본문 바로가기
KERD
논문KCI 등재

한국성인의 고혈압, 당뇨 환자의 구강건강행태가 잔존치아 수에 미치는 영향

Effects of oral health behavior on remaining teeth in Korean adults older than 45 years with hypertension and diabetes

2

조회

0

다운로드

5

인용

0

참고문헌

키워드

주제분류치의학

초록

Objectives: The purpose of this study was to investigate the effects of oral health behaviors of patients with hypertension and diabetic patients on the number of remaining teeth in Korean adults over 45 years of age, furthermore, we also aimed to develop oral health care programs and health promotion for patients with hypertension and diabetes. Methods: Altogether, 1,526 subjects with hypertension and diabetes from the 6th Korean National Health and Nutrition Survey (2013-2015) were analyzed. Results: A multiple logistic regression analysis was performed to determine the effects of oral health behavior and periodontal disease on residual teeth in patients with hypertension and diabetes after adjusting for age. We found 1.53 times the risk of having less than 20 remaining teeth in the group of brushing more than 3 times a day (95% CI: 1.00-2.35, p<0.001), 2.27 times (95% CI: 1.23-4.17, p<0.05) in the group not using the dental floss group 0.05), compared to the group undergoing regular dental check-up (95% CI: 0.93-1.85, p>0.05), compared to the non-smoking group 0.77 times (95% CI: 0.51-1.14, p>0.05), 1.33 times (95% CI: 0.98-1.80, p>0.05) in the drinking group compared to the non-drinking group, in the periodontal disease group, the risk of having less than 20 remaining teeth was 2.19 times higher (95% CI: 1.48-3.24, p>0.001) than in the normal group. Conclusions: As a super-aging society, develops in Korea, the prevalence of hypertension and diabetes will increase gradually. Therefore, an oral health policy should be implemented at the national level for the prevention and treatment of periodontal disease as well as the management of oral health the elderly.

Abstract

Objectives: The purpose of this study was to investigate the effects of oral health behaviors of patients with hypertension and diabetic patients on the number of remaining teeth in Korean adults over 45 years of age, furthermore, we also aimed to develop oral health care programs and health promotion for patients with hypertension and diabetes. Methods: Altogether, 1,526 subjects with hypertension and diabetes from the 6th Korean National Health and Nutrition Survey (2013-2015) were analyzed. Results: A multiple logistic regression analysis was performed to determine the effects of oral health behavior and periodontal disease on residual teeth in patients with hypertension and diabetes after adjusting for age. We found 1.53 times the risk of having less than 20 remaining teeth in the group of brushing more than 3 times a day (95% CI: 1.00-2.35, p<0.001), 2.27 times (95% CI: 1.23-4.17, p<0.05) in the group not using the dental floss group 0.05), compared to the group undergoing regular dental check-up (95% CI: 0.93-1.85, p>0.05), compared to the non-smoking group 0.77 times (95% CI: 0.51-1.14, p>0.05), 1.33 times (95% CI: 0.98-1.80, p>0.05) in the drinking group compared to the non-drinking group, in the periodontal disease group, the risk of having less than 20 remaining teeth was 2.19 times higher (95% CI: 1.48-3.24, p>0.001) than in the normal group. Conclusions: As a super-aging society, develops in Korea, the prevalence of hypertension and diabetes will increase gradually. Therefore, an oral health policy should be implemented at the national level for the prevention and treatment of periodontal disease as well as the management of oral health the elderly.

참고문헌 (28)

