DOI QR코드

DOI QR Code

Convergence of Relationship between Obesity and Periodontal Disease in Adults

성인의 비만과 치주질환과의 융합적 관계

  • Lee, Yu-Hee (Division of public health, Graduate school of Inje University) ;
  • Choi, Jung-OK (Department of Dental Hygiene, Youngsan University)
  • 이유희 (인제대학교 일반대학원 보건학과) ;
  • 최정옥 (영산대학교 치위생학과)
  • Received : 2017.10.02
  • Accepted : 2017.11.20
  • Published : 2017.11.28

Abstract

The purpose of this study was to investigate the relationship between oral health behaviors and periodontal diseases in adult obese people. Using the original data of the second phase of the 6th National Health and Nutrition Survey, the final 4381 adults were extracted. We analyzed frequency and technical statistics and chi - square test and multiple logistic regression analysis using SPSS statistical program to confirm the association between body mass index, number of brushing, drinking, smoking and oral health status and behavior. As a result, the prevalence of periodontal disease decreased as the number of toothbrushing increased, and the prevalence of periodontal disease increased as the body mass index increased. Through this study, obesity, a global health issue, should be more concerned with oral care and develop oral health management programs.

본 연구는 성인 비만자를 대상으로 구강관리행태와 치주질환 유병을 분석하여 관련 요인을 규명하고자 실시하였다. 국민건강영양조사 제6기 2차의 원시자료를 활용하여 최종 4381명의 성인을 추출하였고 체질량지수, 잇솔질횟수, 음주, 흡연 및 구강건강상태와 행태에 대한 관련성을 확인하고자 SPSS 통계프로그램을 이용하여 변수의 가중치를 적용하고 빈도 및 카이제곱 검증과 다중 로지스틱 회귀분석을 실시하였다. 그 결과 잇솔질횟수가 많을수록 치주질환 유병률은 낮아졌고, 체질량지수가 높을수록 치주질환 유병률은 높아지는 것을 확인하였다. 체질량지수는 잇솔질 횟수가 영향을 주며 두 변수는 궁극적으로 치주질환을 유발하는 요인으로 작용하였다. 이번 연구를 통해 세계적인 건강이슈인 비만의 경우 구강관리에 더욱 관심을 기울여야 하며 구강보건관리 프로그램이 개발되어져야 한다.

