Oral physiology, nutrition and quality of life in diabetic patients associated or not with hypertension and beta-blockers therapy.
Identifieur interne : 000084 ( PubMed/Checkpoint ); précédent : 000083; suivant : 000085Oral physiology, nutrition and quality of life in diabetic patients associated or not with hypertension and beta-blockers therapy.
Auteurs : L J Pereira [Brésil] ; R C Foureaux [Brésil] ; C V Pereira [Brésil] ; M C Alves [Brésil] ; C H Campos [Brésil] ; R C M. Rodrigues Garcia [Brésil] ; E F Andrade [Brésil] ; T M S V. Gonçalves [Brésil]Source :
- Journal of oral rehabilitation [ 1365-2842 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Antihypertenseurs (pharmacologie), Antihypertenseurs (usage thérapeutique), Diabète de type 2 (), Diabète de type 2 (physiopathologie), Diabète de type 2 (psychologie), Facteurs de risque, Femelle, Humains, Hypertension artérielle (), Hypertension artérielle (physiopathologie), Hypertension artérielle (psychologie), Indice CAO, Mastication (), Mastication (physiologie), Mâchoire partiellement édentée (physiopathologie), Mâle, Qualité de vie, Salive (), Salive (sécrétion), Xérostomie (physiopathologie), Études transversales.
- MESH :
- pharmacologie : Antihypertenseurs.
- physiologie : Mastication.
- physiopathologie : Diabète de type 2, Hypertension artérielle, Mâchoire partiellement édentée, Xérostomie.
- psychologie : Diabète de type 2, Hypertension artérielle.
- sécrétion : Salive.
- usage thérapeutique : Antihypertenseurs.
- Adulte, Adulte d'âge moyen, Diabète de type 2, Facteurs de risque, Femelle, Humains, Hypertension artérielle, Indice CAO, Mastication, Mâle, Qualité de vie, Salive, Études transversales.
English descriptors
- KwdEn :
- Adult, Antihypertensive Agents (pharmacology), Antihypertensive Agents (therapeutic use), Cross-Sectional Studies, DMF Index, Diabetes Mellitus, Type 2 (complications), Diabetes Mellitus, Type 2 (physiopathology), Diabetes Mellitus, Type 2 (psychology), Female, Humans, Hypertension (complications), Hypertension (physiopathology), Hypertension (psychology), Jaw, Edentulous, Partially (physiopathology), Male, Mastication (drug effects), Mastication (physiology), Middle Aged, Quality of Life, Risk Factors, Saliva (drug effects), Saliva (secretion), Xerostomia (physiopathology).
- MESH :
- chemical , pharmacology : Antihypertensive Agents.
- chemical , therapeutic use : Antihypertensive Agents.
- complications : Diabetes Mellitus, Type 2, Hypertension.
- drug effects : Mastication, Saliva.
- physiology : Mastication.
- physiopathology : Diabetes Mellitus, Type 2, Hypertension, Jaw, Edentulous, Partially, Xerostomia.
- psychology : Diabetes Mellitus, Type 2, Hypertension.
- secretion : Saliva.
- Adult, Cross-Sectional Studies, DMF Index, Female, Humans, Male, Middle Aged, Quality of Life, Risk Factors.
Abstract
The relationship between type 2 diabetes oral physiology, nutritional intake and quality of life has not been fully elucidated. We assessed the impact of type 2 diabetes - exclusive or associated with hypertension with beta-blockers treatment - on oral physiology, mastication, nutrition and quality of life. This cross-sectional study was performed with 78 complete dentate subjects (15 natural teeth and six masticatory units minimum; without removable or fixed prostheses), divided into three groups: diabetics (DM) (n = 20; 45·4 ± 9·5 years), diabetics with hypertension and receiving beta-blockers treatment (DMH) (n = 19; 41·1 ± 5·1 years) and controls (n = 39; 44·5 ± 11·7 years) matched for gender, age and socioeconomic status. Blood glucose, masticatory performance, swallowing threshold, taste, food intake, stimulated and unstimulated salivary flow, pH and buffering capacity of saliva were assessed. Glycemia was higher in DM than in controls (P < 0·01). No differences were observed between DM and controls for nutrition and quality of life. Both stimulated and unstimulated salivary flow rate were lower in DMH (P < 0·01), which also presented the lowest number of teeth and masticatory units (P < 0·0001), and reduction in the number of chewing cycles (P < 0·01). Controls showed lower Decayed Missing Filled Teeth index (DMFT) scores in comparison with DMH (P = 0·021). Masticatory performance and saliva buffering capacity were similar among groups. Exclusive type 2 diabetes did not alter oral physiology, nutrition or quality of life. However, when hypertension and beta-blockers treatment were associated with diabetes, the salivary flow rate, chewing cycles and number of teeth decreased.
