AbstractObjectiveTo investigate the significant impact of oral health on the quality of life of older individuals in Riyadh, Saudi Arabia, across various socioeconomic and demographic contexts.MethodsA cross- sectional study was conducted, involving the distribution of a translated online questionnaire based on the OHQoL-UK® tool to evaluate oral health-related quality of life OHRQoL.

摘要目的调查沙特阿拉伯利雅得不同社会经济和人口背景下口腔健康对老年人生活质量的重大影响。方法进行横断面研究，包括分发基于OHQoL UK®工具的翻译在线问卷，以评估口腔健康相关的生活质量OHRQoL。

This included utilizing the Oral Health Quality of Life Scale to assess overall quality of life.ResultsA total of 586 participants were involved in the study, with the majority being over 60 years old (77.1%). The mean score of OHRQoL was 3.79. The Social Dental Scale SDS had a mean score of 0.71. The General Oral Health Assessment GOHS scored 3.51 on average.

这包括利用口腔健康生活质量量表来评估整体生活质量。结果共有586名参与者参与了该研究，其中大多数为60岁以上（77.1%）。OHRQoL的平均得分为3.79。社会牙科量表SDS的平均得分为0.71。GOHS的一般口腔健康评估平均得分为3.51。

The mean score of Dental Impact Profile DIP was 3.12. The Subjective Oral Health Status Indicators SOHSIs had a mean score of 3.82. The mean score of Oral Health Benefit of Life Inventory OHBLI averaged at 4.04, and Dental Impact on Daily Living DIDL scored an average of 4.05. The mean scores of OHRQoL and Oral Impacts on Daily Performance OIDP were 3.90 and 3.89 respectively.

牙齿冲击轮廓下降的平均得分为3.12。主观口腔健康状况指标SOHSIs的平均得分为3.82。口腔健康益处生活量表OHBLI的平均得分为4.04，牙齿对日常生活的影响DIDL的平均得分为4.05。OHRQoL和口腔影响日常表现OIDP的平均得分分别为3.90和3.89。

Cronbach’s Alpha values ranged from 0.854 to 0.939, with an overall questionnaire reliability of 0.977, indicating a good reliability of the study’s tool.ConclusionOlder adults exhibited lower OHRQoL compared to younger adults, particularly influenced by factors such as health insurance coverage, monthly income, and educational level.

克朗巴赫的α值范围为0.854至0.939，总体问卷可靠性为0.977，表明该研究工具具有良好的可靠性。结论与年轻人相比，老年人的OHRQoL较低，特别是受健康保险覆盖率，月收入和教育水平等因素的影响。

It is essential to develop health programs specifically tailored for senior adults to safeguard their overall health and quality of life. Making health and medical insurance obligatory and accessible to all individuals is crucial for enhancing their QoL and reducing the diseases..

必须制定专门针对老年人的健康计划，以保障他们的整体健康和生活质量。使所有个人都能获得强制性的健康和医疗保险对于提高他们的生活质量和减少疾病至关重要。。

IntroductionOral Health-Related Quality of Life (OHRQoL) refers to a multi-dimensional framework focusing on how oral health condition impact on an individual’s well-being, daily functioning, and overall quality of life [1]. The World Health Organization (WHO) further expands on this concept, defining health as not just the absence of disease but as a state of physical, mental and social-well-being [2].The relationship between various oral health conditions and OHRQoL has been extensively investigated.

引言口腔健康相关生活质量（OHRQoL）是指一个多维度的框架，重点关注口腔健康状况如何影响个人的幸福感，日常功能和整体生活质量。世界卫生组织（WHO）进一步扩展了这一概念，将健康定义为不仅没有疾病，而且是身体，心理和社会福祉的状态（2）。已经广泛研究了各种口腔健康状况与OHRQoL之间的关系。

The findings consistently showed a significant relationship between OHRQoL of older people and oral diseases, particularly periodontal disease [3]. Studies have also highlighted that the DMFT index has a negative impact on OHRQoL [3].Poor oral health can lead to various functional, nutritional, esthetical, and psychological problems, ultimately affecting the overall quality of life [4].

