DOI QR코드

DOI QR Code

A Convergence Study of Association between Periodontitis and Obesity by The Number of Pregnancy from Korean National Health and Nutrition Survey

국민건강영양조사를 통한 임신횟수에 따른 비만과 치주염의 연관성에 관한 융합연구

  • Lee, Seyoung (Department of dental Hygiene, Kyungdong University) ;
  • Sim, Seon-Ju (Department of dental Hygiene, Baekseok University)
  • Received : 2019.06.14
  • Accepted : 2019.08.20
  • Published : 2019.08.28

Abstract

The purpose of this study was to investigate the correlation between obesity and periodontitis by the number of pregnancy using the Korean National Health and Nutrition Examination Survey(2010-2015). Periodontitis measures the community periodontal index, and body mass index was used for the obesity. Socioeconomic variables and health-related behaviors were investigated. Periodontitis and obesity were higher in women with a high pregnancy frequency after controlling for confounding variables. In conclusion, periodontitis is closely related to obesity, and the association is somewhat higher as the number of pregnancies increases. Comprehensive management of obesity and periodontitis is effective in developing health promotion program for women in future, and this data will be used as basic data for development of women's health promotion program.

본 연구는 성인여성에서 임신횟수에 따른 치주염과 비만과의 상관성을 연구하기 위해 2010-2015년 국민건강영양조사자료를 활용하여 분석하였다. 치주염은 지역사회치주지수를, 비만도는 체질량지수를 사용하였으며 사회경제학적 변수 및 건강관련 행태는 문진을 통하여 조사하였다. 임신횟수에 따라 치주염과 비만의 상관성을 분석한 결과, 임신횟수가 많은 여성에서 치주염 유병율과 비반율이 높게 조사되었다. 그리고 치주염과 비만의 연관성을 여러 혼란요인을 보정한 후에 로지스틱 회귀분석으로 분석한 결과, 유의한 상관성을 보였다. 결론적으로 치주염은 비만과 밀접하게 연관되어 있으며 임신횟수가 증가할수록 비만과 치주염의 위험도가 높게 나타났다. 향후 여성을 대상으로 건강증진 프로그램을 개발함에 있어서 비만과 치주염을 종합적으로 관리하는 것이 효과적이라고 생각되며 본 자료를 토대로 여성의 건강증진 프로그램 개발을 위한 기초자료로 활용하고자 한다.

