ORAL HEALTH AND QUALITY OF LIFE IN INDIVIDUALS WITH ASTHMA
Oral Health, Quality of Life, Asthma.
OBJECTIVE: To investigate the associations between oral health quality and healthrelated life in individuals with asthma. METHODS: Two studies were carried out, a systematic review of the literature, and a cross-sectional study. We performed a systematic review based on research in the MEDLINE, Web of Sciences, SCOPUS, LILACS and Cochrane databases, using the "Periodontal diseases" AND ("adrenal cortex hormones" OR "adrenal cortex hormones" OR ("adrenal" AND " cortex "AND" hormones ") OR" adrenal cortex hormones "OR" corticosteroid "). We conducted a cross-sectional study from the asthma cohort of the Asthma Control Program in Bahia (ProAR) from February 2017 to November 2019. We included 125 patients; 40 with severe asthma, 35 with mild to moderate asthma, and 50 individuals without asthma. We conducted anamnesis and clinical examination and applied three structured questionnaires: the Oral Health Impact Profile (OHIP-14), the short 36-item questionnaire to assess health-related quality of life (SF36) version 2 and the Work Ability Index. RESULTS: In the systematic review after applying the inclusion criteria, eight studies were selected, two retrospective cohorts and six cross-sectional studies. In the cross-sectional study, the group of patients with severe asthma had a higher frequency of periodontitis (92.5%) and reduced salivary flow (80.0%) compared to those with mild to moderate asthma (54.3% and 74, 3%, respectively) and with the group without asthma (14.0% and 26.0%, respectively). Patients with severe asthma had systematically lower scores on the Work Ability Index, in the domains of health-related quality of life and in the domains of the Impact Profile on Oral Health (OHIP-14) when compared with patients with mild to asthma, moderate or with the group without asthma. CONCLUSIONS: The severity of asthma is associated with a worse oral health condition, including when associated with health-related quality of life and poor work ability.