DOI: 10.1111/joor.12398
PubMed: 27043215
Affiliations:
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Rodrigues Garcia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba</wicri:regionArea><wicri:noRegion>Piracicaba</wicri:noRegion></affiliation></author><author><name sortKey="Andrade, E F" sort="Andrade, E F" uniqKey="Andrade E" first="E F" last="Andrade">E F Andrade</name><affiliation wicri:level="1"><nlm:affiliation>Department of Veterinary Sciences, Federal University of Lavras, Lavras, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Veterinary Sciences, Federal University of Lavras, Lavras</wicri:regionArea><wicri:noRegion>Lavras</wicri:noRegion></affiliation></author><author><name sortKey="Goncalves, T M S V" sort="Goncalves, T M S V" uniqKey="Goncalves T" first="T M S V" last="Gonçalves">T M S V. Gonçalves</name><affiliation wicri:level="1"><nlm:affiliation>Department of Odontology, Federal University of Santa Catarina, Florianópolis, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Odontology, Federal University of Santa Catarina, Florianópolis</wicri:regionArea><wicri:noRegion>Florianópolis</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of oral rehabilitation</title><idno type="eISSN">1365-2842</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Antihypertensive Agents (pharmacology)</term><term>Antihypertensive Agents (therapeutic use)</term><term>Cross-Sectional Studies</term><term>DMF Index</term><term>Diabetes Mellitus, Type 2 (complications)</term><term>Diabetes Mellitus, Type 2 (physiopathology)</term><term>Diabetes Mellitus, Type 2 (psychology)</term><term>Female</term><term>Humans</term><term>Hypertension (complications)</term><term>Hypertension (physiopathology)</term><term>Hypertension (psychology)</term><term>Jaw, Edentulous, Partially (physiopathology)</term><term>Male</term><term>Mastication (drug effects)</term><term>Mastication (physiology)</term><term>Middle Aged</term><term>Quality of Life</term><term>Risk Factors</term><term>Saliva (drug effects)</term><term>Saliva (secretion)</term><term>Xerostomia (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antihypertenseurs (pharmacologie)</term><term>Antihypertenseurs (usage thérapeutique)</term><term>Diabète de type 2 ()</term><term>Diabète de type 2 (physiopathologie)</term><term>Diabète de type 2 (psychologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Hypertension artérielle ()</term><term>Hypertension artérielle (physiopathologie)</term><term>Hypertension artérielle (psychologie)</term><term>Indice CAO</term><term>Mastication ()</term><term>Mastication (physiologie)</term><term>Mâchoire partiellement édentée (physiopathologie)</term><term>Mâle</term><term>Qualité de vie</term><term>Salive ()</term><term>Salive (sécrétion)</term><term>Xérostomie (physiopathologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Antihypertensive Agents</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antihypertensive Agents</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>Hypertension</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Mastication</term><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr"><term>Antihypertenseurs</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mastication</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Diabète de type 2</term><term>Hypertension artérielle</term><term>Mâchoire partiellement édentée</term><term>Xérostomie</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>Hypertension</term><term>Jaw, Edentulous, Partially</term><term>Xerostomia</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Diabète de type 2</term><term>Hypertension artérielle</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Diabetes Mellitus, Type 2</term><term>Hypertension</term></keywords><keywords scheme="MESH" qualifier="secretion" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="sécrétion" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antihypertenseurs</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>DMF Index</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality of Life</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Diabète de type 2</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Hypertension artérielle</term><term>Indice CAO</term><term>Mastication</term><term>Mâle</term><term>Qualité de vie</term><term>Salive</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The relationship between type 2 diabetes oral physiology, nutritional intake and quality of life has not been fully elucidated. We assessed the impact of type 2 diabetes - exclusive or associated with hypertension with beta-blockers treatment - on oral physiology, mastication, nutrition and quality of life. This cross-sectional study was performed with 78 complete dentate subjects (15 natural teeth and six masticatory units minimum; without removable or fixed prostheses), divided into three groups: diabetics (DM) (n = 20; 45·4 ± 9·5 years), diabetics with hypertension and receiving beta-blockers treatment (DMH) (n = 19; 41·1 ± 5·1 years) and controls (n = 39; 44·5 ± 11·7 years) matched for gender, age and socioeconomic status. Blood glucose, masticatory performance, swallowing threshold, taste, food intake, stimulated and unstimulated salivary flow, pH and buffering capacity of saliva were assessed. Glycemia was higher in DM than in controls (P < 0·01). No differences were observed between DM and controls for nutrition and quality of life. Both stimulated and unstimulated salivary flow rate were lower in DMH (P < 0·01), which also presented the lowest number of teeth and masticatory units (P < 0·0001), and reduction in the number of chewing cycles (P < 0·01). Controls showed lower Decayed Missing Filled Teeth index (DMFT) scores in comparison with DMH (P = 0·021). Masticatory performance and saliva buffering capacity were similar among groups. Exclusive type 2 diabetes did not alter oral physiology, nutrition or quality of life. However, when hypertension and beta-blockers treatment were associated with diabetes, the salivary flow rate, chewing cycles and number of teeth decreased.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27043215</PMID><DateCompleted><Year>2017</Year><Month>10</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>10</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2842</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>7</Issue><PubDate><Year>2016</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Journal of oral rehabilitation</Title><ISOAbbreviation>J Oral Rehabil</ISOAbbreviation></Journal><ArticleTitle>Oral physiology, nutrition and quality of life in diabetic patients associated or not with hypertension and beta-blockers therapy.