DOI QR코드

DOI QR Code

Relationship between metabolic syndrome and oral diseases in the middle aged and elderly people

중·노년의 대사증후군과 구강질환 관련성

  • Kang, Hyun-Joo (Department of Dental Hygiene, Masan University) ;
  • Yul, Byeng-Chul (Department of Preventive Medicine, College of Medicine, Kosin University)
  • 강현주 (마산대학교 치위생과) ;
  • 유병철 (고신대학교 의과대학 예방의학교실)
  • Received : 2015.03.24
  • Accepted : 2015.10.02
  • Published : 2015.12.30

Abstract

Objectives: The purpose of the study was to identify the relationship between metabolic syndrome and oral diseases in the middle aged and elderly in Korea. Methods: The study subjects were 6,390 people over 40 years old from 2010 and 2012 Korea National Health and Nutrition Examination Survey. The survey questionnaire consisted of health, nutrition, and oral examination surveys. The independent variables included general characteristics, health behavior, oral health behavior, and metabolic syndrome. The dependent variables included dental caries experience and periodontal disease. The oral examination was carried out by the dentist based on World Health Organization standard. Results: The average prevalence rate of metabolic syndrome MS was 23.79%, including 54.84% of risk group and 21.37% of normal group. The missing teeth rate was 82.38%, DMFT rate was 90.28% and the periodontal disease rate was 33.15%. Those having abnormal fasting blood glucose had 1.17 fold(95% CI: 1.00~1.37) higher periodontal disease than the normal group. The abnormal HDL cholesterol group had 1.25 times higher odds ratio(95% CI: 1.07~1.46) and the obese group had 1.27 times higher odds ratio(95% CI: 1.07~1.51). The risk group had 1.20 times higher odds ration(95% CI: 1.00~1.44) and that of the metabolic syndrome group was 1.60 times higher(95% CI: 1.29~1.97) in periodontal disease. The high blood pressure group had 1.25 times of missing teeth prevalence rate(95% CI: 1.00~1.37). The metabolic syndrome group had 1.47 times of missing teeth prevalence rate(95% CI: 1.11~1.94). Conclusions: The middle aged and elderly people in Korea had higher rate of metabolic syndrome and oral disease. It is necessary to implement the preventive oral health examination for the control of metabolic syndrome and oral diseases prevalence.

