Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지
DOI QR코드

DOI QR Code

Association of depression with chewing problems in Koreans : A cross-sectional study using the Korea National Health and Nutrition Examination Survey 2016

한국인에서 씹기 불편감과 우울증의 연관성: 2016 국민건강영양조사를 이용한 단면 연구

  • Yang, Chan Mo (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Hospital) ;
  • Baek, Ju Won (Dental Clinic Center, ChungBuk National University Hosptial)
  • 양찬모 (서울대학교병원 정신건강의학과 소아청소년 정신과) ;
  • 백주원 (충북대학교병원 치과)
  • Received : 2019.12.11
  • Accepted : 2020.01.02
  • Published : 2020.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was designed to analyze the relationship between the presence and severity of depression and chewing problems (CPs) in a representative sample of the general population. Materials and Methods: Health surveys and examinations were conducted on a nationally representative sample (n = 8150) of Korean was conducted. CPs was determined by a simple survey response concerning "Do you feel uncomfortable about chewing your food because of problems with your mouth such as teeth, dentures and gums?" Depression was defined as individuals with a total score ≥ 10 on the Patient Health Questionnaire (PHQ)-9 survey. Data regarding demographics, socioeconomic history and comorbid health conditions were used to analyze adjusted logistic regression models. Results: In the Korean population, the prevalence of depression was significantly greater in individuals with CP (17.2%) than in those without CP (10.2%). On multivariate logistic regression analysis, the presence of depression was significantly associated with CPs (adjusted odd ratio [aOR]: 1.90, P < 0.001). The risk of CPs increased with increasing severity of depression as follows: severe depression (OR: 2.62, P < 0.001), moderately severe depression (OR: 2.19, P < 0.001). Conclusion: The presence of depression was significantly associated with CPs, especially in severely depressed individuals. Depression screening should be considered in treating CP patients.

목적: 본 연구는 일반 인구의 대표 표본에서 우울증의 발현과 심각도, 씹기 불편감 사이의 관계를 분석하였다. 연구 재료 및 방법: 전국 대표 표본(n = 8150)을 대상으로 하였으며, 씹기 불편감은 해당 문제에 관한 설문 조사에 응답한 사람들로 정의하였다. 우울증은 PHQ-9 설문 조사에서 총 점수가 10점 이상인 대상자로 정의하였다. 인구 통계, 사회적 경제적 특성 및 동반 질환에 관한 데이터를 포함하여 다중 로지스틱 회귀 분석을 수행하고 분석하였다. 결과: 한국인의 경우 씹기 불편감이 없는 사람(10.2%)보다 씹기 불편감이 있는 사람(17.2%)에서 우울증의 유병률이 유의하게 더 높았다. 다변량 로지스틱 회귀 분석에서 우울증의 존재는 CP와 유의하게 관련 있었다(adjusted odd ratio [aOR]: 1.90, P < 0.001). 씹기 불편감의 위험은 우울증의 심각도가 증가함에 따라 증가하였다: 중증 우울증(OR: 2.62, P < 0.001), 중등도 우울증(OR: 2.19, P < 0.001). 결론: 중증 우울증을 보이는 개인에서 우울증의 공존여부가 씹기 불편감과 상당히 연관되었다. 씹기 불편감 환자 치료에 있어 우울증의 선별검사가 고려되어야 한다.

