Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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The Impact of Diabetes Mellitus and Oral Health Behavior Factors in Periodontitis on Convergence Study

성인의 당뇨여부에 따른 치주질환과 구강건강행태 요인의 영향에 관한 융합연구

  • Kim, Ji Hyun (Department of Public Health, Korea University)
  • 김지현 (고려대학교 보건학협동과정)
  • Received : 2018.08.11
  • Accepted : 2018.11.20
  • Published : 2018.11.28
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Abstract

The purpose of this study was to investigate the effect of diabetes on periodontal disease according to oral health behavior. The date from the 2013-2015 Korean National Health and Nutrition Survey were used, and 14,282 subjects were included in the analysis. Periodontal disease was assessed using the Community Periodontal Index and using logistic regression. When all of the oral health behaviors were included in the model, tooth brushing frequency, flossing, and interdental brushing were significantly associated with periodontal disease, and periodontal disease risk was significantly higher with diabetes, but there was little difference in periodontal disease risk by input factors. Oral health behaviors were associated with periodontal disease in the normal blood glucose group but not in the presence of diabetes mellitus. If there is diabetes, it is difficult to manage periodontal disease by only the health behavior, so it is necessary to control blood sugar.

본 연구는 구강건강행태에 따른 당뇨여부의 차이가 치주질환에 얼마나 영향을 미치는지를 살펴보고자 하였다. 2013-2015년 국민건강영양조사를 이용하였으며, 최종분석대상자는 14,282명을 선정하였다. 치주질환은 지역사회치주지수를 이용하였으며, 로지스틱회귀분석을 이용하였다. 구강건강행태를 모두 모델에 포함했을 때 칫솔질횟수, 치실사용여부, 치간 칫솔사용여부가 치주질환과 유의한 관련성이 있었으며, 당뇨에 따른 치주질환 위험은 유의하게 높게 나타났으나 투입요인별 치주질환 위험 차이는 거의 없었다. 정상혈당군에서는 구강건강행태가 치주질환과 관련성이 있었으나 당뇨가 있는 경우에서는 관련성이 없었다. 당뇨가 있는 경우 구강건강행태 만으로 치주질환 관리가 어려우므로, 혈당 조절을 병행해야 할 것이다.

Keywords

Table 1. Diabetes stratified prevalence of periodontitis among adults aged 30 years or over

OHHGBW_2018_v9n11_379_t0001.png 이미지

Table 2. Logistic regression of selected variables on periodontitis

OHHGBW_2018_v9n11_379_t0002.png 이미지

Table 2. Continue

OHHGBW_2018_v9n11_379_t0003.png 이미지

Table 3. Adjusted odds ratio of periodontitis among non-diabetics, diabetic

OHHGBW_2018_v9n11_379_t0004.png 이미지

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