Association between Oral Health related Quality of Life and Nutritional Status in Geriatric Patients Reporting to Out Patients Department of Prosthodontics for Prosthetic Rehabilitation

Authors

DOI:

https://doi.org/10.52206/jsmc.2026.16.2.1519

Abstract

Background: Oral health plays a crucial role in maintaining adequate nutrition, particularly among the geriatric population, where physiological, functional, and socioeconomic factors increase vulnerability to both poor oral health and malnutrition. Impaired oral health-related quality of life (OHRQoL) may significantly influence dietary intake and overall well-being in older adults.

Objective: To assess the association between oral health-related quality of life and nutritional status among geriatric patients presenting to the outpatient department of prosthodontics.

Methodology: This cross-sectional study was conducted over a period of six months (January–June 2024) at Saidu College of Dentistry, Swat, Pakistan. A total of 205 patients aged ≥60 years were enrolled using predefined inclusion criteria. OHRQoL was assessed using the Geriatric Oral Health Assessment Index (GOHAI), while nutritional status was evaluated using the Mini Nutritional Assessment (MNA) tool. Data were analyzed using R software version 4.3.3. Logistic regression analysis was performed to determine associations between variables, with a p-value <0.05 considered statistically significant.

Results: The mean age of participants was 71.8 ± 8.56 years, with 53.17% males. A large proportion (67.8%) exhibited poor OHRQoL. Nutritional assessment revealed that 41.95% were at risk of malnutrition and 36.59% were malnourished. Malnutrition was significantly more prevalent among participants with poor OHRQoL. Multivariable analysis showed that poor OHRQoL was significantly associated with malnutrition (OR 0.61, 95% CI 0.31–0.99; p = 0.035). Age ≤70 years was independently associated with reduced odds of malnutrition (OR 0.51, 95% CI 0.28–0.91; p = 0.03).

Conclusion: Poor oral health-related quality of life is strongly associated with compromised nutritional status among geriatric patients. These findings highlight the need for integrated oral health and nutritional interventions to improve overall health outcomes in the elderly population.

Keywords: Geriatrics, GOHAI, Mini Nutritional Assessment, Nutritional Status, OHRQoL.

References

Ashiq U, Asad AZ. The rising old age problem in Pakistan. J Res Soc Pak. 2017;54(2). https://doi.org/10.47144/phj.v57i1.2670

Rosli TI, Chan YM, Kadir RA, Hamid TAA. Association between oral health-related quality of life and nutritional status among older adults in district of Kuala Pilah, Malaysia. BMC Public Health. 2019;19(Suppl 4):547. https://doi.org/10.1186/s12889-019-6867-1

Patel P, Shivakumar K, Patil S, Suresh K, Kadashetti V. Association of oral health-related quality of life and nutritional status among elderly population of Satara district, Western Maharashtra, India. J Indian Assoc Public Health Dent. 2015;13(3):269–73. https://doi.org/10.4103/2319-5932.165261

Sallam A, McCorry NK, Harvey M, Heilmann A, Lappin C, McEvoy C, et al. The impact of dietary intake and nutritional status on the oral health of older adults living in care homes: a scoping review. Gerodontology. 2025. https://doi.org/10.1111/ger.12821

Della Terra Mouco Garrido B, Pereira PSS, Foloni K, Pegoraro HD, Souza IR, Bastos JRM, et al. Tooth loss, nutrition, and oral health-related quality of life in older adults: evidence from a structural equation model. Int J Environ Res Public Health. 2025;22(12):1793. https://doi.org/10.3390/ijerph22121793

Poudel P, Paudel G, Acharya R, George A, Borgnakke WS, Rawal LB. Oral health and healthy ageing: a scoping review. BMC Geriatr. 2024;24(1):33. doi: 10.1186/s12877-023-04613-7. https://doi.org/10.1186/s12877-023-04613-7

