Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Effects of Oral Health Behavior and Mental Health on Metabolic Syndrome in Korean Adults

  • Jung, Jin-Ah (Department of Dental Hygiene, Gwangyang Health Sciences University) ;
  • Cheon, Hye-Won (Department of Dental Hygiene, Howon University) ;
  • Moon, Sang-Eun (Department of Dental Hygiene, Kwangju Women's University) ;
  • Hong, Sun-Hwa (Department of Dental Hygiene, Chunnam Techno University)
  • Received : 2022.05.21
  • Accepted : 2022.06.07
  • Published : 2022.06.30
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Abstract

Background: Integrated management of general, mental, and oral health is necessary to improve an individual's quality of life. This study aimed to identify the effects of mental and oral health behaviors on metabolic syndrome. Methods: A total of 4,227 Korean adults aged 20 years or older were selected as study subjects using raw data from the first year (2019) of the 8th period of the Korea National Health and Nutrition Examination Survey (KNHANES). A complex sample chi-square test and a complex sample logistic regression analysis were performed using the PASW Statistics ver. 18.0 program. Results: The effect on metabolic syndrome was significantly higher in male than in 1.833 times in male, 2.914 times in 30~49 years old, and 3.855 times in 50~64 years old, and 3.929 times in people over 65 years old compared to 20~29 years old, and compared to those with a college degree or higher, those with a middle school degree or lower are 2.116 times, those with lower income levels are 1.507 times higher, those with middle-lower are 1.359 times higher, those with middle-high are 1.401 times. Compared to non-smokers, smokers were 1.570 times higher than non-smokers and compared to those without speech problem and chewing difficulty, they were 1.717 times and 1.397 times higher, respectively and 1.973 times higher in those with 0~1 brushing times per day. Mental health did not affect prevalence of metabolic syndrome. Conclusion: It is necessary to improve maintain a healthy lifestyle to lower the risk of metabolic syndrome. It is necessary to establish effective dental hygiene customized education and an efficient health management system at the national level that can induce improvement of oral health behavior for the prevention and management of metabolic syndrome.

Keywords

Acknowledgement

This research was supported by funds of Howon University.