研究结果一致表明，老年人的OHRQoL与口腔疾病，特别是牙周疾病之间存在显着关系（3）。研究还强调，DMFT指数对OHRQoL有负面影响（3）。口腔健康不佳会导致各种功能、营养、美学和心理问题，最终影响整体生活质量（4）。

Additionally, research has shown OHRQoL in the older person is influenced by clinical, demographic, and sociodemographic factors [3]. Moreover, the number of missing teeth and location of remaining teeth were identified as significant factors affecting quality of life [4].Researchers have pointed out that experiencing pain and functional complaints are closely associated with impaired quality of life [4].Therefore, it is crucial to adopt a model that focuses on various dimensions of oral health within a multi-dimensional framework [5, 6].

此外，研究表明，老年人的OHRQoL受临床，人口统计学和社会人口学因素的影响（3）。此外，缺失牙齿的数量和剩余牙齿的位置被确定为影响生活质量的重要因素（4）。研究人员指出，经历疼痛和功能不适与生活质量受损密切相关（4）。因此，采用一种在多维框架内关注口腔健康各个维度的模型至关重要[5，6]。

This study aimed to identify themes that embrace biopsychosocial dimensions of health including symptoms, physical abilities, emotional well-being and social communications to improve understanding about the effect of oral health and how it influences an individual’s overall well-being of [7, 8]. In addition, investigating Quality of Life (QoL) of individ.

这项研究旨在确定包含健康的生物心理社会层面的主题，包括症状，身体能力，情绪幸福感和社会沟通，以增进对口腔健康影响及其如何影响个人整体幸福感的理解[7，8]。此外，调查个人的生活质量（QoL）。

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All data is available upon request when needed.

需要时，可根据要求提供所有数据。

ReferencesWHO. WHO Country cooperation strategy at a glance: Saudi Arabia. Report. 2017. https://www.who.int/publications/i/item/WHO-CCU-17.01-SaudiArabia. Accessed 23 Mar 2024.Bagshaw SM, Stelfox HT, Johnson JA, McDermid RC, Rolfson DB, Tsuyuki RT, et al. Long-term association between frailty and health-related quality of life among survivors of critical illness: a prospective multicenter cohort study.

参考WHO。世卫组织国家合作战略概览：沙特阿拉伯。报告。2017https://www.who.int/publications/i/item/WHO-CCU-17.01-SaudiArabia.2024年3月23日访问。Bagshaw SM，Stelfox HT，Johnson JA，McDermid RC，Rolfson DB，Tsuyuki RT等。危重病幸存者脆弱与健康相关生活质量之间的长期关联：一项前瞻性多中心队列研究。

Crit Care Med. 2015;43:973–82.Article .

《重症监护医学》，2015年；43:973-82文章。

PubMed

PubMed

Google Scholar

谷歌学者

Nekouei AH, Kakoei S, Najafipour H, Kakooei S, Mirzaee M. Determinants of oral-health-related quality of life among adult people in Iran. Dent Res J. 2022;19:50.Article

Nekouei AH，Kakoei S，Najafipour H，Kakooei S，Mirzaee M.伊朗成年人口腔健康相关生活质量的决定因素。Dent Res J.2022；19： 50、条款

Google Scholar

谷歌学者

Block C, König H-H, Hajek A. Oral health and quality of life: findings from the Survey of Health, Ageing and Retirement in Europe. BMC Oral Health. 2022;22:606.Article

Block C，König H-H，Hajek A.口腔健康和生活质量：欧洲健康，老龄化和退休调查的结果。BMC口腔健康。2022年；22:606.文章

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Colaço J, Muniz FWMG, Peron D, Marostega MG, Dias JJ, Rösing CK, et al. Oral health-related quality of life and associated factors in the elderly: a population-based cross-sectional study. Cien Saude Colet. 2020;25:3901–12.Article

