Number of remaining teeth and health-related quality of life: the Korean National Health and Nutrition Examination Survey 2010-2012

Number of remaining teeth and health-related quality of life: the Korean National Health and Nutrition Examination Survey 2010-2012
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DOI:
10.1186/s12955-019-1078-0
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发表时间:
2019-01-09
影响因子:
3.6
通讯作者:
Kim, Yang-Hyun
Kim, Yang-Hyun
中科院分区:
医学3区
文献类型:
--
作者:
Park, Hyo-Eun;Song, Hye Young;Kim, Yang-Hyun

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目的/aimsEuro-Qol-5维度(EQ-5D)系统,我们使用2010-2012年韩国国家健康和营养检查调查(KNHANES)的数据研究了剩余牙齿数量与QoL之间的关系。最终共有17,417名19岁以上的参与者被纳入本研究(男性=7394,女性= 10,023)。通过这项研究,我们发现,剩余的牙齿影响整体健康,他们的数量较少,可能意味着较低的生活质量,以及根据剩余的牙齿数量的生活质量进行了评估,韩国人之间使用欧洲生活质量5维(EQ-5D)system.MethodThe欧洲生活质量5维(EQ-5D)系统被用来衡量健康相关的生活质量。其五个维度包括行动能力、自我护理、日常活动、疼痛/不适和焦虑/抑郁。受访者被要求选择以下之一:G1,没有问题; G2,一些问题; G3,有问题,以最好地描述他们的健康状况的五个维度。以年龄、性别、经济收入、文化程度、居住地和婚姻状况为人口统计学变量,以饮酒、吸烟、运动、BMI和代谢综合征为健康行为变量。采用多因素Logistic回归分析,根据剩余牙齿数量,检查EQ-5D 5个类别的高QoL(G1)的比值比(OR)和置信区间(CI)。结果剩余牙数为21 - 28颗的受试者的生活质量评分较高,高生活质量的OR值也较高,尤其是在活动度方面(OR=1.256,95%CI =1.056-1.495),自理(OR=1.441,95%CI =1.096-1.894),以及日常活动(OR=1.241,95% CI=1.022-1.508),而在调整年龄、性别、体重指数、吸烟、饮酒、运动、收入、随着剩余牙齿数量的增加,来自高QoL的OR有增加的趋势(趋势均为p
Objectives/aimsWith the Euro-Qol-5 dimension (EQ-5D) system, we investigated the relationship between the number of remaining teeth and QoL using data from the Korean National Health and Nutrition Examination Survey (KNHANES), 2010-2012. A total of 17,417 participants, more than 19years old, were finally included in this study (men=7394 and women=10,023). Through this study, we have discovered that the remaining teeth affect overall health and that the fewer number of them may indicate a lower quality of life, as well.The quality of life according to the number of remaining teeth was assessed among Koreans using the Euro-Qol-5 dimension (EQ-5D) system.MethodThe Euro-Qol-5 dimension (EQ-5D) system was used to measure the health-related QoL. Its five dimensions included mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The respondents were asked to choose one of the followings: G 1, no problems; G 2, some problems; and G 3, problematic, to best describe their health status for the five dimensions. Then, we assigned low QoL to G2+G3 and high QoL to G1.We used age, gender, economic income, educational level, residence, and marital status for the demographic variables and, drinking, smoking, exercise, BMI, and metabolic syndrome for health behaviors. Multiple logistic regression analysis was performed to examine the odds ratios (ORs) and confidence intervals (CIs) for the high QoL (G1) on the five categories of EQ-5D according to the number of remaining teeth. On the basis of the 0-15 remaining teeth group, we drew a comparison of the QoL between the 16-20 and 21-28 remaining teeth groups.ResultsSubjects with 21-28 remaining teeth had higher QoL scores and had higher ORs of high QoL, especially for mobility (OR=1.256, 95% CI=1.056-1.495), self-care (OR=1.441, 95% CI=1.096-1.894), and usual activities (OR=1.241, 95% CI=1.022-1.508, respectively), than those with 0-15 remaining teeth after adjusting for age, sex, body mass index, smoking, drinking, exercise, income, education, and metabolic syndrome.ORs from the high QoL had the tendency to increase as the number of remaining teeth increased (all p for trend