Oral health-related quality of life of athletes with disabilities: a cross sectional study





Athletes, Disabled Persons, Epidemiology, Oral Health, Quality of Life


Several studies have suggested that athletes with disabilities experience more difficulties having access to oral health care than the population in general. The aim of this study was to estimate the impact of socio-demographic/socio-economic factors, oral hygiene habits and clinical oral health conditions on the OHRQoL – Oral Health-Related Quality of Life (assessed with the Oral Health Impact Profile 14 – OHIP-14) on a sample of athletes with heterogeneous types of disabilities. Altogether, 105 athletes with disabilities were evaluated. Cross-sectional data was collected including interviews to obtain socio-demographic/socio-economic data, the OHIP-14 and clinical oral examinations parameters. The outcome variable was the OHIP-14 severity score. The explanatory variables were sex, age, monthly household income, level of schooling, frequency of toothbrushing and flossing, gingival bleeding, periodontal disease, trauma in incisors, prosthesis wearing and needs, number of sound teeth, DFMT (decayed, filled and missing teeth) index and its isolate components. Mann-Whitney, Kruskall-Wallis and Spearman tests used to compare OHIP-14 severity scores associated with the explanatory variables. The mean OHIP-14 severity score for the sample was 9.32 (SD 8.99) and the most affected domain was Physical Pain (mean 2.63; SD 1.97), followed by Psychological Discomfort (mean 1.81; SD 2.02). Significant differences in mean OHIP-14 scores were found for periodontal disease, need for complete dentures, number of sound teeth, DFMT index and its components. These results suggest that these clinical parameters can be related to impaired OHRQoL for this population.


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ALLEN, P.F. and LOCKER, D. Do item weights matter? An assessment using the oral impact profile. Community Dental Health. 1997, 14(3), 133-138.

ALLISON, P.A., et al. Cross-cultural study of oral health values. Journal of Dental Research. 1999, 78(2), 643-649. https://doi.org/10.1177/00220345990780020301

AL-SHAMLAN, S.O., MOHAMMAD, M. and PAPANDREOU, D. Oral Health status of athletes with intellectual disabilities: a review. Journal of Medicine Science. 2019, 30(12), 2044-2049. https://doi.org/10.3889/oamjms.2019.539

ANDRADE, F.B., et al. Relationship between oral health–related quality of life, oral health, socioeconomic, and general health factors in elderly Brazilians. Journal of American Geriatric Society. 2012, 60(9), 1755-1760. https://doi.org/10.1111/j.1532-5415.2012.04104.x

AZEREDO, F.N.A., et al. Estimated prevalence of dental caries in athletes: an epidemiological systematic review and meta-analysis. Indian Journal of Dental Research. 2020, 31(2), 297-304. https://doi.org/10.4103/ijdr.IJDR_764_18

AZEREDO, F.N.A., et al. Global prevalence of dental caries in athletes with intellectual disabilities: an epidemiological systematic review and meta‐analysis. Special Care in Dentistry. 2019, 39(2), 114-124. https://doi.org/10.1111/scd.12349

BASKIRT, E. A., AK, G. and ZULFIKAR, B. Oral and general health-related quality of life among young patients with haemophilia. Haemophilia. 2009, 15(1), 193–198. https://doi.org/10.1111/j.1365-2516.2008.01919.x

BRASIL. SB Brasil 2010: Pesquisa nacional de saúde bucal: Manual de Calibração de Examinadores. Brasília: Ministério da Saúde, 2010. Available from: https://www.gov.br/saude/pt-br

CIAMPOLINI, V., et al. Quality of life of Brazilian wheelchair tennis athletes across competitive and elite levels. Motriz. 2017, 23(2), e101703. https://doi.org/10.1590/s1980-6574201700020014.

