Oral health and physical activity: their combined effect on health-related quality of life in student's in Islamic boarding schools
DOI:
https://doi.org/10.47197/retos.v77.118753Keywords:
Activity, health-related quality of life, oral health, physical activity, studentsAbstract
Background: Oral health and physical activity are important determinants of adolescents’ quality of life, particularly in boarding school environments. However, studies integrating both factors remain limited.
Objective: This study aimed to analyze the combined effect of oral health status and physical activity level on health-related quality of life among students.
Methods: A cross-sectional observational study was conducted among 120 students at Pondok Pesantren Kumpeh Daaru Attauhid, Muaro Jambi Regency, Indonesia. Oral health status was assessed using the Oral Hygiene Index-Simplified (OHI-S), physical activity was measured using a structured questionnaire, and health-related quality of life was evaluated using a validated instrument. Data were analyzed using ANOVA and multiple linear regression with a significance level of p < 0.05.
Results: Students with good oral health had higher quality-of-life scores (78.4 ± 6.8) than those with moderate (71.6 ± 7.9) and poor oral health (65.2 ± 8.5) (p = 0.001). Higher physical activity levels were also associated with better quality of life (79.2 ± 6.5 for high activity vs. 66.1 ± 8.3 for low activity; p = 0.002). Multivariate analysis showed that oral health status (β = −0.31; p = 0.001) and physical activity level (β = 0.35; p = 0.001) were independent predictors of health-related quality of life.
Conclusion: Oral health status and physical activity level significantly influence health-related quality of life among boarding school students and should be prioritized in school-based health promotion programs.
References
Bull, F. C., Al-Ansari, S. S., & Biddle, S. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
Chacón-Cuberos, R., Zurita-Ortega, F., & Castro-Sánchez, M. (2021). Health-related quality of life and physical activity in school contexts. Retos, 41, 812–819. https://doi.org/10.47197/retos.v41i0.87344
Chimbinha, I. G. M., Ferreira, B. N. C., & Miranda, G. P. (2023). Oral-health-related quality of life in ado-lescents: umbrella review. BMC Public Health, 23(1), 1603.
Creswell, J. W., & Creswell, J. D. (2023). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE Publications.
Da’i. M, Rahamdhan N, R. A. (2024). Comparison of Physical Fitness Levels between Boarding School Students based on Islamic Boarding School and Formal School Students. Journal Coaching Edu-cation Sports, 4(1 SE-Articles), 140–152. https://doi.org/10.31599/em36vx19
Drachev, S. N., Brenn, T., & Trovik, T. A. (2018). Oral health-related quality of life in young adults: a sur-vey of Russian undergraduate students. International Journal of Environmental Research and Public Health, 15(4), 719.
Farhany, F. F., Amalia, I., Rachmawati, M. B., Ernia, W., Rinonce, H. T., Kusumawati, H. I., & Muslichah, R. (2023). An overview of clean and healthy living behavior practices in the Islamic boarding school (pondok pesantren) environment. Journal of Community Empowerment for Health, 6(2), 87–92.
Fatimah, S., Amalia, R., & Priyono, B. (2021). Oral Health Related Knowledge, Behavior and Quality of Life Differences Between Adolescents From Pesantren and Non Pesantren. ODONTO: Dental Journal, 8(1), 54–65.
Greene, J. G., & Vermillion, J. R. (1964). The simplified oral hygiene index. The Journal of the American Dental Association, 68(1), 7–13.
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents. The Lancet Child & Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
Kowalski, K. C., Crocker, P. R., & Donen, R. M. (2004). The physical activity questionnaire for older chil-dren (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatch-ewan, 87(1), 1–38.
Krisdapong, S., & Prasertsom, P. (2022). Oral health-related quality of life among adolescents in board-ing schools. BMC Oral Health, 22, 314. https://doi.org/10.1186/s12903-022-02314-9
Mbawalla, H. S., Masalu, J. R., & Åstrøm, A. N. (2010). Socio-demographic and behavioural correlates of oral hygiene status and oral health related quality of life, the Limpopo-Arusha school health project (LASH): a cross-sectional study. BMC Pediatrics, 10(1), 87.
