Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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The Association between Obesity and Periodontal Disease on Convergence Study

비만과 치주질환간의 관련성에 관한 융합연구

  • Received : 2018.06.12
  • Accepted : 2018.08.20
  • Published : 2018.08.28
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Abstract

The aim of this study was to evaluate the association between obesity and periodontal diseases in Korea adults. The date from the 2015 Korean National Health and Nutrition Survey were used, and 4,827 subjects over 19 years were included in the analysis. Periodontal disease was assessed using the Community Periodontal Index. Obesity was measured according to body mass index. Odd ratios (ORs) were estimated using binary logistic regression analysis model. The stratification variables were smoking and diabetes, and also adjusted for sex, age, and education level. The adjusting variables included sex, age, and education level. The ORs of obesity for periodontal disease were 0.78 (95% CI = 0.51-1.22) for the category of <18.5 of BMI and 1.29 (95% CI = 1.11-1.49) for the ${\geq}25$ BMI category (both compared to the 18.5 to 24.9 category). In a subgroup analysis, the OR of BMI among those who were both non-smoking and no diabetes was 1.20 (95% CI = 1.02-1.48) for those with BMI levels ${\geq}25$. This study implies that obesity intolerance may be an independent risk factor for periodontal diseases. Obesity should also be considered when managing periodontal disease to improve oral health.

본 연구의 목적은 우리나라 성인의 비만과 치주질환간의 관련성을 평가하고자 하였다. 2015년 국민건강영양조사자료를 사용하였으며, 최종 분석대상자는 4,827명이다. 치주질환은 지역사회치주지수로 평가하였다. 비만은 체질량지수로 측정하였다. 오즈비는 이분형로지스틱회귀분석을 이용하여 분석하였다. 층화변수는 흡연과 당뇨이며, 성별, 연령, 교육수준을 공변수로 보정하였다. 본 연구 결과는 비만인 경우에서 치주질환 위험이 1.29배(95% CI=1.11-1.49)로 나타났으며, 비흡연군과 당뇨가 없는군을 동시에 고려한 하위분석에서는 정상에 비해 비만군에서 치주질환 위험이 1.20배(CI=1.02-1.48) 유의하게 높게 나타났다. 본 연구는 비만이 치주질환의 독립적인 위험요인임을 파악할 수 있었다. 국민의 구강건강수준 향상을 위해 치주질환 관리하고자 할 때 비만도 함께 고려되어야 할 것이다.

