General Health Quality Research Articles

Oral Health Status of Hospitalized Children and Parental Perception about Oral Hygiene during Hospitalization: A Cross Sectional Study : Oral Health Status during Hospitalization

Introduction : Oral health is considered as a gateway for general health. Compromised oral health possibly will have a sizeable bearing on the general health status and quality of life. Underlying medical condition in hospitalized children might prevent the care givers to pay attention towards oral health, which can sometimes lead to life-threatening complications. Hence this study was conducted to know status of oral health during hospitalization and perception of parents toward oral hygiene. Methods: An observational cross sectional study was conducted over a period of one month at in patient ward of dept of pediatrics. All the subjects were examined for oral health status and their parent’s knowledge attitude and practices were assessed through a validated questionnaire. Results: Caries prevalence was high. 42.6 % of children had 1 or more teeth decayed, filled or extracted. The mean dmft score was 3.58 ± 1.75 and DMFT score was 1.43 ± 2.51 overall. There was a significant decrease in the plaque score from the date of admission to date of discharge. Only 42.6% of the parents of hospitalized children were aware about the oral health status of their wards. Conclusions: It was found that the parents of hospitalized children were very much aware of importance of oral health. Hence, preventive strategies involving care givers/guardians, with timely reinforcements would help in reduction of caries experience and improvement in gingival/oral health of these individuals

How effective is AAL? Results from an RCT among older persons in Austria

Abstract Background Many older people wish to remain in their own environment for as long as possible; an aim shared by the wider community. Here the results of the RegionAAL study (Steiermark, Austria) are reported. Methods An RCT was implemented to evaluate a programme of interventions (e.g. medication, drink and physical activity reminders, automatic light systems, watches to detect falls, video telephone with carers). Data was collected via quantitative questionnaires at baseline, 6 months and 1 year regarding quality of life and carers’ burden. Results 111 persons and 104 carers took part in the intervention group; 110 participants and 100 carers in the control group. Participant characteristics were similar at baseline. Average age was 76 years. Around 1/3 were formal carers. A tendency for more persons in the control group to require assistance after one year could be observed. The subscales autonomy and participation of the WHOQOL-OLD showed some significant declines in the control group (no deterioration in the intervention group). No differences between study arms regarding general health, chronic conditions or hospital admissions were observed. Expected reduction in worry among carers could not be observed, although there was a tendency for some aspects of burden to be reduced. The interventions did not lead to a reduction in carers’ workload; neither did the carers see any direct improvement of their situation. Conclusions Some technologies such as cognitive games on the tablet, portable door bell and automatic light sensor were positively assessed. The participants in the intervention group scored better on autonomy and participation subscales than the control group; the intervention group also fared somewhat better regarding independence. The technologies had little influence on general health states or quality of life of participants or carers. Further good quality studies are needed before AAL technologies are considered as a public health initiative. Key messages AAL may reduce aspects of worry among carers and prevent age-related decline in autonomy, participation and independence among older persons but not have an effect on general health status or burden. AAL has only a very limited impact upon general health status or quality of life of older persons and the general burden experienced by carers.

Self-Perceived Health Status and Reported Importance of Motivational Factors by Diabetes Status in US Adults

Recognize self-perceptions of general health and diet quality, along with importance of motivational factors relevant to behavior change, to help guide nutrition education and intervention strategies in adults with diabetes.

General Health Quality of Life Instruments Underestimate the Impact of Bilateral Cochlear Implantation.

To determine the extent to which bilateral cochlear implantation increases patient-reported benefit as compared with unilateral implantation and no implantation. PubMed, Scopus, CINAHL, and Cochrane databases searches were performed using the keywords ("Cochlear Implant" or "Cochlear Implantation") and ("bilateral"). Studies assessing hearing/CI-specific (CI) and general-health-related (HR) quality of life (QOL) in adult patients after bilateral cochlear implantation were included. Of the 31 articles meeting criteria, usable QOL data were available for 16 articles (n = 355 bilateral CI recipients). Standardized mean difference (Δ) for each measure and weighted effects were determined. Meta-analysis was performed for all QOL measures and also independently for hearing/CI-specific QOL and HRQOL. When measured using hearing/CI-specific QOL instruments, patients reported very large improvements in QOL comparing before cochlear implantation to bilateral CI (Δ=2.07 [1.76-2.38]) and medium improvements comparing unilateral CI to bilateral CI (Δ=0.51 [0.32- 0.71]). Utilization of parallel versus crossover study design did not impact QOL outcomes (χ = 0.512, p = 0.47). No detectable improvements were observed in either CI transition when using HRQOL instruments (no CI to bilateral CI: Δ=0.40 [-0.02 to 0.81]; unilateral CI to bilateral CI: Δ=0.22 [-0.02 to 0.46]).The universal nature of HRQOL instruments may render them insensitive to the medium to large QOL improvements reported by patients using hearing/CI-specific QOL instruments. Given that HRQOL instruments are used to determine the economic benefit of health interventions, these measurement differences suggest that the health economic value of bilateral cochlear implantation has been underestimated.