Keywords

References

  1. S. W. Cha, A Study on the Relationship of Obesity and Periodontal Disease of Residents with Ages of Overfifty in Donggu, Gwangju, Korea, Chonnam National University, Ph.D. thesis, 2010.
  2. P. G. Kopelman, "Obesity as a Medical Problem", Nature: London. Apr 6, pp. 635-643, 2000.
  3. R. B. Ervin, "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 Reports, Vol.5, No.13, pp. 1-7, 2009.
  4. World Health Organization, "Obesity and Overweight", Retrieved January 28, 2015.
  5. W. Hou, W. Jia, Y. Bao, H. Lu, S. Jiang, Y. Zuo, H. Gu, K. Xiang, "Risk Factors for Overweight and Obesity, and Changes in Body Mass Index of Chinese Adults in Shanghai", BMC Public Health, Vol.8, pp. 389, 2008. https://doi.org/10.1186/1471-2458-8-389
  6. Statistics Korea, "Obesity Prevalence in Korea", Retrieved January 28, 2015.
  7. A. J. Cameron, T. A. Welborn, P. Z. Zimmet, D. W. Dunstan, N. Owen, J. Salmon, M. Dalton, D. Jolley, J. E. Shaw, "Overweight and Obesity in Australia:1999-2000 Australia Diabetes. Obesity and Lifestyle Study (AusDiab)", MJA, Vol.178, pp. 427-432, 2004.
  8. M. W. Kim, The individual and regional factors influencing of obesity rates-based on community health survey 2010-, Korea University, M.D. thesis, 2013.
  9. J. Y. Kim, J. H. Jee, H. J. Kim, B. W.Lee, Y. J. Chung, J. H. Chung, Y. K. Min, M. S. Lee, M. K. Lee, K. W. Kim, "Effects of Aging and Obesity on Insulin Secretion and Sensitivity", Kor Diabetes Assoc, Vol. 29, No. 1, pp. 39-47. 2005.
  10. S. J. Kim, S. H. Park, Y. S. Seo, C. Y. Bae, D. H. Shin, "The Prevalence of Obesity and the Relationship between Obesity and Its Associated Diseases", J Korean Acad Fam Med, Vol. 15, No. 7, pp. 401-410, 1994.
  11. J. S. Lee, H. O. Lee, J. G. Yim, Y. G. Kim, R. W. Choue, "Effects of Medical Nutrition Therapy on Changes of Anthropometric Measurements, Dietary Pattern and Blood Parameters in Over Weight or Obese Women", Korean J Nutr, Vol. 38, No. 6, pp. 432-444, 2005.
  12. J. Y. Kim, An assessment of the association between obesity and periodontal diseases through literature review, Chung Ang University, M.D. thesis, 2016.
  13. I. L. Chapple, N. H. F. Wilson, "Manifesto for a Paradigm Shift: Periodontal Health for a Better Life", Br Dent J, Vol. 216, pp. 159-162, 2014. https://doi.org/10.1038/sj.bdj.2014.97
  14. Y. R. Choi, H. J. Kim, E. M. Choi, Y. S. Lee, "The Convergence Factors Affecting on Incremental Oral Health Care Experience in Some Local Adults", J. of the Korea Convergence Society, Vol. 8, No. 6, pp. 131-138, 2017. https://doi.org/10.15207/JKCS.2017.8.6.131
  15. M. S. Kang, C. Y. Kim, H. G. Kim, B. I. Kim, "Influence of Self-perception, Attitude, Behavior and Knowledge about Oral Health on Caries Experience and Periodontal Treatment Need", J Korean Acad Dent Health, Vol. 18, pp. 144-169, 1994.
  16. Health insurance review & assessment service, "Health Insurance Review and Assessment Service Data: Disease statistics". Retrieved July 1, 2016.
  17. Y. M kong, G. S. Han,"Relationships between Obesity Types and Periodontitis according to Characteristics of Subjects", J Den Hyg Sci, Vol. 12, No. 3, pp. 279-286, 2012.
  18. WHO Expert Consultation, "Appropriate-body Mass Index for Asian Populations and Its Implications for Policy and Intervention Strategies", Lancet, Vol. 363, pp. 157-163, 2010.
  19. WHO, "Obesity: Preventing and managing the global epidemic", Report of a WHO consultation on obesity, pp. 7-11, 1997.
  20. M. A. Jeong, J. H. Kim, "Association between Cardiovascular Disease and Periodontal Disease Prevalence", J. of the Korea Convergence Society, Vol. 8, No. 6, pp. 131-138, 2017.J. of the Korea Convergence Society, Vol. 2, No. 4, pp. 47-52, 2011.
  21. Y. J. Jung, M. H. Cho, D. H. Moon. "Influencing Factors to Dental Caries and Periodontal Diseases in Korean Adults". J Kor Soc Dent Hyg, Vol. 15, No. 1, pp. 47-54. 2015. https://doi.org/10.13065/jksdh.2015.15.01.47
  22. J. H. Park, Impacts of high blood pressure and diabetes on oral health conditions. University of Kyungpook National, Ph.D. thesis, 2007.
  23. Q. Zhou, S. E. Leeman, S. Amara, "Signaling Mechanisms in the Restoration of Impaired Immune Function due to Diet-induced Obesity. Proc Natl Acad Sciences USA, Vol. 108, No. 7, pp. 2867-2872, 2011. https://doi.org/10.1073/pnas.1019270108
  24. Y. K. Lee, J. R. Park. "The Relationship of Obesity and Periodontal Disease by Age. J Kor Soc Dent Hyg, Vol. 13, No. 6, pp. 1015-21. 2013. https://doi.org/10.13065/jksdh.2013.13.06.1015
  25. H. J. Park, M. J. Lee, S. K. Kim, M. A. Jeong, "Effect of Health Practices and Oral Health Behaviors on Obesity in University Students", J korea cont assoc, Vol. 11, No. 9, pp. 395-406, 2011 https://doi.org/10.5392/JKCA.2011.11.9.395
  26. Y. S. Won, C. H. Choi, H. N. OH, "Risk Factors of Periodontal Disease in Koren Adults", J Kor Soc Dent Hyg, Vol. 38, No. 3, pp. 176-183, 2014.
  27. N. Wood, R. B. Johnson, C. F. Streckfus, "Comparison of Body Composition and Periodontal Disease using Nutritional Assessment Techniques: Third National Health and Nutrition Examination Survey (NHANES III)". J Clin Periodontology, Vol. 30, No. 4, pp. 321-327, 2003. https://doi.org/10.1034/j.1600-051X.2003.00353.x
  28. A. H. Song, H. S. Kim, "Convergence Factors Affecting Subjective Oral Health Cognition Using 6th Sixth National Health and Nutrition Survey Data", J. of the Korea Convergence Society Vol. 8. No. 9, pp. 49-57, 2017. https://doi.org/10.15207/JKCS.2017.8.9.049