Radhika Desai1, Bhushan Khobaragade2, Giles McCracken3, Rebecca Wassall3, John J Taylor3, Susan M Bissett3, Andrew S Pumerantz4, Philip M Preshaw3. 1. University of Bristol Dental School, University of Bristol, Bristol, UK. radhika.desai@bristol.ac.uk. 2. Mid Essex Trust, Southend University NHS Hospital, Southend-on-Sea, UK. 3. School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK. 4. Department of Population Health, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA, USA.
Abstract
OBJECTIVES: To investigate impact of periodontal status on quality of life (QoL) in type-1 (T1D) and type-2 (T2D) diabetes patients pre- and post-periodontal treatment using the Well-being Questionnaire 12 (W-BQ12) and Audit of Diabetes-Dependent Quality of Life-19 (ADDQoL-19). METHODS: W-BQ12 and ADDQoL-19 were self-completed by 56 T1D and 77 T2D patients at baseline and by those with periodontitis 3 and 6-months after therapy. RESULTS: At baseline, T1D patients had significantly higher general W-BQ12 [Median (IQR); 24.00 (20.25-27.75)] and positive well-being scores [8.00 (6.00-9.00)] (indicating better QoL) compared to T2D patients [22.00 (15.50-26.00) and 6.00 (3.50-9.00)], respectively (p < 0.05). Within both groups, general W-BQ12 scores did not differ significantly between patients with periodontal health, gingivitis, or periodontitis (p > 0.05). Significantly higher general W-BQ12 scores were observed in T1D patients at month 3 [28.00 (22.00-29.50)] compared to baseline [22.00 (17.00-24.50)] (p < 0.01), suggesting an initial improvement in QoL post-treatment. ADDQoL-19 identified that diabetes had greatest impact on the domain 'freedom to eat', with participants placing most importance on 'family life'. No significant changes in ADDQoL-19 scores were seen post-treatment (p > 0.05). CONCLUSIONS: Diabetes had impacts upon aspects of life quality in both T1D and T2D patients, though any additional impact based on periodontal status was not observed when using W-BQ12 and ADDQoL-19.
OBJECTIVES: To investigate impact of periodontal status on quality of life (QoL) in type-1 (T1D) and type-2 (T2D) diabetespatients pre- and post-periodontal treatment using the Well-being Questionnaire 12 (W-BQ12) and Audit of Diabetes-Dependent Quality of Life-19 (ADDQoL-19). METHODS: W-BQ12 and ADDQoL-19 were self-completed by 56 T1D and 77 T2D patients at baseline and by those with periodontitis 3 and 6-months after therapy. RESULTS: At baseline, T1D patients had significantly higher general W-BQ12 [Median (IQR); 24.00 (20.25-27.75)] and positive well-being scores [8.00 (6.00-9.00)] (indicating better QoL) compared to T2D patients [22.00 (15.50-26.00) and 6.00 (3.50-9.00)], respectively (p < 0.05). Within both groups, general W-BQ12 scores did not differ significantly between patients with periodontal health, gingivitis, or periodontitis (p > 0.05). Significantly higher general W-BQ12 scores were observed in T1D patients at month 3 [28.00 (22.00-29.50)] compared to baseline [22.00 (17.00-24.50)] (p < 0.01), suggesting an initial improvement in QoL post-treatment. ADDQoL-19 identified that diabetes had greatest impact on the domain 'freedom to eat', with participants placing most importance on 'family life'. No significant changes in ADDQoL-19 scores were seen post-treatment (p > 0.05). CONCLUSIONS:Diabetes had impacts upon aspects of life quality in both T1D and T2D patients, though any additional impact based on periodontal status was not observed when using W-BQ12 and ADDQoL-19.
Authors: Sabrina Lill Buset; Clemens Walter; Anton Friedmann; Roland Weiger; Wenche S Borgnakke; Nicola U Zitzmann Journal: J Clin Periodontol Date: 2016-03-29 Impact factor: 8.728
Authors: Andrew S Pumerantz; Susan M Bissett; Fanglong Dong; Cesar Ochoa; Rebecca R Wassall; Heidi Davila; Melanie Barbee; John Nguyen; Pamela Vila; Philip M Preshaw Journal: BMJ Open Diabetes Res Care Date: 2017-07-07