Tooth loss and obesity in a defined Swedish population
Tooth loss and obesity in a defined Swedish population
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DOI：
10.1177/1403494808099964
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发表时间：
2009-06-01
影响因子：
3.4
通讯作者：
Lindblad, Ulf
中科院分区：
文献类型：
--
作者：
Ostberg, Anna-Lena;Nyholm, Maria;Lindblad, Ulf
目的：探讨瑞典成年人群中牙齿脱落与肥胖之间的关系，并调查社会经济、生活方式和合并症的影响。研究方法：2001-2005年对随机挑选的2 816名瑞典男子和妇女（年龄：30-74岁;参与率76%）进行了一项横断面人口健康调查。主要措施有：牙齿脱落：剩余牙齿< 20颗（自我报告），全身肥胖：BMI >= 30 kg m（-2），腹部肥胖：女性腰围>88 cm，男性腰围>102 cm。对社会经济、生活方式和合并症进行了调整。结果：420例（21.2%）患者的剩余牙数< 20颗，其中30-59岁占6.0%，60-74岁占53.5%。男性和女性的平均BMI相似（26.9 kg m（-2）），然而，女性的全身和腹部肥胖仍然更常见（均p < 0.001）。在男性中，年龄和牙齿脱落与全身肥胖（p = 0.004）和腹部肥胖（p < 0.011）之间存在显著的相互作用。在60岁以下的参与者中，牙齿脱落与全身肥胖（OR 2.17 [95%CI 1.51-3.12]）和腹部肥胖（2.23 [1.58-3.15]）之间的相关性分别具有统计学显著性，与年龄和性别无关，并且在考虑社会经济、生活方式和合并症的差异时也保持如此。在60岁或60岁以上的人群中没有类似的关联。男性和女性的研究结果是稳健和一致的。结论：口腔健康和肥胖的共同机制应进一步探索，包括纵向设计。这些发现对于针对肥胖和牙齿脱落的综合干预措施非常重要，特别是在年轻人中。
Aims: To explore the association between tooth loss and obesity in an adult Swedish population, and to investigate the influence of socioeconomy, life-style, and co-morbidity. Methods: A cross-sectional population health survey conducted in 2001-2005 in 2816 randomly selected Swedish men and women (age: 30-74 years; participation rate 76%). Main measures were; tooth loss: < 20 remaining teeth (self-reported), general obesity: BMI >= 30 kg m(-2), abdominal obesity: waist circumference >88 in women and >102 cm in men. Adjustments were made for socioeconomy, life-style, and co-morbidity. Results: 420 individuals (21.2%) had < 20 remaining teeth: 30-59 years 6.0%, 60-74 years 53.5%. Mean BMI was similar in men and women (26.9 kg m(-2)), however, both general and abdominal obesity was still more frequent among women (both p < 0.001). There was a significant interaction between age and tooth loss in the association with both general (p = 0.004) and abdominal obesity (p < 0.011) in men. In participants below 60 years of age, the association between tooth loss and general obesity (OR 2.17 [95% CI 1.51-3.12]) and abdominal obesity (2.23 [1.58-3.15]), respectively, was statistically significant independent of age and gender, and remained so also when accounting for differences in socioeconomy, life-style, and co-morbidity. There was no similar association in those 60 years or older. The findings in men and women were robust and concordant. Conclusions: Common mechanisms for oral health and obesity should be explored more also including longitudinal designs. The findings are important for targeting comprehensive interventions against obesity and tooth loss, especially among younger adults.