Peltzer, K., & Pengpid, S. (2014). Oral and hand hygiene behaviour and risk factors among in-school adolescents in four Southeast Asian countries. International Journal of Environmental Research and Public Health, 11(3), 2780–2792. https://doi.org/10.3390/ijerph110302780
Petersen, P. E., & Ogawa, H. (2019). Prevention of dental caries through the use of fluoride – the WHO approach. Community Dentistry and Oral Epidemiology, 47(2), 118–125. https://doi.org/10.1111/cdoe.12435
Polit, D. F., & Beck, C. T. (2021). Nursing Research: Generating and Assessing Evidence for Nursing Prac-tice. Wolters Kluwer.
Purnama, T. B., Askhori, S., Pohan, D. J., & Augie, D. (2021). Dental Health Problems Amongâ Santriâ Atâ Islamic Boarding Schools In Medan, North Sumatera. Jurnal Riset Kesehatan, 10(1 SE-Articles), 52–56. https://doi.org/10.31983/jrk.v10i1.6630
Puteri, A. D., Yuristin, D., & Isnaeni, L. M. A. (2023). Hubungan Perilaku Anak dalam Memelihara Kesehatan Gigi dan Mulut dengan Kejadian Karies Dentis pada Siswa Kelas VI di Sekolah Dasar Negeri 012 Tambang. Indonesian Journal of Multidisciplinary Expertise, 1(4), 23–31.
Rahmadhani, W., Apriana, H., Johariyah, J., Asti, A. D., & Kingsawad, K. (2026). Effectiveness of physical exercises and yoga on anxiety levels in menopausal women: a quasi-experimental study. Retos, 74, 589-597. https://doi.org/10.47197/retos.v74.117757
Ramadhan, W. R. (2024). Gambaran Perilaku Menyikat Gigi Dan Jumlah Karies Gigi Pada Pengurus Bem Polkesyo. Poltekkes Kemenkes Yogyakarta.
Samsuni, S., Mulyono, S., Wiarsih, W., & Kusumawardani, L. H. (2019). Photovoice interactive media improves the personal hygiene of teenage students at pesantren school in Tangerang. Enfer-meria Clinica, 29, 681–686.
Sandoval Cifuentes, A. A., Cardona Ortiz, G. A., & Villarreal Angeles, M. A. (2025). Percepción de salud de los estudiantes de pregrado de la Universidad del Tolima, usuarios del gimnasio en relación con su nivel de actividad física. Retos, 62, 756-764. https://doi.org/10.47197/retos.v62.109396
Tefera, A. T., Girma, B., Adane, A., Muche, A., Ayele, T. A., Getahun, K. A., Aniley, Z., Ali, S., & Handebo, S. (2023). Oral health-related quality of life and oral hygiene status among special need school students in amhara region, Ethiopia. Health and Quality of Life Outcomes, 21(1), 26.
Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQLTM 4.0: Reliability and validity of the Pediatric Quali-ty of Life InventoryTM Version 4.0 Generic Core Scales in healthy and patient populations. Med-ical Care, 39(8), 800–812.
Wasan, A., & Prayudho, S. (2024). Factors Contributing To The Physical Fitness Of Students In Islamic Boarding Schools: Sistematic Literature Review. Sports Science & Health/Sportske Nauke i Zdravlje, 14(2).
Yamane-Takeuchi, M., Ekuni, D., Mizutani, S., Kataoka, K., Taniguchi-Tabata, A., Azuma, T., Furuta, M., Tomofuji, T., Iwasaki, Y., & Morita, M. (2016). Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university stu-dents: a cross-sectional study. BMC Oral Health, 16(1), 127.
Yin, N., Li, W., Zhou, H., Zhang, Y., Zhang, W., Ding, W., Ge, H., Zhang, S., & Liao, S. (2023). Associations among self-rated oral health, subjective oral conditions, oral health behaviours, and oral health-related quality of life (OHRQoL). Oral Health & Preventive Dentistry, 21, b3858591.
Yuliana, Y. G. S., Wati, I. D. P., Amir, A., Haetami, M., Sinulingga, A., Santika, I. G. P. N. A., Syam, A., Dewin-tha, R., & Kuswanto, C. W. (2024). Does being physically active and engaged affect reading abil-ity? A review of the literature. Retos, 61, 598-605. https://doi.org/10.47197/retos.v61.109559
Zurita-Ortega, F., San Román-Mata, S., Chacón-Cuberos, R., Castro-Sánchez, M., & Muros, J. J. (2020). Physical activity and quality of life in adolescents: The mediating role of oral health habits. Re-tos, 38, 543–549. https://doi.org/10.47197/retos.v38i38.74321
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