Association of periodontal health with physical and emotional well-being among pre and postmenopausal women in Bangalore: a cross sectional study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20233989Keywords:
Depression, Dental plaque index, Menopause, Periodontal pocket, WomenAbstract
Background: Menopausal transition is frequently accompanied by physical, emotional as well as periodontal health changes in pre and postmenopausal women due to the decline in circulating blood oestrogen levels. Aim was to investigate the association of periodontal health with physical and emotional well-being among pre and postmenopausal women aged 35-65 years.
Methods: A cross sectional study was conducted among 150 pre and 150 postmenopausal women in Bangalore urban district Women Health Questionnaire was used to assess physical and emotional well-being. WHO Oral Health Assessment form for adults 2013 along with plaque and gingival indexes were used to assess the periodontal health status. Descriptive, bivariate, multiple linear regression analysis were carried out. A p<0.05 was considered statistically significant.
Results: The mean age among pre and postmenopausal women were 40.09±2.24 years and 55.42±5.7 (p<0.001). The mean scores of depression/anxiety mood; somatic symptoms; memory/concentration; vasomotor symptoms; sleep problem was significantly higher in postmenopausal compared to premenopausal group (p<0.001). The mean number of teeth with gingival bleeding (12.93±8.0 and 6.94±5.68); deep periodontal pocket (2.05±1.61 and 0.44±0.97) were higher in postmenopausal group in comparison to the other group respectively (p<0.001). Depression was significantly associated with periodontal health of women in both the groups.
Conclusions: Women after menopause experienced more physical and emotional changes. Periodontal health status was found to be poor among postmenopausal women compared to premenopausal women.
References
Yakar N, Türedi A, Emingil G, Şahin Ç, Köse T, Silbereisen A et al. Oral health and emotional well-being in premenopausal and postmenopausal women: a cross-sectional cohort study. BMC Womens Health. 2021;21(1):1-9.
Ilankoon IMPS, Samarasinghe K, Elgán C. Menopause is a natural stage of aging: a qualitative study. BMC Womens Health. 2021;21(1):47.
Karmakar N, Majumdar S, Dasgupta A, Das S. Quality of life among menopausal women: A community-based study in a rural area of West Bengal. J Midlife Health. 2017;8(1):21-7.
Ahuja M. Age of menopause and determinants of menopause age: A pan India survey by IMS. J Midlife Health. 2016;7(3):126-31.
Hunter M. Women Health questionnaire: A measure of mid-aged women’s perception of their emotional and physical health. Psychol Health.1992;7(1):45-54.
Kim CS, Kim EK, Lee KS, Lee HK, Choi YH, Hwang TY et al. Relationship between bone mineral density, its associated physiological factors, and tooth loss in postmenopausal Korean women. BMC Womens Health. 2015;15(1):1-6.
Williams KA, Shamia H, DeBaz C, Palomo L. Quality of Life and Poor Oral Health: A Comparison of Postmenopausal Women. Dent J. 20;4(4):1-8
Wulandari P, Masulili SL, Kusdhany LS, Tadjoedin FM, Puspitadewi SR, Baziad A. Differences in periodontal severity between perimenopausal and postmenopausal women with chronic periodontitis. Braz Res Paediatr Dent Integrat Clin. 2019;19(1):1-9
LaMonte MJ, Hovey KM, Genco RJ, Millen AE, Trevisan M, Wactawski-Wende J. Five-year changes in periodontal disease measures among postmenopausal females: the Buffalo OsteoPerio study. J Periodontol. 2013;84(5):572-84.
Alves RC, Félix SA, Rodriguez-Archilla A, Oliveira P, Brito J, Dos Santos JM. Relationship between menopause and periodontal disease: a cross-sectional study in a Portuguese population. Int J Clin Exp Med. 2015;8(7):11412-9.
A Qasim A, MT Al-Nuaimy K, Ahmed A. Assessment of periodontal status among premenopausal and postmenopausal women in Mosul city. J Educ Sci. 2012;25(1):72-8.
Deepa D, Jain G. Assessment of periodontal health status in postmenopausal women visiting dental hospital from in and around Meerut city: Cross-sectional observational study. J Midlife Health. 2016; 7(4):175-9.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-4
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60.
Anjali M, Khapre M, Asha TJ, Rahul A. Modified Kuppuswamy socio-economic status scale with 2016 as base year-An update for 2021. J Med Evid. 2021; 2(3):234.
Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967;38(6): 610-6.
Oral health surveys: basic methods. Available at: https://www.who.int. Accessed on 20 February 2023.
Haas AN, Rösing CK, Oppermann RV, Albandar JM, Susin C. Association among menopause, hormone replacement therapy, and periodontal attachment loss in southern Brazilian women. J Periodontol. 2009; 80(9):1380-7.
Yalcin F, Gurgan S, Gul G. Oral health in postmenopausal Turkish women. Oral Health Prev Dent. 2006;4(4):227-33.
Yoshida N, Sugimoto K, Suzuki S, Kudo H. Change in oral health status associated with menopause in Japanese dental hygienists. Int J Dent Hyg. 2018;16(1):157-64.