Keywords

References

  1. W. N. Mohamud et al. (2011). Prevalence of overweight and obesity among adult Malaysians: an update. Asia Pacific Journal of Clinical Nutrition, 20(1), 35-41.
  2. H. L. Walls, K. Backholer, J. Proietto & J. J. McNeil. (2012). Obesity and trends in life expectancy. Journal of Obesity, 2012.. DOI : 10.1155/2012/107989
  3. S. M. Kim & S. Y. Ye. (2018). Analysis on the occurrence factors of high-risk diseases of pregnant women by the degree of obesity. Journal of the Institute of Convergence Signal Processing, 19(3), 118-124.
  4. A. Cohen, C.. F. Pieper, A. J. Brown & L. A. Bastian. (2006). Number of children and risk of metabolic syndrome in women. Journal of Women's Health, 15(6), 763-773. https://doi.org/10.1089/jwh.2006.15.763
  5. World Health Organization. (2007). The WHO global oral health data bank: Geneva Genev, World Health Organization.
  6. P. Dahiya, R. Kamal & R. Gupta. (2012). Obesity, periodontal and general health: Relationship and management. Indian Journal of Endocrinology and Metabolism, 16(1), 88-93. DOI: 10.4103/2230-8210.91200
  7. O. J. Park, Y. Kwon, C. H. Yoon & S. H. Han. (2016) Augmented Osteoclastogenesis from Committed Osteoclast Precursors by Periodontopathic Bacteria Aggregatibacter actinomycetemcomitans and Porphyromonas gingivalis. Microbiology and Biotechnology Letters, 44(4), 557-562. DOI : 10.4014/mbl.1608.08010
  8. U. Baser, A. Cekici, S. Tanrikulu-Kucuk, A. Kantarci, E. Ademoglu & F. Yalcin. (2009). Gingival Inflammation and Interleukin‐$1{\beta}$ and Tumor Necrosis Factor‐Alpha Levels in Gingival Crevicular Fluid During the Menstrual Cycle. Journal of Periodontology, 80(5), 1983-1990. DOI : 10.1902/jop.2009.090076
  9. L. Giannella, S. Giulini, L.B. Cerami, A. La Marca, A. Forabosco & A. Volpe. (2011). Periodontal disease and nitric oxide levels in low risk women with preterm labor. European Journal of Obstetrics & Gynecology and Reproductive Biology, 158(1), 47-51. DOI : 10.1016/ j.ejogrb.2011.04.034
  10. J. E. Ha, B. M. Yeo, H. Y. Roh, D. I. Paik & K. H. Bae. (2010). Periodontal condition and pathogens distribution of pregnant women. Journal of Korean Academy of Oral Health, 34(4), 587-594.
  11. J. E. Ha. (2016). Association between periodontitis and preterm birth and lowbirth weight. Journal of Korean Society of Dental Hygiene. 16(2), 155-163. DOI : 10.13065/jksdh.2016.16 .02.155
  12. S. Offenbacher et al. (2006). Effects of periodontal therapy during pregnancy on periodontal status, biologic parameters, and pregnancy outcomes: a pilot study. Journal of Periodontology. 77(12), 2011-2024. DOI : 10.1902/jop.2006.060047
  13. S. Y. Lee, J. R. Park & S. J. Sim. (2018). A convergence study of association between breastfeeding and pregnancy and periodontitis in women. Journal of The Korea Convergence Society, 9(10), 149-157. DOI : 10.15207/JKCS.2018.9.10.149
  14. S. J. Sim.(2018). Association between Obesity and Oral Symptoms in Korean Adolescents. International Journal of Clinical Preventive Dentistry, 14(3),177-183. DOI : 10.15236/ijcpd.2018.14.3.177
  15. M. P. Singh, R. Chopra, P. Bansal & S. Dhuria. (2013). Association between obesity & periodontitis-a clinical & biochemical study. Indian Journal of Dental Sciences, 5(2), 66-68.
  16. Y. S. Yoon, S. W. Oh & H. S. Park. (2006). Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: a focus on sex differences. Obesity (Silver Spring), 14(5), 909-919. DOI : 10.1038/oby.2006.105
  17. S. W. Choi, et al. (2016). Association between obesity and neighborhood socioeconomic status in Korean adolescents based on the 2013 Korea youth risk behavior web-based survey. Korean Journal of Family Medicine, 37(1), 64-70. DOI : 10.4082/kjfm.2016.37.1.64
  18. S. Lioret, B. Maire, J. Volatier & M. Charles. (2007). Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status. European Academy of Nutritional Sciences, 61(4), 509-516. DOI : 10.1038/sj.ejcn.1602538
  19. S. Y. Kim, S. Sim, S. G. Kim, B. Park & H. G. Choi. (2015). Prevalence and Associated Factors of Subjective Halitosis in Korean Adolescents. PLoS One, 10(10), e0140214. DOI : 10.1371/journal.pone.0140214
  20. Q. Zhang & Y. Wang. (2004). Socioeconomic inequality of obesity in the United States: do gender, age, and ethnicity matter? Social Science & Medicine, 58(6), 1171-1180. https://doi.org/10.1016/S0277-9536(03)00288-0
  21. R. J. Genco, S. G. Grossi, A. Ho, F. Nishimura & Y. Murayama..(2005). A proposed model linking inflammation to obesity, diabetes, and periodontal infections. Journal of Periodontology, 76(11), 2075-2084. DOI: 10.1902/jop.2005.76.11-S.2075
  22. J. Wardle & J. Griffith. (2001). Socioeconomic status and weight control practices in British adults. Journal of Epidemiology and Community Health, 55(3), 185-190. https://doi.org/10.1136/jech.55.3.185
  23. M. A. Jackson, M. Kellett, H. V. Worthington & V. Clerehugh. (2006). Comparison of interdental cleaning methods: a randomized controlled trial. Journal of Periodontology, 77(8), 1421-1429. DOI : 10.1902/jop.2006.050360
  24. K. A. Boggess & B. L. Edelstein. (2006). Oral health in women during preconception and pregnancy: implications for birth outcomes and infant oral health. Maternal and Child Health Journal, 10(5 Suppl), 169-174. DOI : 10.1007/s10995-006-0095-x
  25. H. Loe & J. Silness. (1963). Periodontal disease in pregnancy I. Prevalence and severity. Acta Biomaterialia Odontologica Scandinavica, 21, 533-551. https://doi.org/10.3109/00016356309011240