</ArticleTitle><Pagination><MedlinePgn>511-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/joor.12398</ELocationID><Abstract><AbstractText>The relationship between type 2 diabetes oral physiology, nutritional intake and quality of life has not been fully elucidated. We assessed the impact of type 2 diabetes - exclusive or associated with hypertension with beta-blockers treatment - on oral physiology, mastication, nutrition and quality of life. This cross-sectional study was performed with 78 complete dentate subjects (15 natural teeth and six masticatory units minimum; without removable or fixed prostheses), divided into three groups: diabetics (DM) (n = 20; 45·4 ± 9·5 years), diabetics with hypertension and receiving beta-blockers treatment (DMH) (n = 19; 41·1 ± 5·1 years) and controls (n = 39; 44·5 ± 11·7 years) matched for gender, age and socioeconomic status. Blood glucose, masticatory performance, swallowing threshold, taste, food intake, stimulated and unstimulated salivary flow, pH and buffering capacity of saliva were assessed. Glycemia was higher in DM than in controls (P < 0·01). No differences were observed between DM and controls for nutrition and quality of life. Both stimulated and unstimulated salivary flow rate were lower in DMH (P < 0·01), which also presented the lowest number of teeth and masticatory units (P < 0·0001), and reduction in the number of chewing cycles (P < 0·01). Controls showed lower Decayed Missing Filled Teeth index (DMFT) scores in comparison with DMH (P = 0·021). Masticatory performance and saliva buffering capacity were similar among groups. Exclusive type 2 diabetes did not alter oral physiology, nutrition or quality of life. However, when hypertension and beta-blockers treatment were associated with diabetes, the salivary flow rate, chewing cycles and number of teeth decreased.</AbstractText><CopyrightInformation>© 2016 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>L J</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>Department of Health Sciences, Federal University of Lavras, Lavras, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Foureaux</LastName><ForeName>R C</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>Department of Health Sciences, Federal University of Lavras, Lavras, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>C V</ForeName><Initials>CV</Initials><AffiliationInfo><Affiliation>Department of Dentistry, Lavras University Center, Lavras, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alves</LastName><ForeName>M C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Statistics, University of São Paulo - ESALQ, Piracicaba, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Campos</LastName><ForeName>C H</ForeName><Initials>CH</Initials><AffiliationInfo><Affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodrigues Garcia</LastName><ForeName>R C M</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andrade</LastName><ForeName>E F</ForeName><Initials>EF</Initials><AffiliationInfo><Affiliation>Department of Veterinary Sciences, Federal University of Lavras, Lavras, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gonçalves</LastName><ForeName>T M S V</ForeName><Initials>TM</Initials><AffiliationInfo><Affiliation>Department of Odontology, Federal University of Santa Catarina, Florianópolis, Brazil.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>04</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Oral Rehabil</MedlineTA><NlmUniqueID>0433604</NlmUniqueID><ISSNLinking>0305-182X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000959">Antihypertensive Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000959" MajorTopicYN="N">Antihypertensive Agents</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="N">pharmacology</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004245" MajorTopicYN="N">DMF Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003924" MajorTopicYN="N">Diabetes Mellitus, Type 2</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006973" MajorTopicYN="N">Hypertension</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008409" MajorTopicYN="N">Mastication</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="N">drug effects</QualifierName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="N">drug effects</QualifierName><QualifierName UI="Q000557" MajorTopicYN="Y">secretion</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014987" MajorTopicYN="N">Xerostomia</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">dental physiological phenomena</Keyword><Keyword MajorTopicYN="N">oral health</Keyword><Keyword MajorTopicYN="N">saliva</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>03</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>4</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>4</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>10</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27043215</ArticleId><ArticleId IdType="doi">10.1111/joor.12398</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country></list><tree><country name="Brésil"><noRegion><name sortKey="Pereira, L J" sort="Pereira, L J" uniqKey="Pereira L" first="L J" last="Pereira">L J Pereira</name></noRegion><name sortKey="Alves, M C" sort="Alves, M C" uniqKey="Alves M" first="M C" last="Alves">M C Alves</name><name sortKey="Andrade, E F" sort="Andrade, E F" uniqKey="Andrade E" first="E F" last="Andrade">E F Andrade</name><name sortKey="Campos, C H" sort="Campos, C H" uniqKey="Campos C" first="C H" last="Campos">C H Campos</name><name sortKey="Foureaux, R C" sort="Foureaux, R C" uniqKey="Foureaux R" first="R C" last="Foureaux">R C Foureaux</name><name sortKey="Goncalves, T M S V" sort="Goncalves, T M S V" uniqKey="Goncalves T" first="T M S V" last="Gonçalves">T M S V. Gonçalves</name><name sortKey="Pereira, C V" sort="Pereira, C V" uniqKey="Pereira C" first="C V" last="Pereira">C V Pereira</name><name sortKey="Rodrigues Garcia, R C M" sort="Rodrigues Garcia, R C M" uniqKey="Rodrigues Garcia R" first="R C M" last="Rodrigues Garcia">R C M. Rodrigues Garcia</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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