COUTO, P., et al. Oral health-related quality of life of Portuguese adults with mild intellectual disabilities. PLoS ONE. 2018, 13(3), e0193953. https://doi.org/10.1371/journal.pone.0193953

DE OLIVEIRA, B.H. and NADANOVSKY, P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dentistry and Oral Epidemiology. 2005, 33(4), 307-314. https://doi.org/10.1111/j.1600-0528.2005.00225.x

FERREIRA, M.C., et al. Impact of periodontal disease on quality of life: a systematic review. Journal of Periodontology Research. 2017, 52(4), 651-665. https://doi.org/10.1111/jre.12436

GIL-MONTOYA, J.A., et al. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clinical Interventions in Aging. 2015, 10, 461-467. https://doi.org/10.2147/CIA.S54630

GUERRA, M.J.C., et al. Impact of oral health conditions on the quality of life of workers. Ciência & Saúde Coletiva. 2014, 19(12), 477-486. https://doi.org/10.1590/1413-812320141912.21352013

INTERNATIONAL PARALYMPIC COMMITTE (IPC). Aggregated Database: results, rankings and records – ipc historical results archive [online], 2018. Available from: https://www.paralympic.org/sdms4/hira/web

JOHANSSON, G. and ÖSTBERG, A.L. Oral health-related quality of life in Swedish young adults. International Journal of Qualitative Studies on Health and Well-being. 2015, 10, 27125. https://doi.org/10.3402/qhw.v10.27125

JOHN, M.T., et al. Demographic factors, denture status and oral health-related quality of life. Community Dentistry and Oral Epidemiology. 2004, 32(2), 125-132. https://doi.org/10.1111/j.0301-5661.2004.00144.x

LOCKER, D. Deprivation and oral health: a review. Community Dentistry and Oral Epidemiology. 2000, 28(3), 161-169. https://doi.org/10.1034/j.1600-0528.2000.280301.x

MARKS, L., et al. Global oral health status of athletes with intellectual disabilities. Clinical Oral Investigation. 2018, 22(4), 1681-1688. https://doi.org/10.1007/s00784-017-2258-0

MARTÍNEZ-MESA, J., et al. Sample size: how many participants do I need in my research? Anais Brasileiros de Dermatologia. 2014, 89(4), 609-615. http://dx.doi.org/10.1590/abd1806-4841.20165254

MASOOD, M., et al. The relationship between oral health and oral health related quality of life among elderly people in the United Kingdom. Journal of Dentistry. 2017, 56, 78-83. https://doi.org/10.1016/j.jdent.2016.11.002

NEEDLEMAN, I., et al. Oral health and elite sport performance. British Journal of Sports Medicine. 2015, 49(1), 3-6. https://doi.org/10.1136/bjsports-2014-093804

PAKPOUR, A.H., et al. Oral health-related quality of life in Iranian patients with spinal cord injury: A case-control study. Injury. 2016, 47(6), 1345-1352. https://doi.org/10.1016/j.injury.2016.03.022

PERES, M.A., et al. Skin colour is associated with periodontal disease in Brazilian adults: a population-based oral health survey. Journal of Clinical Periodontology. 2007, 34(3), 196-201. https://doi.org/10.1111/j.1600-051X.2006.01043.x

SEYMOUR, G.J. Relationship between periodontal infections and systemic disease. Clinical Microbiology and Infection. 2007, 13(4), 3-10. https://doi.org/10.1111/j.1469-0691.2007.01798.x

SLADE, G.D. Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology. 1997, 25(4), 284–290. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x

SOARES, P.V., et al. Sports dentistry: a perspective for the future. Revista Brasileira de Educação Física e Esporte. 2014, 28(2), 351-358.

WORLD HEALTH ORGANIZATION. Oral health surveys - basic methods. 5th ed. Geneva: World Health Organization, 2013.

ZHOU, N., et al. Oral health status of children and adolescents with intellectual disabilities: a systematic review and meta-analysis. Developmental Medicine & Child Neurology. 2017, 59(10), 1019–1026. https://doi.org/10.1111/dmcn.13486




How to Cite

DO CARMO FERRUZZI, L.P., RESENDE DAVI, L., CRISTINA BRAGA DE LIMA, D., TAVARES, M. and MAIA DE CASTRO, A., 2021. Oral health-related quality of life of athletes with disabilities: a cross sectional study. Bioscience Journal [online], vol. 37, pp. e37008. [Accessed18 April 2024]. DOI 10.14393/BJ-v37n0a2021-53664. Available from: https://seer.ufu.br/index.php/biosciencejournal/article/view/53664.



Health Sciences