Multidisciplinary Integrated Metabolic Rehabilitation in Elderly Obese Patients: Effects on Cardiovascular Risk Factors, Fatigue and Muscle Performance.

Background: Obesity is a widespread problem in the elderly, being associated with severe comorbidities negatively influencing life expectancy. Integrated multidisciplinary metabolic rehabilitation aimed to reduce body weight (BW) and fatigue, increase physical autonomy and introduce healthy life style changes has been proposed as a useful intervention to improve the general health status and quality of life of the obese geriatric population. Methods: Six hundred-eighty four severely obese subjects (F/M = 592/92; age range: 61–83 years; mean body mass index, BMI ± SD: 42.6 ± 5.6 kg/m2) were admitted to take part in a three-week in-hospital BW reduction program (BWRP), entailing energy restricted diet, psychological counselling, physical rehabilitation and nutritional education. Biochemical parameters, cardiovascular risk factors (throughout the Coronary Heart Disease Risk, CHD-R), fatigue (throughout the Fatigue Severity Scale, FSS) and lower limb muscle performance (throughout the Stair Climbing Test, SCT) were evaluated before and at the end of the BWRP. Results: A 4% BW reduction was achieved at the end of the BWRP. This finding was associated with a significant improvement of the metabolic homeostasis (i.e., decrease in total cholesterol and glucose) and a reduction of systolic blood pressure in both females and males, thus resulting in a reduction of CHD-R in the male group. Total FSS score and SCT time decreased in female and male obese patients. The effects of BWPR were comparable among all age-related subgroups (>60, 60–69 and >70 years), apart from ΔCHD-R, which was higher in male subgroups. Finally, age was negatively correlated with ΔBMI and ΔFSS. Conclusions: Though only a relatively limited number of outcomes were investigated, the present study shows that a 4% BW reduction in severely elderly obese patients is associated with positive multisystemic effects, particularly, muscle-skeletal and cardiometabolic benefits, which can favorably influence their general well-being and improve the autonomy level in performing more common daily activities. The maintenance of a healthy life style, including controlled food intake and regular physical activity, after a BWRP is obviously recommended in all elderly obese patients to further improve their clinical condition.

Comparisons of measures that evaluate oral and general health quality of life in patients with temporomandibular disorder and chronic pain

ABSTRACT Objective: To analyze the oral and general health related quality of life (HRQOL) measures, and to establish their ability to categorize chronic temporomandibular disorders (TMD). Methods: Data were collected from 104 patients through a questionnaire with detailed socio-demographic information, the Oral Health Impact Profile (OHIP-14), the Short-Form-36 (SF-36), the Revised Symptom Checklist-90-R (SCL-90-R), and the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I and II. Descriptive statistics were computed. Results: Better self-rated health and having no muscle pain were the key predictors for better physical HRQOL, whereas higher levels of depression, worse self-rated health and mandibular functioning were highly associated with worse mental HRQOL. The oral HRQOL were significantly lower in TMD patients with higher pain-related disability and worse oral health rating. Discussion: The use of the OHIP-14 in chronic TMD patients may provide valuable clinical information for better assessing the pain–related disability when compared to SF-36.

General Health Quality of Life in Patients with Temporomandibular Disorders in a Population-Based Cross-Sectional Study in Southern Brazil.