Chauhan N, Paul S, Purohit BM, Duggal R, Priya HSS. Nutrition and oral health-related quality of life (OHRQoL) in older adults: a systematic review and meta-analysis. Evid Based Dent. 2025;26(2):109. https://doi.org/10.1038/s41432-024-01088-2

Jang EH, Hwang SY, Kim J, Kim SJ, Yang YJ. Comparison of nutritional status according to oral health of the elderly: using data from the 2015 Korea National Health and Nutrition Examination Survey. J Korean Food Nutr. 2021;50(5):531. https://doi.org/10.3746/jkfn.2021.50.5.531

Urgessa M. The Mini Nutritional Assessment tool’s applicability for the elderly in Ethiopia: validation study. PeerJ. 2022;10:e14396. https://doi.org/10.7717/peerj.14396

Gil-Montoya J, Subirá C, Ramón J, González-Moles M. Oral health-related quality of life and nutritional status. J Public Health Dent. 2008;68(2):88–93. https://doi.org/10.1111/j.1752-7325.2007.00082.x

Kshetrimayum N, Reddy CVK, Siddhana S, Manjunath M, Rudraswamy S, Sulavai S. Oral health-related quality of life and nutritional status of institutionalized elderly population aged 60 years and above in Mysore City, India. Gerodontology. 2013;30(2):119–25. https://doi.org/10.1111/j.1741-2358.2012.00651.x

Della Terra Mouco Garrido B, Pereira PSS, Foloni K, Pegoraro HD, Souza IR, et al. Tooth loss, nutrition, and oral health-related quality of life in older adults: evidence from a structural equation model. Int J Environ Res Public Health. 2025;22(12). https://doi.org/10.3390/ijerph22121793

Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res. 2018;29(5):562–7. https://doi.org/10.4103/ijdr.IJDR_285_17

Sallam A, McCorry NK, Harvey M, Heilmann A, Lappin C, McEvoy C, et al. The impact of dietary intake and nutritional status on the oral health of older adults living in care homes: a scoping review. Gerodontology. 2025;42(4):444–72. https://doi.org/10.1111/ger.12821

Wong FMF, Ng YTY, Leung WK. Oral health and its associated factors among older institutionalized residents—a systematic review. Int J Environ Res Public Health. 2019;16(21). https://doi.org/10.3390/ijerph16214132

Gaber A, Galarneau C, Feine JS, Emami E. Rural-urban disparity in oral health-related quality of life. Community Dent Oral Epidemiol. 2018;46(2):132–42. https://doi.org/10.1111/cdoe.12344

Listl S, Galloway J, Mossey PA, Marcenes W. Global economic impact of dental diseases. J Dent Res. 2015;94(10):1355–61. https://doi.org/10.1177/0022034515602879

Bakhtiari A, Pourali M, Omidvar S. Nutrition assessment and geriatric associated conditions among community dwelling Iranian elderly people. BMC Geriatr. 2020;20(1):278. https://doi.org/10.1186/s12877-020-01668-8

Schwendicke F, Thomson WM, Broadbent JM, Stolpe M. Effects of taxing sugar-sweetened beverages on caries and treatment costs. J Dent Res. 2016;95(12):1327–32. https://doi.org/10.1177/0022034516660278

Kossioni AE. The association of poor oral health parameters with malnutrition in older adults: a review considering the potential implications for cognitive impairment. Nutrients. 2018;10(11). https://doi.org/10.3390/nu10111709

Additional Files

Published

20-05-2026

How to Cite

1.
Turk MH, Abdullah, Saeed A, Khan S, Jehan NS, Khan IU. Association between Oral Health related Quality of Life and Nutritional Status in Geriatric Patients Reporting to Out Patients Department of Prosthodontics for Prosthetic Rehabilitation. J Saidu Med Coll [Internet]. 2026 May 20 [cited 2026 Nov. 10];16(2):319-26. Available from: http://jsmc.pk/index.php/jsmc/article/view/1519