References

  1. Ra JS, Kim HS: Psychosocial factors associated with metabolic syndrome among Korean men and women aged over 40 years. J Korean Public Health Nurs 33: 20-32, 2019. https://doi.org/10.5932/JKPHN.2019.33.1.20
  2. Huh JH, Kang DR, Kim JY, Koh KK: Metabolic syndrome fact sheet 2021: executive report. Cardiometab Syndr J 1: 125-134, 2001. https://doi.org/10.51789/cmsj.2021.1.e15
  3. Ervin RB: Prevalence of metabolic syndrome among adults 20 years of age and over, by sex, age, race and ethnicity, and body mass index: United States, 2003-2006. Natl Health Stat Report (13): 1-7, 2009.
  4. Holsboer F: Stress, hypercortisolism and corticosteroid receptors in depression: implications for therapy. J Affect Disord 62: 77-91, 2001. https://doi.org/10.1016/S0165-0327(00)00352-9
  5. Vaccarino V, McClure C, Johnson BD, et al.: Depression, the metabolic syndrome and cardiovascular risk. Psychosom Med 70: 40-48, 2008. https://doi.org/10.1097/PSY.0b013e31815c1b85
  6. Bae SW, Shin WS: The factor structure of the CES-D scale (The center for epidemiologic studies-depression scale): an application of confirmatory factor analysis. Health Soc Sci 18: 134-155, 2005.
  7. Jeon JH, Kim SH: Depression, stress and how they are related with health behaviors and metabolic syndrome among women over 40 years. J Korean Soc Matern Child Health 16: 263-273, 2012. https://doi.org/10.21896/jksmch.2012.16.2.263
  8. Locker D, Matear D, Lawrence H: General health status and changes in chewing ability in older Canadians over seven years. J Public Health Dent 62: 70-77, 2002. https://doi.org/10.1111/j.1752-7325.2002.tb03425.x
  9. U.S. Department of Health and Human Services: Oral health in America: a report of the surgeon general. U.S. Department of Health and Human Services; National Institute of Dental and Craniofacial Research; National Institutes of Health, Rockville, 2000.
  10. Ku IY, Moon SJ, Lee MS, Ka KH: Comparison of oral health status by metabolic syndrome risk factors in workers. J Korean Soc Dent Hyg 13: 581-588, 2013. https://doi.org/10.13065/iksdh.2013.13.4.581
  11. Seong MG, Kwun HS, Moon SR, Ryu HG: Evaluation of the effect of operation of toothbrushing room in between two elementary schools. J Dent Hyg Sci 15: 24-31, 2015. https://doi.org/10.17135/jdhs.2015.15.1.24
  12. Kim YH, Kim DH, Lim KS, et al.: Oral health behaviors and metabolic syndrome: the 2008-2010 Korean National Health and Nutrition Examination Survey. Clin Oral Investig 18: 1517-1524, 2014. https://doi.org/10.1007/s00784-013-1112-2
  13. Kobayashi Y, Niu K, Guan L, et al.: Oral health behavior and metabolic syndrome and its components in adults. J Dent Res 91: 479-484, 2012. https://doi.org/10.1177/0022034512440707
  14. Ministry of Health and Welfare; Korea Disease Control and Prevention Agency: The eight Korean National Health and Nutrition Examination Survey(KNHANES VIII-1), 2019. Retrieved March 15, 2021, from: http://knhanes.kdca.go.kr/knhanes/sub03_02.do (2020, March 21).
  15. Alberti KG, Eckel RH, Grundy SM, et al.: Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120: 1640-1645, 2009. https://doi.org/10.1161/CIRCULATIONAHA.109.192644
  16. Yoon YS, Oh SW: Optimal waist circumference cutoff values for the diagnosis of abdominal obesity in Korean adults. Endocrinol Metab (Seoul) 29: 418-426, 2014. https://doi.org/10.3803/EnM.2014.29.4.418
  17. Statistics Korea; Statistics Research Institute: Analysis of key characteristics and changes by life cycle. Retrieved February 11, 2022, from: http://kostat.go.kr/assist/synap/preview/skin/miri.html?fn=eefb829186913204162935&rs=/assist/synap/preview (2013, February 14).
  18. Kim JE, Choi YS, Kim SM, et al.: Correlation between metabolic syndrome and depression according to BDI (Beck's Depression Inventory). Korean J Health Promot Dis Prev 7: 52-59, 2007.
  19. Cohen BE, Panguluri P, Na B, Whooley MA: Psychological risk factors and the metabolic syndrome in patients with coronary heart disease: findings from the Heart and Soul Study. Psychiatry Res 175: 133-137, 2010. https://doi.org/10.1016/j.psychres.2009.02.004
  20. Shim MJ, Kang YJ: Relationships between metabolic syndrome component and depression, stress. Korean J Clin Lab Sci 46: 68-74, 2014. https://doi.org/10.15324/kjcls.2014.46.2.68
  21. Kim KY, Shin HJ, Yun JM: A study on the relationship between metabolic syndrome and the number of work hours based on data from the 6th Korea National Health and Nutrition Examination Survey (2015). J Korean Soc Food Cult 34: 486-494, 2019. https://doi.org/10.7318/KJFC/2019.34.4.486
  22. Im MY, Lee YR, Han SJ, Cho CM: The effects of lifestyle factors on metabolic syndrome among Korean adults. J Korean Acad Community Health Nurs 23: 13-21, 2012. https://doi.org/10.12799/jkachn.2012.23.1.13
  23. Ford ES, Giles WH, Dietz WH: Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 287: 356-359, 2002. https://doi.org/10.1001/jama.287.3.356
  24. Im MY: The effect of stress on prevalence risk of metabolic syndrome among Korean adults. Korean J Stress Res 27: 441-447, 2019. https://doi.org/10.17547/kjsr.2019.27.4.441
  25. Lee YH, Kweon SS, Shin MH, et al: Association between metabolic syndrome and depression in community-dwelling adults. Korean J Health Promot Dis Prev 9: 296-305, 2009.
  26. Khader Y, Khassawneh B, Obeidat B, et al.: Periodontal status of patients with metabolic syndrome compared to those without metabolic syndrome. J Periodontol 79: 2048-2053, 2008. https://doi.org/10.1902/jop.2008.080022
  27. Kushiyama M, Shimazaki Y, Yamashita Y: Relationship between metabolic syndrome and periodontal disease in Japanese adults. J Periodontol 80: 1610-1615, 2009. https://doi.org/10.1902/jop.2009.090218
  28. Bang SY: The Relations between metabolic syndrome, physical activity, and dietary patterns in Korean adults. J Korea Acad-Ind Cooper Soc 20: 662-672, 2019. https://doi.org/10.5762/KAIS.2019.20.2.662
  29. So ES: Smoking characteristics associated with the prevalence of metabolic syndrome in Korean adults. HSS21 11: 221-231, 2020. https://doi.org/10.22143/HSS21.11.1.17
  30. Hong WK, Kim JS, Jung JG, et al.: Alcohol and the metabolic syndrome in Korean women. J Korean Acad Fam Med 28: 120-126, 2007.
  31. Lee JS, Kang HK: A study on factors to periodontal diseases in patients with metabolic syndrome in health examination examinees. J Korea Converg Soc 9: 259-268, 2018. https://doi.org/10.15207/JKCS.2018.9.7.259
  32. Jung JO: Effects of metabolic syndrome on periodontal diseases in Korean adults. J Dent Hyg Sci 12: 245-252, 2012.
  33. 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 12: 597-609, 2012. https://doi.org/10.13065/jksdh.2012.12.3.597
  34. Kang HJ, Yu BC: Relationship between metabolic syndrome and oral diseases in the middle aged and elderly people. J Korean Soc Dent Hyg 15: 947-961, 2015. https://doi.org/10.13065/jksdh.2015.15.06.947