To assess the impact of temporomandibular disorders (TMD) on general health quality of life in a Brazilian population-based cross-sectional survey. A total of 1,643 patients were assessed using the World Health Organization Quality of Life Bref (WHOQOL-Bref) and the Research Diagnostic Criteria for Temporomandibular Disorders Axes I and II (RDC/TMD). Cross-tabulation of the data was carried out to compare TMD subjects to controls in all domains of the WHOQOL-Bref and the RDC/TMD. TMD subjects had significantly worse quality of life than controls in Axes I and II of the RDC/TMD and in all WHOQOL-Bref domains except for disc displacement. Osteoarthrosis was significantly different only in the WHOQOL-Bref physical domain. TMD subjects had worse general health quality of life, particularly in Axis I groups with higher pain/disability levels (muscle disorders/arthralgia/arthritis).

Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors

Objectives Emergency department (ED) professionals are exposed to burnout syndrome due to excessive workload and high demands for care. The objective of our study was to assess the prevalence burnout among all ED staff and to determine associated factors. Methods A cross-sectional survey was conducted in 3 EDs. The data were collected using a standardized questionnaire. It included demographical and occupational data, general health questions, burnout level (Maslach Burnout Inventory), job strain (Karasek), and quality of life (Medical Outcome Study Short Form). Results Of the 529 professionals working in EDs, 379 responses were collected (participation rate of 71.6%). Emotional exhaustion (EE) and depersonalization (DP), the major components of burnout, were reported, respectively, by 15.8% and 29.6% of the professionals. Burnout prevalence was 34.6%, defined as a severely abnormal level of either EE or DP. The medical category was significantly more affected by the burnout compared with their colleagues: nearly one ED physician out of two had a burnout (50.7%). In the multivariate analysis of covariance, job strain and a low mental component score were the two main factors independently associated with burnout (p < 0.05). Conclusion The results of our study show that ED professionals are a vulnerable group. Preventive approaches to stress and burnout are needed to promote quality of work life.

Beyond weight loss after sleeve gastrectomy: improvement in health-related quality of life

Objectives: Obesity and related diseases are increasing and with the bariatric procedures both the excess weight and the prevalence of these related diseases are decreasing. Both obesity and related diseases lead to impairment on health-related quality of life of the patients. We aimed to evaluate the short-term effects of sleeve gastrectomy operation on health related quality of life in patients that were operated for morbid obesity. Methods: Prospectively 62 patients that had sleeve gastrectomy operation enrolled in the study. The percentage of excess weight loss (%EWL) and the percentage of excess BMI loss (%EBMIL) were calculated 6 months after the operation. Anthropometric data and obesity-related co-morbidities were recorded. SF-36 questionnaire was used in order to evaluate the general health quality of the patients. Results: The mean age of the patients was 37 years and the majority of the patients were female (74.2%). At the postoperative 6th month, mean %EWL was calculated as 52.7% and mean %EBMIL was 60.1%. Six months after the operation, with the significant weight loss achieved, obesity-related co-morbidities were improved. Short Form-36 subscale scores at 6 months following the operation were observed, when compared with the preoperative scores (all p&amp;lt; 0.001). The mean physical health score significantly improved from 46.1 to 83.6 and the median mental health improved from 52 to 84, just 6 months after the sleeve gastrectomy operation. In multiple regression analysis %EWL was found to be a significant determinant of DMental health (B coefficient 0.490, p = 0.025) and D Physical health (B coefficient 0.388, p = 0.047) after adjusting for gender, age, smoking, obstructive sleep apnea syndrome, hypertension, diabetes mellitus and coronary disease. Conclusions: With the successive weight loss after sleeve gastrectomy, at the postoperative 6th month, the physical and mental health-related quality of life was significantly improved. Early and expedited regain of this quality of life after the operation is important for the patients and their social surroundings. Moreover it is important for the countries to decrease the medical expenses and increase labour productivity.

Treatment of Irritable Bowel Syndrome with a Combination of Curcumin, Green Tea and Selenomethionine Has a Positive Effect on Satisfaction with Bowel Habits