Colaço J，Muniz FWMG，Peron D，Marostega MG，Dias JJ，Rösing CK等。老年人口腔健康相关生活质量和相关因素：基于人群的横断面研究。西恩·索德·科尔特。2020年；25:3901–12.文章

PubMed

PubMed

Google Scholar

谷歌学者

Cornec D, Devauchelle‐Pensec V, Mariette X, Jousse‐Joulin S, Berthelot J, Perdriger A, et al. Severe Health‐Related quality of life impairment in active primary Sjögren’s syndrome and Patient‐Reported outcomes: data from a large therapeutic trial. Arthritis Care Res. 2017;69:528–35.Article .

Cornec D，Devauchelle-Pensec V，Mariette X，Jousse-Joulin S，Berthelot J，Perdriger A等。活动性原发性干燥综合征的严重健康相关生活质量损害和患者报告的结果：来自大型治疗试验的数据。关节炎护理Res.2017；69:528-35。文章。

Google Scholar

谷歌学者

Cronberg T, Lilja G, Horn J, Kjaergaard J, Wise MP, Pellis T, et al. Neurologic function and health-related quality of life in patients following targeted temperature management at 33 °C vs 36 °C after out-of-hospital cardiac arrest: a randomized clinical trial. JAMA Neurol. 2015;72:634–41.Article .

Cronberg T，Lilja G，Horn J，Kjaergaard J，Wise MP，Pellis T等。院外心脏骤停后33°C与36°C目标温度管理后患者的神经功能和健康相关生活质量：一项随机临床试验。JAMA Neurol。2015年；72:634-41。文章。

PubMed

PubMed

Google Scholar

谷歌学者

Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod. 2015;37:238–47.Article

Dimberg L，Arnrup K，Bondemark L.错牙合对儿童和青少年生活质量的影响：定量研究的系统综述。欧洲J Orthod。2015年；37:238–47.文章

PubMed

PubMed

Google Scholar

谷歌学者

Dörfer C, Benz C, Aida J, Campard G. The relationship of oral health with general health and NCDs: a brief review. Int Dent J. 2017;67:14–8.Article

Dörfer C，Benz C，Aida J，Campard G.口腔健康与一般健康和非传染性疾病的关系：简要回顾。Int Dent J.2017；67:14–8.文章

PubMed

PubMed

Google Scholar

谷歌学者

Ferrillo M, Migliario M, Agostini F, Marotta N, Santilli G, Boffano P, et al. Oral health-related quality of life in elderly: an umbrella review of systematic reviews from a multidisciplinary rehabilitation point-of-view. Clin Ter. 2024;175:73–82.CAS

Ferrillo M，Migliario M，Agostini F，Marotta N，Santilli G，Boffano P等。老年人口腔健康相关生活质量：从多学科康复角度对系统评价进行综述。临床。2024年；175:73-82.CAS

PubMed

PubMed

Google Scholar

谷歌学者

Eke PI, Wei L, Borgnakke WS, Thornton‐Evans G, Zhang X, Lu H, et al. Periodontitis prevalence in adults ≥65 years of age, in the USA. Periodontol 2000. 2016;72:76–95.Article

Eke PI，Wei L，Borgnakke WS，Thornton-Evans G，Zhang X，Lu H等。美国65岁以上成年人牙周炎患病率。牙周病2000。2016年；72:76–95.文章

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Haag DG, Peres KG, Balasubramanian M, Brennan DS. Oral conditions and health-related quality of life: a systematic review. J Dent Res. 2017;96:864–74.Article

Haag DG，Peres KG，Balasubramanian M，Brennan DS。口腔状况和健康相关生活质量：系统评价。；96:864–74.文章

CAS

中科院

PubMed

PubMed

Google Scholar

谷歌学者

Ferreira MC, Dias‐Pereira AC, Branco‐de‐Almeida LS, Martins CC, Paiva SM. Impact of periodontal disease on quality of life: a systematic review. J Periodontal Res. 2017;52:651–65.Article

