Association between Diabetes Mellitus and Oral Health Status in Patients with Cardiovascular Diseases: A Nationwide Population-Based Study.
Association between Diabetes Mellitus and Oral Health Status in Patients with Cardiovascular Diseases: A Nationwide Population-Based Study.
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DOI：
10.3390/ijerph18094889
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发表时间：
2021-05-04
影响因子：
--
通讯作者：
Kim BH
中科院分区：
文献类型：
--
作者：
Han SJ;Son YJ;Kim BH
糖尿病会导致口腔健康状况不佳。然而，糖尿病合并心血管疾病(CVDS)患者的口腔健康研究很少。本研究旨在阐明糖尿病合并心血管疾病患者口腔健康并发症的发生率以及糖尿病与口腔健康状况的关系。这项全国范围内的回顾性横断面研究评估了3495名≥患者，年龄40岁，有心血管疾病、糖尿病和非糖尿病患者。用卡方检验和t检验比较两组受试者的特征。采用Logistic回归分析确定糖尿病与口腔健康状况之间的关系。糖尿病组牙周炎患病率(54.3%比43.2%)和剩余牙数(30.9%比22.8%)显著高于非糖尿病组。在多因素回归分析中，调整混杂因素后，DM组牙周炎的发病率是非DM组的1.4倍，而剩余牙齿数和活动性龋齿与DM无关。因此，应积极、密切地评估心脑血管疾病合并糖尿病患者的口腔健康状况。医疗保健专业人员应提供可获得的牙科护理服务，并制定改善患者口腔健康的策略。
Diabetes mellitus (DM) can lead to poor oral health. However, oral health among diabetic patients with cardiovascular diseases (CVDs) is scarcely studied. This study aimed to elucidate the prevalence of oral health complications and the relationship between DM and oral health status in diabetic patients with CVDs. This retrospective nationwide cross-sectional study evaluated 3495 patients aged ≥40 years with CVD, with DM (n = 847) and without DM (n = 2648). The participant’s characteristics between the two groups were compared using the Chi-square test and t-test. Logistic regression analyses were performed to identify associations between DM and oral health status. The prevalence of periodontitis (54.3% vs. 43.2%) and <20 number of remaining teeth (30.9% vs. 22.8%) was significantly higher in the DM than in the non-DM group. In the multivariate regression analysis, the incidence of periodontitis was 1.4 times higher in the DM group than in the non-DM after adjusting for confounders; however, the number of remaining teeth and active caries were not associated with DM. In conclusion, the oral health status of patients with coexisting CVD and DM should be assessed closely and actively. Healthcare professionals should provide accessible dental care services and develop strategies to improve patients’ oral health.
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DOI：
10.3904/kjim.2016.031
发表时间：
2016-09
期刊：
The Korean journal of internal medicine
影响因子：
--
作者：
Hong M;Kim HY;Seok H;Yeo CD;Kim YS;Song JY;Lee YB;Lee DH;Lee JI;Lee TK;Ahn HS;Ko YH;Jeong SC;Chae HS;Sohn TS
通讯作者：
Sohn TS
影响因子：
6.7
作者：
Buchwald, Sabine;Kocher, Thomas;Meisel, Peter
通讯作者：
Meisel, Peter
影响因子：
1.9
作者：
Kim, Yeon-Tae;Choi, Jung-Kyu;Lee, Jae-Hong
通讯作者：
Lee, Jae-Hong
影响因子：
5.8
作者：
Kozarov, Emil;Sweier, Domenica;Lopatin, Dennis
通讯作者：
Lopatin, Dennis
DOI：
10.1016/s0140-6736(18)32335-3
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 DALYs and HALE Collaborators
通讯作者：
GBD 2017 DALYs and HALE Collaborators