Background: Irritable bowel syndrome (IBS) is a common disorder impairing patient’s quality of life. Currently, there is no effective treatment for this syndrome. Coltect is a dietary supplement containing curcumin, green tea and selenomethionine. Aim: To investigate the effects of Coltect on IBS symptoms. Methods: A randomized, prospective, placebo-controlled, double blinded, crossover study. The study population included patients diagnosed with IBS by Rome criteria. Subjects were randomized to receive either Coltect or placebo for 4 weeks, and then received the opposite treatment for 4 weeks following a washout period of 2 weeks. The placebo was a pill, identical in color and size to the Coltect pill, with no active ingredients. Patients completed IBS health-related quality of life, severity score and IBS symptom questionnaires before and after each treatment period. Results: The study included 22 patients, ages 22 – 77 years. Coltect had a positive effect on patients’ satisfaction with their bowel habits (as measured on a scale from 0—Very satisfied to 100—Very unsatisfied). Average score was 70.4 ± 33.1 before and 61.8 ± 29.3 after Coltect treatment (p = 0.037). Other parameters, including abdominal pain, bloating, and effects of IBS on daily activity, symptoms, IBS-related quality of life and general health quality of life were unchanged. Conclusion: Coltect seems to have a positive effect on satisfaction with bowel habits.

Psychiatric and psychological follow-up of undergraduate and postgraduate medical students: Prevalence and associated factors. Results from the national BOURBON study

BackgroundPhysicians are at risk of burnout, anxiety and depression. Prevention is needed from the beginning of the medical studies to detect early poor mental health outcomes. ObjectiveTo determine the prevalence and associated of psychiatric or psychological follow-up in a national sample of undergraduate and postgraduate medical students (UPMS). MethodsUPMS of the 35 French Medicine faculties were recruited through mailing lists and social networks between December 2016 and May 2017 and fulfilled Internet anonymised questionnaires. ResultsOverall, 10,985 UPMS were included in the present study (2165 (19.7%) postgraduate, 31.6% males, mean aged 21.8 years). Overall, 1345 (12.2%) were followed-up by a psychiatrist and/or a psychologist, 20.5% of them were regular anxiolytic consumers and 17.2% of them were regular antidepressant consumers. In multivariate analyses, being followed-up by a psychiatrist and/or psychologist was associated with older age (aOR = 1.2[1.2–1.2], p < 0.0001), female gender (aOR = 0.5[0.5–0.7], p < 0.0001), current alcohol use disorder (aOR = 1.3[1.3–1.5], p < 0.0001), higher anxiolytic (aOR = 3.1[2.5–3.7],p < 0.0001) and antidepressant (aOR = 11.7[7.6–18.0],p < 0.0001) consumption, and with lower self-reported general health, social functioning and mental health quality of life (all aORs = 0.9, all p < 0.05). The UPMS followed-up by psychiatrist and/or psychologist reported to have been more frequently exposed to sexual assault (5.1% vs. 0.9%, aOR = 2.5[1.3–4.7], p < 0.0001), domestic violence (3.3% vs. 0.8% aOR = 2.1[1.2–4.0], p = 0.01) and parents divorce (11% vs. 6.4%, aOR = 1.5[1.2–1.9], p = 0.001). Students followed-up by a psychiatrist and/or psychologist reported more frequently to seek alleviating anxiety (aOR 1.9[1.6–2.3], p < 0.0001), depression (aOR 1.7[1.3–2.1],p < 0.0001), coping with studies difficulties (aOR 1.5[1.2–1.8],p < 0.0001), experiencing more stress at hospital (aOR = 2.3[1.6–3.5],p < 0.001) and more burnout syndrome (aOR = 1.4[1.1–1.8], p = 0.03). ConclusionsAround 12% of UPMS are followed-up by a psychiatrist and/or a psychologist. These students reported higher antidepressant and anxiolytic consumption, psychic suffering and altered quality of life, associated with professional pressure and personal issues. Public health programs should be developed to help these students through their studies to prevent later mental /addictive issues and professional suffering. Improving UPMS mental health may also improve the later quality of care of their patients and global stress at hospital.

Percepción de Salud General y Calidad de Vida de Puertorriqueños/as con Enfermedades Cardiovasculares.

Background: General Health Perception and Quality of Life of Ricans with Cardiovascular Diseases Cardiovascular diseases (CD) are among the leading causes of mortality in Rico. In the United States, Latinos report a higher prevalence of risk factors related to CD. Objective: to evaluate the relationship between the general health perception (GHP) and health related quality of life (HRQoL) in Ricans who suffer from CD. Method: We used the Puerto Rico Behavioral Risk Factor Surveillance System survey (2015) to compute the relationship between GHP and HRQoL in people who reported suffering from CD (n = 588). Results: The bivariate analysis show an association between HRQoL (mental and physical), GHP and CD. CD-adjusted models show a greater probability of adults reporting a poor HRQoL. The findings indicate a higher probability that adults with coronary heart disease report having poor mental (OR=2.36; p<0.05) and physical health (OR=2.42; p=<0.05). Similar findings were obtained for subjects who had experienced a stroke and reported poor physical health (OR= 1.96; p<0.05). Good to poor health was reported greater in subjects with coronary disease (OR=3.43; p,0.05). Conclusion: people with coronary diseases report higher probability of experiencing poor HRQoL in comparison with those who have experienced a stroke.

