Jaseng Hospital of Korean Medicine, Seoul, Korea.
Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Korea.
J Oral Rehabil. 2022 Mar;49(3):283-294. doi: 10.1111/joor.13287. Epub 2021 Dec 13.
Few studies have examined the associations of temporomandibular disorders (TMDs) and tinnitus with health-related quality of life on a national level.
We aimed to investigate the associations of TMDs, tinnitus and quality of life among the Korean population, aged 19 years or older.
Data were obtained from the fifth Korea National Health and Nutrition Examination Survey (2012; N = 5786). TMDs, tinnitus and health-related quality of life were assessed using self-report data from EuroQol-5 Dimension. Participants were divided into four groups: no TMD and no tinnitus, TMD present but no tinnitus, no TMD but tinnitus present and both TMD and tinnitus present.
Among the participants, 21.88% had TMD, 24.93% had tinnitus, and 7.74% had both. The prevalence of most TMD and all types of tinnitus was higher among females than among males. The group with both TMD and tinnitus reported the highest percentage of problems in the usual activity, pain/discomfort and anxiety/depression dimensions. Moreover, the odds ratio (OR) for lower quality of life was significantly higher in the group with both TMD and tinnitus compared to the group without TMD and tinnitus: mobility (OR = 1.527, 95% confidence interval [CI]: 1.014-2.300), pain/discomfort (OR = 2.072, 95% CI: 1.570-2.735), anxiety/depression (OR = 1.692, 95% CI: 1.034-2.767), EQ-5D score (OR = 1.651, 95% CI: 1.121-2.431) and EQ-VAS (OR = 1.682, 95% CI: 1.246-2.269).
The presence of both TMD and tinnitus has a considerable impact on HRQoL in the Korean population. In our study, the group with both TMD and tinnitus showed lower HRQoL than without TMD and tinnitus group. These results emphasise the need for a multilateral and comprehensive approach to address these disorders and provide baseline data for developing appropriate interventions.
很少有研究从全国范围调查颞下颌关节紊乱病（TMD）和耳鸣与健康相关生活质量之间的关联。
我们旨在调查韩国 19 岁及以上人群中 TMD、耳鸣和生活质量之间的关联。
数据来自于第五次韩国国家健康和营养调查（2012 年；N=5786）。使用 EuroQol-5 维度的自我报告数据评估 TMD、耳鸣和健康相关生活质量。参与者分为四组：无 TMD 且无耳鸣、有 TMD 但无耳鸣、无 TMD 但有耳鸣以及 TMD 和耳鸣均存在。
在参与者中，21.88%有 TMD，24.93%有耳鸣，7.74%两者均有。女性的大多数 TMD 和所有类型耳鸣的患病率均高于男性。同时患有 TMD 和耳鸣的组在日常活动、疼痛/不适和焦虑/抑郁维度报告的问题比例最高。此外，与无 TMD 和耳鸣的组相比，同时患有 TMD 和耳鸣的组生活质量较低的比值比（OR）显著更高：移动能力（OR=1.527，95%置信区间[CI]：1.014-2.300）、疼痛/不适（OR=2.072，95% CI：1.570-2.735）、焦虑/抑郁（OR=1.692，95% CI：1.034-2.767）、EQ-5D 评分（OR=1.651，95% CI：1.121-2.431）和 EQ-VAS（OR=1.682，95% CI：1.246-2.269）。
TMD 和耳鸣同时存在对韩国人群的 HRQoL 有相当大的影响。在我们的研究中，同时患有 TMD 和耳鸣的组比无 TMD 和耳鸣组的 HRQoL 更低。这些结果强调需要采取多边和综合的方法来解决这些疾病，并为制定适当的干预措施提供基线数据。
