Impact of dental health intervention on cardiovascular metabolic risk: a pilot study of Japanese Adults
Impact of dental health intervention on cardiovascular metabolic risk: a pilot study of Japanese Adults
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牙齿健康干预对心血管代谢风险的影响：针对日本成年人的初步研究
DOI：
10.1038/s41371-021-00551-2
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发表时间：
2021
影响因子：
2.7
通讯作者：
Kawato T
中科院分区：
文献类型：
--
作者：
Yamazaki Y;Morita T;Nakai K;Konishi Y;Goto A;Yamamoto T;Seto M;Ozaki M;Tanaka H;Maeno M;Kawato T
本研究旨在确定牙科健康教育计划是否会降低牙周炎患者的心脏代谢风险（肥胖、高血压、血脂异常和高血糖）。我们使用了日本公司健康保险联盟提供的年度检查数据。在182名基线时有心脏代谢风险和牙周袋的男性员工中，21名牙齿健康教育计划的参与者和21名基线时年龄、肥胖和牙周袋匹配的非参与者分别被分配到干预组（平均年龄，53.3 ± 7.0）和非干预组（平均年龄，52.9 ± 7.0）。该计划的重点是用牙刷和牙间刷自行清除牙菌斑，包括12个月的5次治疗。干预组腰围（cm）和舒张压（mmHg）分别从88.4 ± 6.3降至86.8 ± 6.3和85.7 ± 8.2降至82.6 ± 8.3（P< 0.05）。组间比较显示，干预组收缩压（mmHg）（−3.7 ± 12.5）与非干预组（4.0 ± 15.9）相比显著改善（P< 0.05），其他参数无显著差异。干预组的菌斑积累和牙周炎症状减少，如牙周袋深度和牙周袋的存在和探诊出血，但牙间刷牙的频率和刷牙时间增加。我们的研究结果表明，牙齿自我护理可以改善心脏代谢危险因素和牙周炎的人的血压。
This study aimed to determine whether a dental health education program would reduce cardiometabolic risk (obesity, hypertension, dyslipidemia, and hyperglycemia) in people with periodontitis. We used annual check-up data provided by the Japanese company’s health insurance union. Of 182 male employees with cardiometabolic risk and periodontal pockets at baseline, 21 participants of the dental health education program and 21 non-participants matched for age, the presence of obesity, and periodontal pocket at baseline were allocated to the intervention (mean age, 53.3 ± 7.0) and the non-intervention groups (mean age, 52.9 ± 7.0), respectively. The program focused on self-removal of dental plaque with a toothbrush and interdental brush and comprised five sessions over 12 months. In the intervention group, waist circumference (cm) and diastolic blood pressure (mmHg) decreased from 88.4 ± 6.3 to 86.8 ± 6.3 and from 85.7 ± 8.2 to 82.6 ± 8.3, respectively (P< 0.05). Intergroup comparison showed significant improvement of systolic blood pressure (mmHg) in the intervention group (−3.7 ± 12.5) compared with the non-intervention group (4.0 ± 15.9) (P< 0.05) with no significant differences in the other parameters. The intervention group had a decrease in plaque accumulation and periodontitis symptoms, such as the depth of periodontal pocket and the presence of periodontal pocket and bleeding on probing, but an increase in the frequency of interdental brushing and duration of tooth brushing. Our findings show that dental self-care may improve blood pressure in people with cardiometabolic risk factors and periodontitis.