The Relationship between Oral Health-Related Quality of Life and Body Mass Index in an Older Population from Southern Italy: The Salus in Apulia Study.

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Dibello, Vittorio ORCID: 0000-0002-9880-0481, Lobbezoo, Frank ORCID: 0000-0001-9877-7640, Sardone, Rodolfo ORCID: 0000-0003-1383-1850, Lozupone, Madia ORCID: 0000-0002-1674-9724, Castellana, Fabio, Zupo, Roberta ORCID: 0000-0001-9885-1185, Pilotto, Alberto, Daniele, Antonio, Solfrizzi, Vincenzo, Manfredini, Daniele ORCID: 0000-0002-4352-3085 et al (show 1 more authors) (2023) The Relationship between Oral Health-Related Quality of Life and Body Mass Index in an Older Population from Southern Italy: The Salus in Apulia Study. Journal of personalized medicine, 13 (9). 1300-.

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Official URL: http://dx.doi.org/10.3390/jpm13091300

Abstract

<h4>Background</h4>The assessment of oral health-related quality of life (OHRQoL) evaluated the impact of an individual's oral health on the patient's physical and psychosocial status. We evaluated the association between subjective OHRQoL, measured with the Oral Health Impact Profile-14 (OHIP-14) questionnaire, and unfavorable body mass index (BMI) (i.e., too high or too low) in a large population-based study on older adults from Southern Italy. Moreover, we assessed which of the seven OHIP-14 domains was the most strongly associated with an unfavorable BMI.<h4>Methods</h4>We used data on a subpopulation of the Salus in Apulia Study, including 216 older adults. BMI < 18.4 kg/m<sup>2</sup> and >30 kg/m<sup>2</sup> were classified as unfavorable, while values between 18.5 and 30 kg/m<sup>2</sup> were classified as ideal.<h4>Results</h4>A higher OHIP-14 total score increased the risk of an unfavorable BMI (odds ratio (OR): 1.08, 95% confidence interval (CI): 1.01-1.15). In the model adjusted for age, sex, education, hypertension, carbohydrate consumption, and alcohol consumption, this finding was confirmed with a higher OHIP-14 total score increasing the risk of an unfavorable BMI (OR: 1.10, 95% CI: 1.01-1.22), and higher age linked to a decreased risk of an unfavorable BMI (OR: 0.89, 95% CI: 0.82-0.97). In a random forest regression model, the most important predictive domains/sub-scales of OHIP-14 in the mean decrease in the Gini coefficient for unfavorable BMI were, in order of decreasing importance, physical pain, functional limitation, psychological discomfort, physical disability, social disability, psychological disability, and handicap.<h4>Conclusions</h4>In older age, negative OHRQoL, particularly linked to the physical pain domain, increased the risk of being underweight or overweight and obesity.

Item Type:	Article
Uncontrolled Keywords:	OHIP-14, OHRQoL, aging, body mass index, obesity, older people, oral health
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	09 Oct 2023 13:37
Last Modified:	13 Oct 2023 12:20
DOI:	10.3390/jpm13091300
Open Access URL:	https://doi.org/10.3390/jpm13091300
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3173551