge, attitude, and awareness among diabetic patients in Davangere about the association between Diabetes and Periodontal Disease. J Int Soc Prev Community Dent. 2017; 7: 381.
 Aggarwal A, Panat SR. Oral health behavior and Hb A1c in Indian adults with type 2 diabetes. J Oral Sci. 2012; 54: 293-301.
 Zeidi Isa M, Alijanzadeh M, Pakpour HA. Factors predicting oral health-related behaviors in diabetic patients using pender’s oral health promotion model. J Res Med Sci. 2016: 183-198.
 Al Habashneh R, Khader Y, Hammad MM, Almuradi M. Knowledge and awareness about diabetes and periodontal health among Jordanians. J Diabetes Complications. 2010; 24: 409-414.
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