Keywords

References

  1. Peek CW, Gilbert GH, Duncan RP. Predictors of chewing difficulty onset among dentate adults: 24-month incidence. J Public Health Dent 2002;62:214-21. https://doi.org/10.1111/j.1752-7325.2002.tb03447.x
  2. Laudisio A, Milaneschi Y, Bandinelli S, Gemma A, Ferrucci L, Incalzi RA. Chewing problems are associated with depression in the elderly: results from the InCHIANTI study. Int J Geriatr Psychiatry 2014;29:236-44. https://doi.org/10.1002/gps.3995
  3. Salleh NM, Fueki K, Garrett NR, Ohyama T. Objective and subjective hardness of a test item used for evaluating food mixing ability. J Oral Rehabil 2007;34:174-83. https://doi.org/10.1111/j.1365-2842.2006.01645.x
  4. Laudisio A, Marzetti E, Antonica L, Settanni S, Georgakakis I, Bernabei R, Franceschi C, Zuccala G. Masticatory dysfunction is associated with osteoporosis in older men. J Clin Periodontol 2007;34:964-8. https://doi.org/10.1111/j.1600-051X.2007.01142.x
  5. Locker D. Changes in chewing ability with ageing: a 7-year study of older adults. J Oral Rehabil 2002;29:1021-9. https://doi.org/10.1046/j.1365-2842.2002.00977.x
  6. Ritchie CS, Joshipura K, Silliman RA, Miller B, Douglas CW. Oral health problems and significant weight loss among community-dwelling older adults. J Gerontol A Biol Sci Med Sci 2000;55:366-71.
  7. Inukai M, John MT, Igarashi Y, Baba K. Association between perceived chewing ability and oral health-related quality of life in partially dentate patients. Health Qual Life Outcomes 2010;8:118. https://doi.org/10.1186/1477-7525-8-118
  8. Chi I, Yip PS, Chiu HF, Chou KL, Chan KS, Kwan CW, Conwell Y, Caine E. Prevalence of Depression and Its Correlates in Hong Kong's Chinese Older Adults. Am J Geriatr Psychiatry 2005;13:409-16. https://doi.org/10.1097/00019442-200505000-00010
  9. Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Takiguchi T, Wada T, Sakamoto R, Ishimoto Y, Fukutomi E, Chen W, Fujisawa M, Okumiya K, Otsuka K, Miyazaki H, Matsubayashi K. Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly. Geriatr Gerontol Int 2013;13:718-25. https://doi.org/10.1111/ggi.12006
  10. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, Chun C, Khang YH, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43:69-77. https://doi.org/10.1093/ije/dyt228
  11. Choi Y, Mayer TG, Williams MJ, Gatchel RJ. What is the best screening test for depression in chronic spinal pain patients? Spine J 2014;14:1175-82. https://doi.org/10.1016/j.spinee.2013.10.037
  12. de Man-van Ginkel JM, Gooskens F, Schepers VP, Schuurmans MJ, Lindeman E, Hafsteinsdottir TB. Screening for poststroke depression using the patient health questionnaire. Nurs Res 2012;61:333-41. https://doi.org/10.1097/NNR.0b013e31825d9e9e
  13. Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med 2007;22:1596-602. https://doi.org/10.1007/s11606-007-0333-y
  14. Kroenke K, Spitzer RL, Williams JB. The PHQ- 9: validity of a brief depression severity measure. J Gen Intern Med 2001;16:606-13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  15. Johannsen A, Rylander G, Soder B, Asberg M. Dental plaque, gingival inflammation, and elevated levels of interleukin-6 and cortisol in gingival crevicular fluid from women with stress-related depression and exhaustion. J Periodontol 2006;77:1403-9. https://doi.org/10.1902/jop.2006.050411
  16. Marques-Vidal P, Milagre V. Are oral health status and care associated with anxiety and depression? A study of Portuguese health science students. J Public Health Dent 2006;66:64-6. https://doi.org/10.1111/j.1752-7325.2006.tb02553.x
  17. Rosania AE, Low KG, McCormick CM, Rosania DA. Stress, depression, cortisol, and periodontal disease. J Periodontol 2009;80:260-6. https://doi.org/10.1902/jop.2009.080334
  18. Penninx BW, Kritchevsky SB, Yaffe K, Newman AB, Simonsick EM, Rubin S, Ferrucci L, Harris T, Pahor M. Inflammatory markers and depressed mood in older persons: results from the Health, Aging and Body Composition study. Biol Psychiatry 2003;54:566-72. https://doi.org/10.1016/S0006-3223(02)01811-5
  19. Okoro CA, Strine TW, Eke PI, Dhingra SS, Balluz LS. The association between depression and anxiety and use of oral health services and tooth loss. Community Dent Oral Epidemiol 2012;40:134-44.
  20. Vimpari SS, Knuuttila ML, Sakki TK, Kivela SL. Depressive symptoms associated with symptoms of the temporomandibular joint pain and dysfunction syndrome. Psychosom Med 1995;57:439-44. https://doi.org/10.1097/00006842-199509000-00005
  21. Onder G, Liperoti R, Soldato M, Cipriani MC, Bernabei R, Landi F. Chewing problems and mortality in older adults in home care: results from the Aged in Home Care study. J Am Geriatr Soc 2007;55:1961-6. https://doi.org/10.1111/j.1532-5415.2007.01453.x
  22. Locker D, Matear D, Lawrence H. General health status and changes in chewing ability in older Canadians over seven years. J Public Health Dent 2002;62:70-7. https://doi.org/10.1111/j.1752-7325.2002.tb03425.x
  23. Brodeur JM, Laurin D, Vallee R, Lachapelle D. Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly. J Prosthet Dent 1993;70:468-73. https://doi.org/10.1016/0022-3913(93)90087-5
  24. Hung HC, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, Colditz GA, Rosner B, Spiegelman D, Willett WC. Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst 2004;96:1577-84. https://doi.org/10.1093/jnci/djh296
  25. Shin HS, Ahn YS, Lim DS. Association Between Chewing Difficulty and Symptoms of Depression in Adults: Results from the Korea National Health and Nutrition Examination Survey. J Am Geriatr Soc 2016;64:270-8. https://doi.org/10.1111/jgs.13951
  26. Holsboer F. The corticosteroid receptor hypothesis of depression. Neuropsychopharmacology 2000;23:477-501. https://doi.org/10.1016/S0893-133X(00)00159-7
  27. Ono Y, Yamamoto T, Kubo KY, Onozuka M. Occlusion and brain function: mastication as a prevention of cognitive dysfunction. J Oral Rehabil 2010;37:624-40. https://doi.org/10.1111/j.1365-2842.2010.02079.x
  28. Iacopino AM. Relationship between stress, depression and periodontal disease. J Can Dent Assoc 2009;75:329-30.
  29. Anttila SS, Knuuttila ML, Sakki TK. Depressive symptoms favor abundant growth of salivary lactobacilli. Psychosom Med 1999;61:508-12. https://doi.org/10.1097/00006842-199907000-00015
  30. D'Mello DA. Are your patients depressed? Implications for dental practice. J Mich Dent Assoc 2003;85:26-32.
  31. Peeters FP, deVries MW, Vissink A. Risks for oral health with the use of antidepressants. Gen Hosp Psychiatry 1998;20:150-4. https://doi.org/10.1016/S0163-8343(98)00017-6

Cited by

  1. 다수 치아를 상실한 한국 성인에서 가철성 의치의 장착 여부와 우울증의 연관성: 국민건강영양조사 제 7기 자료를 활용한 단면 연구 vol.59, pp.1, 2021, https://doi.org/10.4047/jkap.2021.59.1.1