Behavior and oral health correlation in elderly patients with diabetes: Moderation effects of different blood glucose control ways

Abstract

Abstract Objectives: This research measures the Chinese version of Geriatric Oral Health Assessment Index (GOHAI) and Health Promoting Lifestyle Profile-Ⅱ (HPLP-Ⅱ) designed for elderly adults, explaining the correlation and moderation effects of different blood glucose control ways between GOHAI and HPLP-Ⅱ of elderly patients with diabetes in hospitals. Methods: A total of 244 cases of elderly diabetes patients were conveniently selected from department of endocrinology and geriatric endocrinology, the first affiliated Hospital of China Medical University. The questionnaire survey was assessed by the evaluation of GOHAI and HPLP-Ⅱ. Using sociodemographic and disease related factors as explanatory variables in separately univariate and multivariate regression analyzes. Finally, exploring the moderating effects of health behaviors affecting oral health under different glycemic control modalities. Results: Most elderly patients with diabetes were treated with pharmacological interventions, followed by lifestyle control. GOHAI was positively correlated with HPLP-Ⅱ. The adoption of lifestyle had a better effect on behavioral and oral health, showing a positive effect, in contrast to medical treatment. The use of both medical treatment and lifestyle as moderators negatively interfered with the effect of health behavior on total oral health and its mental health. And using medical treatment modality as a moderator positively promoted the effect of health behavior, support and stress on total oral health, but positively interfered with the effect of actualization on overall oral health. Conclusions: Health behavior influences oral health in elderly people with diabetes. Applying appropriate lifestyle to control blood glucose can help regulate behavioral health to promote oral health.