The relationship between periodontitis and metabolic syndrome among a Korean nationally representative sample of adults
The relationship between periodontitis and metabolic syndrome among a Korean nationally representative sample of adults
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DOI：
10.1111/j.1600-051x.2011.01756.x
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发表时间：
2011-09-01
影响因子：
6.7
通讯作者：
Bae, Kwang-Hak
中科院分区：
文献类型：
--
作者：
Kwon, Young-Eun;Ha, Jung-Eun;Bae, Kwang-Hak
目的：本研究的目的是检查参与第四次韩国国家健康和营养检查调查 (KNHANES) 的韩国成年人代表性样本中代谢综合征 (MS) 是否与牙周炎相关。材料和方法：对参加 KNHANES 的 7178 名 19 岁以上受试者进行了检查。 MS 的定义是国家胆固醇教育计划成人治疗小组 III 提出的定义以及基于韩国肥胖研究学会的腹部肥胖截止线。牙周状况通过社区牙周指数进行评估。对社会人口统计学、口腔健康行为和状况以及健康行为进行了多变量逻辑回归分析。所有分析均考虑了复杂的抽样设计，并且还在亚组（年龄、性别、当前吸烟状况）中进行了多变量分析。结果：多变量逻辑回归分析显示 MS 与牙周炎之间存在显着关联。调整所有协变量后，MS 的牙周炎（社区牙周指数 >= 3）的调整优势比 (OR) 为 1.55 (1.32-1.83)。在亚组分析中，40 岁以上受试者中牙周炎与 MS 相关，并且调整后的 OR 在女性和吸烟者组中高于男性和非吸烟者。结论：MS 与牙周炎相关。
Aims: The aim of this study was to examine whether metabolic syndrome (MS) is associated with periodontitis in a representative sample of Korean adults, who were involved in the Fourth Korea National Health and Nutrition Examination Survey (KNHANES).Materials and Methods: A total of 7178 subjects over the age of 19 years who participated in KNHANES were examined. MS was defined as the definition proposed by the National Cholesterol Education Program Adult Treatment Panel III and the abdominal obesity cut-off line based on Korean Society for the Study of Obesity. The periodontal status was assessed by the Community Periodontal Index. Multivariate logistic regression analysis was carried out adjusting for the sociodemographics, oral health behaviours and status, and health behaviour. All analyses considered a complex sampling design, and multivariate analysis was also performed in the subgroups (age, gender, current smoking status).Results: Multivariate logistic regression analysis revealed significant associations between MS and periodontitis. After adjusting for all covariates, the adjusted odds ratio (OR) of periodontitis (community periodontal index >= 3) was 1.55 (1.32-1.83) for MS. In subgroup analysis, periodontitis is associated with MS in subjects over age 40 and the adjusted ORs were higher in females and in the smoker group than in males and in non-smokers.Conclusions: MS is associated with periodontitis.