Reliability and Validity of the Lithuanian Version of CASP-19: A Quality of Life Questionnaire for the Elderly

Introduction: Ageing is associated with several physical, psychological, and behavioral changes. These changes are closely related with general health problems and quality of life in old age. The CASP-19 multidimensional instrument was specially designed to measure quality of life in the elderly. The different language versions of this scale have been used in more than 20 countries. However, Lithuanian translation was not available. The objective of our study was to test psychometric properties of the Lithuanian version of the CASP-19 questionnaire. Materials and methods: A cross-sectional study was performed with ambulatory men and women aged 60 and older, living in a community in Vilnius, Lithuania. Exclusion criteria were current acute illness, malignant tumor, and Mini-Mental State Examination (MMSE) score < 25 points. Psychometric properties of CASP-19 were tested using reliability and validity methods. Results: The study sample consisted of 132 participants, 28 (21.8%) of them were men and 103 (78.2%) women. Analysis of psychometric properties of the Lithuanian version of CASP-19 showed high internal consistency (Cronbach’s alpha 0.85), good agreement between test-retest measures with an ICC of 0.82 (95% CI 0.79–0.85) and good convergent and divergent construct validity. Conclusions: The psychometric properties indicated that the Lithuanian version of CASP-19 was reliable and valid. As such, it might be used to evaluate quality of life in elderly people.

AyoWahlbergGood Quality: The Routinization of Sperm Banking in ChinaBerkeley, CA: University of California Press, 2018. 248 p. $34.95 (pbk.)

AyoWahlbergGood Quality: The Routinization of Sperm Banking in ChinaBerkeley, CA: University of California Press, 2018. 248 p. $34.95 (pbk.)

Painful temporomandibular disorders (TMD) and comorbidities in primary care: associations with pain-related disability

Objective: We studied whether primary care temporomandibular disorder (TMD) patients reporting different levels of pain-related disability differ in terms of comorbid pains, general health conditions and quality of life.Material and methods: Consecutive TMD pain patients (n = 399) seeking treatment in primary care completed a questionnaire on comorbid pains and their interference and the Finnish version of the RAND-36-item quality of life questionnaire. Medical diagnoses confirmed by doctors were recorded. The patients were classified according to the Graded Chronic Pain Scale (GCPS) of the Research Diagnostic Criteria for TMD (RDC/TMD). The patients were classified: no disability group (0 disability points), low disability group (1–2 disability points) and high disability group (3–6 disability points).Results: Compared to patients in the no-disability group, patients in the high- and low-disability groups reported more comorbid pain conditions (p < .001), and experienced these as more intense and interfering more with daily life (p < .05). Patients in the high-disability group reported more general health-related medical diagnoses than patients in the no-disability group (p < .05). Furthermore, patients with low or high pain-related disability indicated poorer quality of life in all RAND-36 subscales than those with no disability (p < .05).Conclusions: The findings suggest that GCPS-related disability scoring can be used as a simple screening instrument to identify TMD patients with different degrees of health burdens.

Evaluation of Health-Related Quality of Life Among Dentists in Semnan, Iran, 2015 - 2016

Background: Dentistry is considered a difficult occupation. Hence, it could adversely influence the general health and life quality of dentists. Thus, the aim of this study was to evaluate the health-related quality of life (HR-QoL) and its relationship with gender, age, education level, systemic diseases, and job satisfaction among dentists in Semnan in 2015-2016. Methods: This cross-sectional study was conducted among dentists (61 general dentists and 15 dental specialists) in Semnan, Iran, in 2015 - 2016. A checklist was used to collect information including gender, age, education level, systemic diseases, and job satisfaction. The HR-QoL was determined by the SF-36 questionnaire. Data were analyzed using SPSS 17 and t-test (P 35 years; P = 0.892), education level (general dentists vs. dental specialists; P = 0.590), systemic diseases (with vs. without a systemic disease; P = 0.140), and job satisfaction (satisfied vs. unsatisfied; P = 0.199) revealed no significant effect on the HR-QoL. Conclusions: This study concluded that the dentists working in Semnan had an approximately high level of health-related quality of life.