Keywords

References

  1. National Health Insurance Service. [Internet]. [cited 2014 Oct 01]. Available from: http://www.nhis.or.kr/wnsearch/search.jsp.
  2. Ministry of Health & Welfare. [Internet]. [cited 2014 Oct 03]. Available from: http://www.mw.go.kr/wnsearch/search.jsp.
  3. Ford ES1, Li C. Metabolic syndrome and health-related quality of life among U.S. adults. Ann Epidemiol 2008; 18(3): 165-71. http://dx.doi.org/10.1016/j.annepidem.2007.10.009.
  4. Ford ES. Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes Care 2005; 28: 1769-78. https://doi.org/10.2337/diacare.28.7.1769
  5. Wilson PW, D'Agostino RB, Parise H, Sullivan L, Meigs JB. Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation 2005; 112: 3066-72. https://doi.org/10.1161/CIRCULATIONAHA.105.539528
  6. Park YA, Jeong SH, Yoon SH, Choi YH, Song KB. Association between general health and oral health among the elderly in pohang city. J Korea Acad Dent Health 2006; 16(2): 93-104.
  7. Carramolino-Cuellar E1, Tomas I, Jimenez-Soriano Y. Relationship between the oral cavity and cardiovascular diseases and metabolic syndrome. Med Oral Patol Oral Cir Bucal 2014; 19(3): 289-94.
  8. Statistics KOREA. [Internet]. [cited 2014 Oct 03]. Available from: http://www.kostat.go.kr/wnsearch/search.jsp.
  9. Baek HJ, Choi YH, Lee SG, Song KB, Kwon HJ. The association of metabolic syndrome and periodontitis in korea adult population. J Korea Acad Dent Health 2010; 34(3): 338-45.
  10. Jung MH. Association between metabolic syndrome and oral health status[Doctoral dissertation]. Gyeongsan: Univ. of Yeungnam, 2013.
  11. World Health Organization. Oral health survey: basic methods. 4th ed. Geneva: World Health Organization; 1997: 34-9.
  12. Expert Panel on Detection, evaluation, and treatment of high blood cholesterol in adults:executive summary of the third report of the national cholesterol education Program(NCEP) expert panel on detection. Evaluation and treatment of high blood cholesterol in adults(Adults Treatment PanelIII). J Am Med Assoc 2001; 285: 2486-97. https://doi.org/10.1001/jama.285.19.2486
  13. Lee SY, Park HS, Kim SM, Kim DY, Kim DJ, Cho GJ. Cut-off points of waist circumference for defining abdominal obesity in the korean population. Korean J Obes 2006; 15(1): 1-9.
  14. Jung JO. Effects of metabolic syndrome on periodontal diseases in korean adults. J Korean Soc Dent Hyg 2012; 12(3): 245-52.
  15. Choi YH. Associations of dental disease with medical status[Doctoral dissertation]. Seoul: Univ. of Yonsei, 2002.
  16. Joshipura KJ, Rimm EB, Douglass CW, Trichopoulos D, Ascherio A, Willett WC. Poor oral health and coronary heart disease. J Dent Res 1996;75(9): 1631-6. https://doi.org/10.1177/00220345960750090301
  17. Choi YH. Relationship between number of residual teeth and masticatory function [Doctoral dissertation]. Seoul: Univ. of Dankook, 2008.
  18. Cheon HW, Yu MS, Choi MH. The association of oral diseases and chronic diseases in Korean adult population. J Korean Soc Dent Hyg 2012; 12(2): 235-49. https://doi.org/10.13065/jksdh.2012.12.2.235
  19. Kim SS. The Relationship between metabolic syndrome and oral health status of korean adults[Doctoral dissertation]. Seoul: Univ. of Hanyang, 2014.
  20. Yoo JH. The comparison of Korean dental caries is prevalence in 2000 and 2006 [Doctoral dissertation]. Seoul: Univ. of Yonsei, 2008.
  21. Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol 2001; 6(1): 99-112. https://doi.org/10.1902/annals.2001.6.1.99
  22. Taylor GW, Manz MC, Borgnakke WS. Diabetes, periodontal diseases, dental caries, and tooth loss: a review of the literature. Compend Contin Educ Dent 2004; 25(3): 179-8.
  23. Saito T, Shimazaki Y. Metabolic disorders related to obesity and periodontal disease. Periodontol 2000 2007; 43: 254-66. https://doi.org/10.1111/j.1600-0757.2006.00186.x
  24. Ku IY, Kim HG. The relationship between workers' health behaviorals, oral health behaviorals and metabolic syndrome risk factors periodontal disease status. J Korean Soc Dent Hyg 2012; 12(3): 597-609. https://doi.org/10.13065/jksdh.2012.12.3.597

Cited by

  1. 미산성 차아염소산수의 S. mutans와 A. actinomycetemcomitans에 대한 살균 효과 vol.7, pp.2, 2015, https://doi.org/10.15268/ksim.2019.7.2.141
  2. Presence of Metabolic Syndrome Components Is Associated with Tooth Loss in Middle-Aged Adults vol.60, pp.6, 2015, https://doi.org/10.3349/ymj.2019.60.6.554
  3. Association between Metabolic Syndrome and the Number of Remaining Teeth in Postmenopausal Women: A Cross-Sectional Analysis Using the Korean National Health and Nutritional Examination Survey vol.10, pp.20, 2015, https://doi.org/10.3390/jcm10204759
  4. No Association between Metabolic Syndrome and Periodontitis in Korean Postmenopausal Women vol.18, pp.21, 2015, https://doi.org/10.3390/ijerph182111110