Keywords

References

  1. S. Jacob. (2012). Global Prevalence of Periodontitis: A Literature Review. International Arab Journal of Dentistry, 3(1), 1-5.
  2. National Health Insurance. (2016). National Health Insurance Statistical Yearbook, Seoul : National Health Insurance.
  3. B. L. Pihlstrom, B. S. Michalowicz, N. W. Johnson & B. S. Michalowicz. (2005). Periodontal diseases. Lancet, 366(9499), 1809-1820. DOI : 10.1016/S0140-6736(05)67728-8
  4. N. Nishida, M. Tanaka, N. Hayashi, H. Nagata & T. Takeshita. (2005). Determination of smoking and obesity as periodontitis risks using the classification and regression tree method. Journal of Periodontology, 76(6), 923-928. DOI : 10.1902/jop.2005.76.6.923
  5. S. Jagannathachary & D. Kamaraj. (2010). Obesity and periodontal disease. Journal of Indian Society of Periodontology, 14(2), 96-100. DOI: 10.4103/0972-124X.70827
  6. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. (2016). The Second Korea National Health and Nutrition Examination Survey.
  7. World Health Organization. (1995). Oral Health Surveys: Basic Methods. World Health Organization. [internet],[cited 2018 April 10], Available From: http://apps.who.int/iris/bitstream/handle/10665/97035/9789241548649_eng.pdf;jsessionid=A315AD83D978E38F13B7F95ECF034049?sequence=1.pdf.
  8. S. Genuth, K. Alberti, P. Bennett & J. Buse. (2003). Follow-up report on the diagnosis of diabetes mellitus. Diabetes Care, 26(11), 3160-3168. DOI: 10.2337/diacare.26.11.3160
  9. A. Gorman, E. K. Kaye, C. Apovian, T. T. Fung, M. Nunn & R. I. Garcia. (2012). Overweight and obesity predict time to periodontal disease progression in men. Journal of Clinical Periodontology, 39(2), 107-114. DOI : 10.1111/j.1600-051X.2011.01824.x
  10. I. Morita, Y. Okamoto, S. Yoshii & H. Nakagaki. (2011). Five-year incidence of periodontal disease is related to body mass index. Journal of Dental Research, 90(2), 199-202. DOI: 10.1177/0022034510382548
  11. T. Saxlin, P. Ylostalo, L. Suominen-Taipale, A. Aromaa & M. Knuuttila. (2010). Overweight and obesity weakly predict the development of periodontal infection. Journal of Clinical Periodontology, 37(12), 1059-1067. DOI : 10.1111/j.1600-051X.2010.01633.x
  12. Y. M. Kong & G. S. Han. (2012). Relationships between obesity types and periodontitis according to characteristics of subjects. Journal of Dentol Hygiene Science, 12(3), 279-286.
  13. Y. H. Lee & J. O. Choi. (2017). Convergence of Relationship between Obesity and Periodontal Disease in Adults. Journal of the Korea Convergence Society, 8(11), 215-222. DOI : 10.15207/JKCS.2017.8.11.215
  14. M. Jimenez, F. B. Hu, M. Marino, Y. Li & K. J. Joshipura. (2012). Prospective associations between measures of adiposity and periodontal disease. Obesity, 20(8), 1718-1725. DOI : 10.1038/oby.2011.291
  15. I. Romao & J. Roth. (2008). Genetic and environmental interactions in obesity and type 2 diabetes. Journal of the American Dietetic Association, 108(4), S24-S8. DOI : 10.1016/j.jada.2008.01.022
  16. R. Perri, S. Nares, S. Zhang & S. Barros. (2012). MicroRNA modulation in obesity and periodontitis. Journal of Dental Research, 91(1), 33-38. DOI : 10.1177/0022034511425045
  17. P. Bullon, J Morillo, MC. Ramirez-Tortosa, J. Quiles, H. Newman & M. Battino. (2009). Metabolic syndrome and periodontitis: is oxidative stress a common link?. Journal of Dental Research, 8(6), 503-518. DOI : 10.1177/0022034509337479
  18. T. Saito, Y. Shimazaki & M. Sakamoto. (1998). Obesity and periodontitis. New England Journal of medicine, 339(7), 482-483. DOI : 10.1056/NEJM199808133390717
  19. T. Saito, Y. Shimazaki, T. Koga, M. Tsuzuki & A. Ohshima. (2001). Relationship between upper body obesity and periodontitis. Journal of Dental Research, 80(7), 1631-1636. DOI : 10.1177/00220345010800070701
  20. J. H. Seo, H. Y. Park, S. S. Lee & J. Y. Jung. (2016). Comparison of the utility for chronic disease prediction index with fat mass and muscle mass in BMI and body comparison analysis. Seoul : National Health Insurance Service.
  21. World Health Organization. (2000). The Asia-Pacific perspective: redefining obesity and its treatment. Seoul : Korean Society for the Study of Obesity.
  22. Y. E. Kwon, J. E. Ha, D. I. Paik & B. H. Jin. (2011). The relationship between periodontitis and metabolic syndrome among a Korean Nationally Representative Sample of Adults. Journal of Clinical Periodontology, 38(9), 781-786. DOI : 10.1111/j.1600-051X.2011.01756.x
  23. A. Kingman & J. M. Albandar. (2000). Methodological aspects of epidemiological studies of periodontal diseases. Periodontology, 29(1), 11-30. DOI : 10.1034/j.1600-0757.2002.290102.x