Ferreira MC，Dias-Pereira AC，Branco-de-Almeida LS，Martins CC，Paiva SM。牙周病对生活质量的影响：系统评价。J Periodontal Res.2017；52:651–65.文章

CAS

中科院

PubMed

PubMed

Google Scholar

谷歌学者

Gerino E, Rollè L, Sechi C, Brustia P. Loneliness, resilience, mental health, and quality of life in old age: a structural equation model. Front Psychol. 2017;8:310944.Article

Gerino E，RollèL，Sechi C，Brustia P.孤独，适应力，心理健康和老年生活质量：结构方程模型。前心理学。2017年；8： 第310944条

Google Scholar

谷歌学者

Hakeem FF, Bernabe E, Sabbah W. Association between oral health and frailty: a systematic review of longitudinal studies. Gerodontology. 2019;36:205–15.Article

Hakeem FF，Bernabe E，Sabbah W.口腔健康与虚弱之间的关联：纵向研究的系统评价。老年医学。2019年；36:205–15.文章

PubMed

PubMed

Google Scholar

谷歌学者

WHO. Country Cooperation Strategy. 2021. https://www.emro.who.int/about-who/country-cooperation-strategy/. Accessed 13 Mar 2024.Calculator. Sample size calculator. 2024. https://www.calculator.net/sample-size-calculator.html. Accessed 23 Mar 2024.Janto M, Iurcov R, Daina CM, Neculoiu DC, Venter AC, Badau D, et al.

谁。国家合作战略。2021https://www.emro.who.int/about-who/country-cooperation-strategy/.2024年3月13日访问。计算器。样本量计算器。2024https://www.calculator.net/sample-size-calculator.html.2024年3月23日访问。Janto M，Iurcov R，Daina CM，Neculoiu DC，Venter AC，Badau D等。

Oral health among elderly, impact on life quality, access of elderly patients to oral health services and methods to improve oral health: a narrative review. J Pers Med. 2022;12:372.Article .

老年人的口腔健康，对生活质量的影响，老年患者获得口腔健康服务的机会以及改善口腔健康的方法：叙述性综述。J Pers Med。2022；12： 第372条。

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

McQuistan MR, Qasim A, Shao C, Straub-Morarend CL, Macek MD. Oral health knowledge among elderly patients. J Am Dent Assoc. 2015;146:17–26.Article

McQuistan先生，Qasim A，Shao C，Straub Morarend CL，Macek MD。老年患者的口腔健康知识。J Am Dent Assoc.2015；146:17–26.文章

PubMed

PubMed

Google Scholar

谷歌学者

Yoon DY, Mansukhani NA, Stubbs VC, Helenowski IB, Woodruff TK, Kibbe MR. Sex bias exists in basic science and translational surgical research. Surgery. 2014;156:508–16.Article

Yoon DY，Mansukhani NA，Stubbs VC，Helenowski IB，Woodruff TK，Kibbe先生在基础科学和转化外科研究中存在性别偏见。手术。2014年；156:508–16.文章

PubMed

PubMed

Google Scholar

谷歌学者

Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR, Feldens CA. Oral health‐related quality‐of‐life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017;45:216–24.Article

Chaffee BW，Rodrigues PH，Kramer PF，Vítolo MR，Feldens CA.口腔健康相关生活质量评分因社会经济地位和龋齿经历而异。社区牙科口腔流行病学。2017年；45:216–24.文章

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Andersson P, Kragh Ekstam A. Impaired oral health in older orthopaedic in-care patients: the influence of medication and morbidity. Clin Inter Aging. 2021;16:1691–702.Article

Andersson P，Kragh Ekstam A.老年骨科住院患者口腔健康受损：药物和发病率的影响。临床老化。2021年；16： 1691-702.文章

Google Scholar

谷歌学者

Bastos RS, Sa LM, Velasco SRM, Teixeira DF, Paino LS, Vettore MV. Frailty and oral health-related quality of life in community-dwelling older adults: a cross-sectional study. Braz Oral Res. 2021;35:e139.Article

