Association between number of pairs of opposing posterior teeth, metabolic syndrome, and obesity
Association between number of pairs of opposing posterior teeth, metabolic syndrome, and obesity
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DOI：
10.1007/s10266-018-0386-x
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发表时间：
2019-01-01
期刊：
影响因子：
2.5
通讯作者：
Saito, Toshiyuki
中科院分区：
文献类型：
--
作者：
Iwasaki, Takahiro;Fukuda, Hideki;Saito, Toshiyuki
我们调查了日本成年人的后牙对数与代谢综合征（MetS）、腹部肥胖（AO）和肥胖之间的关系。2005年，2 807名25- 74岁的日本成年人参加了牙病调查和全国健康和营养调查。根据调查数据，对BMI、日本动脉粥样硬化学会测定的AO（JAS）、国际糖尿病联合会测定的AO（IDF）和MetS进行评估。总功能性牙齿单位（t-FTU）与对相对的后牙，包括人工牙进行评分。根据t-FTU评分将受试者分为三类咀嚼能力：差（如果评分为9）、好（如果评分=10-11）和完全（如果评分=12）。采用单因素和多因素Logistic回归分析，分析咀嚼能力与BMI 25、BMI 30、AO（JAS）、AO（IDF）和MetS的关系。在单因素和多因素Logistic回归分析中，咀嚼能力与MetS、AO和肥胖显著相关。差与完全相比的校正OR为1.51（95%置信区间（CI），1.24-1.84），BMI 25，2.10（95% CI 1.40-3.14），AO（JAS）为1.31（95% CI 1.07-1.61），AO（IDF）为1.40（95% CI 1.15-1.70），MetS为1.34（95% CI 1.04-1.72）。均具有统计学显著性。防止牙齿脱落和保持良好的咀嚼能力可能是预防代谢综合征、AO和肥胖的重要因素。
We investigated the relationship between the number of pairs of posterior teeth and metabolic syndrome (MetS), abdominal obesity (AO), and obesity, among Japanese adults. In 2005, 2,807 Japanese adults aged 25-74years participated in the Survey of Dental Diseases and the National Health and Nutrition Survey. Based on the survey data, BMI, AO (JAS) determined by the Japan Atherosclerosis Society, AO (IDF) by the International Diabetes Federation, and MetS were assessed. Total functional tooth units (t-FTUs) were scored with pairs of opposing posterior teeth, including artificial teeth. Subjects were divided into three categories of chewing ability based on the score of t-FTUs: Poor (if score9), Good (if score=10-11), and Complete (if score=12). The relationships between chewing ability and BMI25, BMI30, AO (JAS), AO (IDF), and MetS were tested using univariate and multivariate logistic regression analysis. The chewing ability was significantly associated with MetS, AO, and obesity in the univariate and multivariate logistic regression analysis. Adjusted OR of Poor compared to Complete were 1.51 (95% confidence interval (CI), 1.24-1.84) for BMI25, 2.10 (95% CI 1.40-3.14) for BMI30, 1.31 (95% CI 1.07-1.61) for AO (JAS), 1.40 (95% CI 1.15-1.70) for AO (IDF), and 1.34 (95% CI 1.04-1.72) for MetS. All were statistically significant. Preventing tooth loss and maintaining pairs of good chewing ability may be important factors in preventing MetS, AO, and obesity.