Prevalence, Patterns, and Predictors of Oral Morbidity in Patients With Diabetes: Evidence From the Longitudinal Ageing Study in India.

Autor:	Roy S; Dentistry, Indian Institute of Public Health - Delhi, Public Health Foundation of India, New Delhi, IND., Malik M; Clinical Research, Indian Institute of Public Health - Delhi, Public Health Foundation of India, New Delhi, IND., Basu S; Epidemiology and Public Health, Indian Institute of Public Health - Delhi, Public Health Foundation of India, New Delhi, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Oct 22; Vol. 16 (10), pp. e72164. Date of Electronic Publication: 2024 Oct 22 (Print Publication: 2024).
DOI:	10.7759/cureus.72164
Abstrakt:	Background Diabetes mellitus (DM) and periodontal disease share a complex bidirectional relationship, resulting in worsening of oral health with persistent impairment of glycemic control. Objective The objective of this study was to ascertain the burden, patterns, and predictors of oral morbidities in older patients with DM, including their health-seeking behavior in India. Materials and methods We used the nationally representative Longitudinal Ageing Study in India (LASI) wave-1 dataset (2017) to analyze data from 8,564 patients with DM aged ≥45 years. Results The median duration of DM in the participants was eight years. The weighted prevalence of at least one or more self-reported oral health morbidities was 59.85% (95% CI: 56.57% to 63.13%) including tooth pain (33.47%), loose teeth (29.98%), swelling in gums (10.08%), and bleeding gums (9.1%). Furthermore, patients with DM had a substantial burden of total (8.84%) and partial edentulism (66.35%). On adjusted analysis, female gender, higher educational status, higher wealth quintile, tobacco use, alcohol use, and greater duration of DM had significantly higher odds of having oral health morbidities excluding caries. Only 79 (0.12%) patients reported visiting dentists in the previous 12 months. Conclusions Integration of oral healthcare services with existing diabetes care in outpatient settings should be strengthened to improve oral health related quality of life. Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Roy et al.)
Databáze:	MEDLINE
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