The association of metabolic syndrome with periodontal disease is confounded by age and smoking in a Korean population: the Shiwha-Banwol Environmental Health Study
The association of metabolic syndrome with periodontal disease is confounded by age and smoking in a Korean population: the Shiwha-Banwol Environmental Health Study
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DOI：
10.1111/j.1600-051x.2010.01580.x
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发表时间：
2010-07-01
影响因子：
6.7
通讯作者：
Kim, Hyun-Duck
中科院分区：
文献类型：
--
作者：
Han, Dong-Hun;Lim, Sin-Ye;Kim, Hyun-Duck
P>目的由于代谢综合征（MS）具有促炎症性，而牙周炎具有炎症性，因此我们提出了MS（解释变量）与牙周炎（结果变量）相关的假设。本研究的目的是探讨MS和牙周炎之间的联系Koreans.Materials和MethodsFrom的Shiwha-Banwol环境健康研究，1046名年龄在18岁或以上的受试者进行了横断面调查。所有参与者都接受了全面的牙科和医疗健康检查。采用社区牙周指数评价牙周炎。年龄，性别，每月家庭收入，吸烟，饮酒，每天刷牙的频率，和体力活动进行了评估作为confronters.ResultsMS与牙周炎[比值比（OR）：1.7，95%置信区间（CI）：1.22-2.37]，和MS与更多的组件有较高的关联。65岁以上的老年人、男性和吸烟者的相关性更高。与其他类型的MS相比，包括高糖和高血压在内的MS的OR为2.19（95%CI：1.23-3.90）。结论我们的结果表明MS可能与牙周炎有关，并且这种关联受到年龄、性别和吸烟的混淆。MS合并高血糖和高血压对这一联系的影响更大。
P>AimBecause metabolic syndrome (MS) is pro-inflammatory and periodontitis is inflammatory, we issued the hypothesis that MS (the explanatory variable) is associated with periodontitis (the outcome variable). This study aimed to examine the link between MS and periodontitis among Koreans.Materials and MethodsFrom the Shiwha-Banwol Environmental Health Study, 1046 subjects aged 18 years or older were cross-sectionally surveyed. All participants underwent comprehensive dental and medical health examinations. The community periodontal index was used to assess periodontitis. Age, gender, monthly family income, smoking, drinking, frequency of daily teeth brushing, and physical activity were evaluated as confounders.ResultsMS was strongly associated with periodontitis [odds ratio (OR): 1.7, 95% confidence interval (CI): 1.22-2.37], and MS with more components had a higher association. The association was higher for elders aged 65 years or more, males, and smokers. MS including both high glucose and hypertension had a higher association with the OR of 2.19 (95% CI: 1.23-3.90) comparing with other types of MS.ConclusionsOur results suggested that MS might be associated with periodontitis and the association was confounded by age, gender, and smoking. MS with high glucose and hypertension showed the higher impact on this link.