Mahmood Mohammed Khalid, Mohammedameen Esra, Jaff Salman, Kurda Handren A, Tassery Herve, Lan Romain, Tardivo Delphine, Qadir Balen H, Fatih Mohammed T, Abdulghfor Mohammed A
Odontology, Aix-Marseille University, Marseille, FRA.
Internal Medicine, College of Medicine - University of Sulaimani, Sulaymaniyah, IRQ.
Cureus. 2024 Dec 7;16(12):e75269. doi: 10.7759/cureus.75269. eCollection 2024 Dec.
Diabetes mellitus, a chronic multi-systemic disease affecting various organs, may negatively influence health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL). This study aimed to investigate this association in a cross-sectional sample of Iraqi Kurdish diabetic patients.
Two hundred eighty-five type 2 diabetic patients participated in the survey. The EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) and the Oral Health Impact Profile-5 (OHIP-5) instruments were used to measure HRQoL and OHRQoL, respectively.
For the HRQoL, 75%, 64%, 46%, and 20% of the participants reported "some" problems in the fields of pain/discomfort, anxiety/depression, mobility, and interruption in usual activities, respectively. Concerning the OHRQoL, difficulty in chewing, finding less flavor in food, oral/dental pain, uneasiness about appearance, and difficulty in doing usual activities were the most complained fields of OHRQoL in 35%, 30%, 29%, 25%, and 20% of the patients respectively. Women had significantly worse HRQoL and OHRQoL compared to men. There was a positive, directly proportional, and significant correlation between HRQoL and OHRQoL (Pearson correlation test = 0.455, = 0.000).
Sex, income, duration of diabetes, and smoking were the predictive modifying factors for both HRQoL and OHRQoL. From a public health point of view, raising health awareness is urgently needed among Iraqi diabetic patients for better diabetes management, a healthier lifestyle, and regular oral hygiene measurements.
糖尿病是一种影响多个器官的慢性多系统疾病，可能对健康相关生活质量（HRQoL）和口腔健康相关生活质量（OHRQoL）产生负面影响。本研究旨在对伊拉克库尔德糖尿病患者的横断面样本进行调查，以探究这种关联。
285名2型糖尿病患者参与了该调查。分别使用欧洲五维健康量表-5水平（EQ-5D-5L）和口腔健康影响程度量表-5（OHIP-5）来测量HRQoL和OHRQoL。
关于HRQoL，分别有75%、64%、46%和20%的参与者报告在疼痛/不适、焦虑/抑郁、活动能力以及日常活动中断等方面存在“一些”问题。关于OHRQoL，咀嚼困难、食物味道减退、口腔/牙齿疼痛、对外表感到不安以及日常活动困难分别是35%、30%、29%、25%和20%的患者最常抱怨的OHRQoL方面。与男性相比，女性的HRQoL和OHRQoL明显更差。HRQoL和OHRQoL之间存在正相关、直接比例关系且具有显著相关性（Pearson相关检验=0.455，P=0.000）。
性别、收入、糖尿病病程和吸烟是HRQoL和OHRQoL的预测性调节因素。从公共卫生角度来看，伊拉克糖尿病患者迫切需要提高健康意识，以实现更好的糖尿病管理、更健康的生活方式和定期进行口腔卫生措施。