Bastos RS，Sa LM，Velasco SRM，Teixeira DF，Paino LS，Vettore MV。社区居住老年人的虚弱和口腔健康相关生活质量：横断面研究。Braz Oral Res.2021；

PubMed

PubMed

Google Scholar

谷歌学者

Raphael C. Oral health and aging. Am J Public Health. 2017;107:S44–5.Article

Raphael C.口腔健康与衰老。。2017年；107:S44-5.文章

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Márquez-Arrico C-F, Almerich-Silla J-M, Montiel-Company J-M. Oral health knowledge in relation to educational level in an adult population in Spain. J Clin Exp Dent. 2019;11:e1143.PubMed

Márquez Arrico C-F，Almerich Silla J-M，Montiel Company J-M.与西班牙成年人口教育水平相关的口腔健康知识。J临床实验。2019年；11： e1143.PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Firmino RT, Gomes MC, Clementino MA, Martins CC, Paiva SM, Granville‐Garcia AF. Impact of oral health problems on the quality of life of preschool children: a case-control study. Int J Paediatr Dent. 2016;26:242–9.Article

Firmino RT，Gomes MC，Clementino MA，Martins CC，Paiva SM，Granville-Garcia AF.口腔健康问题对学龄前儿童生活质量的影响：病例对照研究。Int J儿科凹痕。2016年；

PubMed

PubMed

Google Scholar

谷歌学者

Lewis A, Wallace J, Deutsch A, King P. Improving the oral health of frail and functionally dependent elderly. Aust Dent J. 2015;60:95–105.Article

。Aust Dent J.2015；60:95–105.文章

PubMed

PubMed

Google Scholar

谷歌学者

Gomez-Rossi J, Hertrampf K, Abraham J, Gaßmann G, Meyer G, Schlattmann P, et al. Interventions to improve oral health of older people: a scoping review. J Dent. 2020;101:103451.Article

Gomez-Rossi J，Hertrampf K，Abraham J，Gaßmann G，Meyer G，Schlattmann P等。改善老年人口腔健康的干预措施：范围界定综述。J登特。2020年；101:103451.文章

PubMed

PubMed

Google Scholar

谷歌学者

Download referencesAcknowledgementsThe author would like to thank the University of Hail and its staff for their support during the study.Author informationAuthors and AffiliationsDepartment of Preventive Dentistry, College of Dentistry, University of Ha’il, P.O. Box 2440, Ha’il, 81481, Saudi ArabiaNawaf H.

下载参考文献致谢作者要感谢海尔大学及其工作人员在研究期间的支持。作者信息作者和附属机构哈伊勒大学牙科学院预防牙科系，邮政信箱2440，哈伊勒，81481，沙特阿拉伯。

Al ShammaryAuthorsNawaf H. Al ShammaryView author publicationsYou can also search for this author in.

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PubMed Google ScholarContributionsNHAS created the idea and fulfilled the whole questionnaire, starting from writing the draft and ending with finalizing the whole manuscript.Corresponding authorCorrespondence to

PubMed谷歌学术贡献（Google ScholarContributions）提出了这个想法，并完成了整个问卷调查，从撰写草稿到完成整个手稿。对应作者对应

Nawaf H. Al Shammary.Ethics declarations

Nawaf H.Al-Shammary。道德宣言

Competing interests

相互竞争的利益

The author declares no competing interest.

作者声明没有利益冲突。

Ethical approval

道德认可

This study obtained an IRB of H-2023-392 as approved by the Research Ethics Committee (REC) at University of Hail dated: 30/10/2023.

这项研究获得了海尔大学研究伦理委员会（REC）批准的H-2023-392 IRB，日期为2023年10月30日。

Informed consent

知情同意书

An informed consent had been obtained from participants at the start of questionnaire before conducting this study.

在进行这项研究之前，调查问卷开始时已获得参与者的知情同意。

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