Association of total tooth loss with smoking, drinking alcohol and nutrition in elderly Japanese: analysis of national database
Association of total tooth loss with smoking, drinking alcohol and nutrition in elderly Japanese: analysis of national database
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DOI：
10.1111/j.1741-2358.2007.00166.x
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发表时间：
2007-06-01
期刊：
影响因子：
2
通讯作者：
Aoyama, Hitoshi
中科院分区：
文献类型：
--
作者：
Hanioka, Takashi;Ojima, Miki;Aoyama, Hitoshi
各种因素可能与老年人的缺牙有关。利用国家数据库评估了非机构化的日本老年人的牙齿全失与吸烟、饮酒和营养的关系。材料与方法：1999年的独立调查、牙病调查和全国营养调查的记录通过家庭识别号码以电子方式连接起来。结果：在SDD中的6903名受试者和NNS中的12763名受试者的记录中，6805条记录被成功链接。总体而言，男性和女性的成年人牙齿全失患病率非常相似，约为7.0%，吸烟率分别为47.6%和9.9%。在60岁以下的年龄组中，牙齿全失是一种罕见的现象（< 2%）。根据涉及2200例60岁或以上受试者的多元logistic回归分析，男性的显著变量为年龄、当前吸烟者和维生素C摄入量，女性的显著变量为年龄和当前吸烟者。目前饮酒者的变量在女性中具有显著性，但比值比< 1.0。未检测到与既往吸烟者和饮酒者、体重指数、维生素E摄入量和血糖水平的显著相关性。结论：目前吸烟与全牙脱落有关，尽管女性吸烟率较低。在饮酒和维生素C摄入方面，这种关联的性别差异是有暗示性的。
Various factors may be associated with edentulism in elderly people. Association of total tooth loss with smoking, alcohol intake and nutrition in non-institutionalised elderly Japanese was assessed utilising national database. Materials and methods: Records of independent surveys, the Survey of Dental Diseases (SDD) and the National Nutrition Survey (NNS) in 1999 were electronically linked using the household identification number. Results: Among the records of 6903 subjects in the SDD and 12 763 subjects in the NNS, 6805 records were successfully linked. Overall, prevalence of total tooth loss in adults was very similar in males and females at approximately 7.0%, and the smoking rate was 47.6% and 9.9% respectively. Total tooth loss was a rare phenomenon (< 2%) in age groups of < 60 years. According to the multiple logistic regression analysis involving 2200 subjects aged 60 years or older, significant variables were age, current smokers and vitamin C intake in males, and age and current smokers in females. The variable for current drinkers was significant in females but the odds ratio was < 1.0. No significant relationship was detected with respect to former smokers and drinkers, body mass index, vitamin E intake and blood glucose level. Conclusions: Current smoking was associated with total tooth loss, although smoking rate was low in females. Gender difference in the association was suggestive with respect to drinking alcohol and vitamin C intake.