General health perception, depression and quality of life in geriatric grandmothers providing care for grandchildren

Aim/backgroundTo investigate levels of depression, quality of life, general health perception, and factors affecting these in grandmothers providing care for their grandchildren. Material/methodOne hundred two family physicians from four cities (Samsun, Amasya, Canakkale, and Izmir) in Turkey investigated 2859 women older than 65 years on their patient lists. Of these, 282 (9.8%) had spent at least 50 h caring for their grandchildren in the previous three months, and these were selected as the study group, while the remaining 2563 (89.6%) were enrolled as the control group. After all participants’ demographic variables had been investigated, they completed the Beck Depression Inventory (BDI), Self-Function 12 (Mental and physical component score) (SF-12), and the Visual Analog Scale of EQ-5D (VAS). The participants in the study group also completed a questionnaire investigating features of their grandchild care. ResultsThe study group (with the exception of custodial grandmothers) scored better on the SF-12 (PSC = 50.60 ± 6.96 vs 48.24 ± 8.12), (MCS = 49.70 ± 7.77 vs 45.48 ± 7.61), VAS (60.44 ± 23.5 vs 54.16 ± 19.5), and BDI (13.97 ± 0.3 vs 19.49 ± 0.2) compared to the control group (p < 0.0001 for all). Age, monthly income, mean length of education, duration of care, mean hours spent caregiving per week, being a custodial grandmother, presence of more than one chronic disease, and caring for more than one grandchild at a time were identified as factors affecting SF-12, VAS and BID in the study group. ConclusionGrandchild care positively affected the grandmothers’ quality of life, depression levels, and general health perception, with the exception of custodial grandmothers.

Malay Traditional Treatment (MTT) and General Health Quality (GHQ) Among Lower Back Pain (LBP) Patients in Malaysia

Malay Traditional Therapy (MTT) claimed to reduce pain, improve the physical power and overall quality of life. Objective: This study aims to examine the effectiveness of MTT and its potential role in improving the general health quality (GHQ) of LBP patients usisng Visual Analogue Scale (VAS) and Self Leg Raised (SLR) . Methodology: Self administered questionnaire, patients' record files, VAS and SLR score sheets were used as study tools. Result: patients showed improvement in VAS and SLR scores thus the quality of life. Conclusion: MTT provided is benefited by LBP patients and complement to patients' general health quality.

Factors Associated with Sleep Quality in Maxillectomy Patients.

To investigate factors affecting sleep quality in maxillectomy patients after prosthetic rehabilitation and to determine the association between defect status and sleep quality. A total of 57 patients participated in this study. Sleep quality, general health, and oral health-related quality of life (OHRQoL) were evaluated. Of the total sample, 89% had poor sleep quality. Early morning awakening and daytime sleepiness were the most common complaints. Defect status and the extent of neck dissection could affect sleep quality in these patients. Improvement of OHRQoL in patients with dentomaxillary prostheses may help improve sleep.

Health behaviours and quality of life in independently living South Australians aged 75 years or older.

This study evaluated the associations between oral and general health behaviours, self-reported health and quality of life of adults aged 75 years or older living independently in South Australia. A cross sectional study based on a self-report mailed questionnaire was conducted in 590 independently living adults aged 75 years or older. Self-ratings of oral health and general health were assessed using single-item global ratings. Quality of life was measured using the Oral Health Impact Profile and the EuroQol instrument for health utility. The overall response rate was 78%. The current analyses were restricted to 354 dentate older adults. Increasing age and being female were negatively associated with EuroQol scores. Good self-rated oral and general health were more prevalent in participants with higher social status who also had lower oral health impact and higher EuroQol scores. Good self-rated oral and general health were less prevalent while oral health impact was greater in participants who ate few fruits, vegetables or dairy products. Self-rated health and quality of life were poor in older adults with inadequate fruit/vegetables/dairy intake and lower social status. These findings suggest that nutrition and socioeconomic factors may be important to the oral and general health of adults aged 75 years or older.