Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods
Abstract Objectives This research evaluates the Chinese version of the Geriatric Oral Health Assessment Index (GOHAI) and Health Promoting Lifestyle Profile-II (HPLP-II) in elderly adults, investigating the correlations and moderation effects of glycemic control methods between GOHAI and HPLP-II sco...
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BMC
2025-07-01
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| Online Access: | https://doi.org/10.1186/s12889-025-23508-3 |
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| author | Weiming Hou Jing Dong Yunru Zhou Li Dong Kaiying Zhong Yimei Lang Meirong Bian Huili Wang Longfeng Sun |
| author_facet | Weiming Hou Jing Dong Yunru Zhou Li Dong Kaiying Zhong Yimei Lang Meirong Bian Huili Wang Longfeng Sun |
| author_sort | Weiming Hou |
| collection | DOAJ |
| description | Abstract Objectives This research evaluates the Chinese version of the Geriatric Oral Health Assessment Index (GOHAI) and Health Promoting Lifestyle Profile-II (HPLP-II) in elderly adults, investigating the correlations and moderation effects of glycemic control methods between GOHAI and HPLP-II scores in hospitalized diabetic patients. Participants A consecutive sample of 244 elderly diabetic patients was recruited from department of endocrinology and geriatric endocrinology at the first affiliated Hospital of China Medical University. Methods Data were collected using validated GOHAI and HPLP-II questionnaires. Sociodemographic and clinical variables were analyzed through univariate and multivariate regression models. Finally, moderation analysis examined how different glycemic management strategies influenced the association between health behaviors and oral health outcomes. Findings Pharmacological interventions were the most common glycemic control method, followed by lifestyle modifications. GOHAI scores demonstrated a significant positive correlation with HPLP-II scores. Lifestyle-based glycemic management showed superior benefits for behavioral and oral health outcomes compared to pharmacological approaches alone. However, combined strategies exhibited antagonistic effects, weakening the positive impact of health behaviors on overall oral health and mental well-being. And pharmacological treatment amplified the influence of health behavior, support and stress on general oral health, while paradoxically reducing the salience of self-actualization in this relationship. Conclusions Health-promoting behaviors significantly improve oral health in elderly people with diabetes. While lifestyle interventions should be prioritized for holistic health benefits, integrated glycemic management requires careful implementation to avoid unintended interference with behavioral contributions to oral health. These findings advocate for tailored lifestyle modifications as a cornerstone of diabetes care in aging populations. |
| format | Article |
| id | doaj-art-7d69767b39d742f986bd75c310ea7dc2 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-7d69767b39d742f986bd75c310ea7dc22025-08-20T03:45:41ZengBMCBMC Public Health1471-24582025-07-0125111110.1186/s12889-025-23508-3Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methodsWeiming Hou0Jing Dong1Yunru Zhou2Li Dong3Kaiying Zhong4Yimei Lang5Meirong Bian6Huili Wang7Longfeng Sun8Department of Geriatric, The First Hospital of China Medical UniversityKey Laboratory of Environmental Stress and Chronic Disease Control and Prevention, Ministry of Education, China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityDepartment of Geriatric, The First Hospital of China Medical UniversityAbstract Objectives This research evaluates the Chinese version of the Geriatric Oral Health Assessment Index (GOHAI) and Health Promoting Lifestyle Profile-II (HPLP-II) in elderly adults, investigating the correlations and moderation effects of glycemic control methods between GOHAI and HPLP-II scores in hospitalized diabetic patients. Participants A consecutive sample of 244 elderly diabetic patients was recruited from department of endocrinology and geriatric endocrinology at the first affiliated Hospital of China Medical University. Methods Data were collected using validated GOHAI and HPLP-II questionnaires. Sociodemographic and clinical variables were analyzed through univariate and multivariate regression models. Finally, moderation analysis examined how different glycemic management strategies influenced the association between health behaviors and oral health outcomes. Findings Pharmacological interventions were the most common glycemic control method, followed by lifestyle modifications. GOHAI scores demonstrated a significant positive correlation with HPLP-II scores. Lifestyle-based glycemic management showed superior benefits for behavioral and oral health outcomes compared to pharmacological approaches alone. However, combined strategies exhibited antagonistic effects, weakening the positive impact of health behaviors on overall oral health and mental well-being. And pharmacological treatment amplified the influence of health behavior, support and stress on general oral health, while paradoxically reducing the salience of self-actualization in this relationship. Conclusions Health-promoting behaviors significantly improve oral health in elderly people with diabetes. While lifestyle interventions should be prioritized for holistic health benefits, integrated glycemic management requires careful implementation to avoid unintended interference with behavioral contributions to oral health. These findings advocate for tailored lifestyle modifications as a cornerstone of diabetes care in aging populations.https://doi.org/10.1186/s12889-025-23508-3DiabetesGOHAIGlycemic controlExerciseModerating effect |
| spellingShingle | Weiming Hou Jing Dong Yunru Zhou Li Dong Kaiying Zhong Yimei Lang Meirong Bian Huili Wang Longfeng Sun Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods BMC Public Health Diabetes GOHAI Glycemic control Exercise Moderating effect |
| title | Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods |
| title_full | Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods |
| title_fullStr | Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods |
| title_full_unstemmed | Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods |
| title_short | Correlation between behavior and oral health in elderly diabetic patients: the moderating effects of various blood glucose control methods |
| title_sort | correlation between behavior and oral health in elderly diabetic patients the moderating effects of various blood glucose control methods |
| topic | Diabetes GOHAI Glycemic control Exercise Moderating effect |
| url | https://doi.org/10.1186/s12889-025-23508-3 |
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