  1. 이준호, "치주질환과 관상동맥질환의 관련성에 대한 임상적 연구", Journal of Periodontal & Implant Science, 35(1), pp.111~122 (2005), 대한치주과학회
  2. 강혜민, "고혈압 및 당뇨와 치주질환, 치아상실의 연관성", 석사, 건강증진학전공, pp.2013
  3. Global status report on noncommunicable diseases 2014, "World Health Organization", World Health Organization, 42~88 (2014)
  4. Ezzati M, "Selected major risk factors and global and regional burden of disease", Lancet, 360(9343), pp.1347~1360 (2002)
  5. "Korea National Health and Nutrition Examination Survey(KNHANES VII-1)" (2016)[URL]
  6. 주온주, "당뇨환자의 구강건강행태가 치주질환 및 상실치 유무에 미치는 영향", 한국치위생학회지, 11(4), pp.511~522 (2011), 한국치위생학회
  7. 김설희, "치주질환자 구강관리능력 향상을 위한 치면세균막관리(잇솔질교육)에 관한 연구", 한국치위생학회지, 11(2), pp.293~301 (2011), 한국치위생학회
  8. "National Health Insurance Statistics" (2016)[URL]
  9. Jung SH, "New Dental Public Health", pp.125~132 (2012), Komoonsa
  10. 우동협, "제4기 국민건강영양조사 자료를 이용한 18-44세 한국 성인의 치주질환 유병 관련 위험요인", 대한구강보건학회지, 37(2), pp.95~102 (2013), 대한예방치과·구강보건학회[DOI]
  11. 한여정, "우리나라 노인의 만성질환경험과 구강건강상태 및 행태와의 관련성", 한국치위생학회지, 18(1), pp.65~75 (2018), 한국치위생학회[DOI]
  12. 임미희, "대사증후군 환자의 구강보건지식, 태도, 행위가 구강건강영향지수에 미치는 영향", 한국치위생학회지, 18(6), pp.1079~1090 (2018), 한국치위생학회[DOI]
  13. 강현주, "대사증후군 환자의 치주질환과 치아상실에 관한 연구", 치위생과학회지, 15(4), pp.445~456 (2015), 한국치위생과학회
  14. 김숙이, "한국 성인의 대사 증후군이 치주질환에 미치는 영향", 한국치위생학회지, 15(3), pp.399~410 (2015), 한국치위생학회[DOI]
  15. Kim JS, "Association between periodontitis and metabolic syndrome in a Korean nationally representative sample of adults aged 35-79 years", Int J Environ Res Public Health, 16, pp.E2930~ (2019)[DOI]
  16. 백혜진, "우리나라 성인의 대사증후군과 치주질환의 관련성", 대한구강보건학회지, 34(3), pp.338~345 (2010), 대한예방치과·구강보건학회
  17. Yamanaka K, "Comparison of the health condition between the 8020 achievers and the 8020 non-achievers", Int Dent J, 58, pp.146~150 (2008)[DOI]
  18. "Korea Health Promotion Foundation National health plan 2020 in Korea"[URL]
  19. A study on the effective chronic disease management, "Jung YH", Korea Institute for Health and Social Affairs, 3~8 (2013)
  20. Yoo TW, "Current status and vision of e-care", J Korean Med Assoc, 45(1), pp.41~50 (2002)[DOI]
  21. Kaur G, "Association between type 1 and type 2 diabetes with periodontal disease and tooth loss", 36(9), pp.765~774 (2009)[DOI]
  22. 한여정, "당뇨상태에 따른 구강상태 및 행태: 제5기 국민건강영양조사", 한국치위생학회지, 16(2), pp.233~240 (2016), 한국치위생학회[DOI]
  23. Brennan DS, "Comparison of a generic and a specific measure of oral health related quality of life", Community Dent Health, 22(1), pp.11~18 (2005)
  24. Do LG, "Smoking-attributable periodontal disease in the Australian adult population", J Clin Periodontol, 35(5), pp.398~404 (2008)[DOI]
  25. Han DH, "The association of smoking and diabetes with periodontitis in a Korean population", J Peridontol, 83(11), pp.1397~1406 (2012)
  26. Yang JY, "The effects of smoking on oral environment", J Dent Hyg Sci, 1(1), pp.60~66 (2001)
  27. 윤정원, "치과위생사의 금연지도활동에 관한 조사", 대한구강보건학회지, 39(1), pp.51~55 (2015), 대한예방치과·구강보건학회
  28. 박주희, "한국 성인에서 흡연과 치주낭 형성의 관련성", 대한구강보건학회지, 29(3), pp.293~301 (2005), 대한예방치과·구강보건학회

관련 논문AI추천

이 간행물의 다른 논문 (10건)