양대 구강병과 심혈관계 질환의 연관성
Association between two major oral diseases and cardiovascular diseases
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초록
Objectives: The purpose of this study was to examine the association between two major oral diseases and cardiovascular diseases. Methods: Data from the 6th Korean National Health and Nutrition Examination Survey (2013–2015) were used. The study included 12,754 adults, aged ≥19 years, who participated in the questionnaire survey of health related to hypertension, stroke, myocardial infarction, and angina pectoris as well as completed blood tests, anthropometry, and oral examination. Statistical analyses included complex sample frequency, complex sample general linear, complex sample cross-tabulation, and complex sample logistic regression analyses. Results: With respect to the number of Decayed-Missing-Filled-Teeth(DMFT ), patients with hypertension (DMFT 8.05), stroke (DMFT 8.66), and angina pectoris (DMFT 8.24) showed a DMFT score of >2, compared with those who did not have these diseases ( p <0.05). Patients with hypertension, stroke, myocardial infarction, and angina pectoris presented an approximately 2.7, 3.5, 4, and 3 times higher incidence of periodontal diseases, respectively, than those who did not ( p <0.05). Based on the analysis of the relationship between the number of DMFT and cardiovascular diseases, patients with cardiovascular diseases had a risk of 1.033 higher DMFT than those who did not ( p <0.05). As per the analysis of the relationship between periodontal diseases and cardiovascular diseases, patients with cardiovascular diseases had a 2.969 higher risk of periodontaldiseasesthanthosewithout them ( p <0.05). Conclusions: Two major oral diseases were found to be associated with cardiovascular diseases. Therefore, to prevent these major oral diseases in patients with cardiovascular diseases, oral hygiene management must be actively performed.
Abstract
Objectives: The purpose of this study was to examine the association between two major oral diseases and cardiovascular diseases. Methods: Data from the 6th Korean National Health and Nutrition Examination Survey (2013–2015) were used. The study included 12,754 adults, aged ≥19 years, who participated in the questionnaire survey of health related to hypertension, stroke, myocardial infarction, and angina pectoris as well as completed blood tests, anthropometry, and oral examination. Statistical analyses included complex sample frequency, complex sample general linear, complex sample cross-tabulation, and complex sample logistic regression analyses. Results: With respect to the number of Decayed-Missing-Filled-Teeth(DMFT ), patients with hypertension (DMFT 8.05), stroke (DMFT 8.66), and angina pectoris (DMFT 8.24) showed a DMFT score of >2, compared with those who did not have these diseases ( p <0.05). Patients with hypertension, stroke, myocardial infarction, and angina pectoris presented an approximately 2.7, 3.5, 4, and 3 times higher incidence of periodontal diseases, respectively, than those who did not ( p <0.05). Based on the analysis of the relationship between the number of DMFT and cardiovascular diseases, patients with cardiovascular diseases had a risk of 1.033 higher DMFT than those who did not ( p <0.05). As per the analysis of the relationship between periodontal diseases and cardiovascular diseases, patients with cardiovascular diseases had a 2.969 higher risk of periodontaldiseasesthanthosewithout them ( p <0.05). Conclusions: Two major oral diseases were found to be associated with cardiovascular diseases. Therefore, to prevent these major oral diseases in patients with cardiovascular diseases, oral hygiene management must be actively performed.
참고문헌 (27)
- "Cardiovascular disease"[URL]
- Korea Statistics, "Causes of Death Statistics in 2016", pp.1~ (2016), Korea Statistics
- Mattila KJ, "Association between dental health and acute myocardial infarction", BMJ, 298(6676), pp.779~781 (1989)
- Emingil G, "Association between periodontal disease and acute myocardial infarction", J Periodontol, 71(12), pp.1882~1886 (2000)
- Hamasha AA, "Medical conditions associated with missing teeth and edentulism in the institutionalized elderly", Spec Care Dentist, 18(3), pp.123~127 (1998)
- 최연희, "치아결손과 전신건강과의 관련성", 대한구강보건학회지, 26(2), pp.169~180 (2002), 대한예방치과·구강보건학회
- Loesche WJ, "Periodontal disease as a risk factor for heart disease", Compendium, 15(8), pp.976~991 (1994)
- Scannapieco FA, "Position paper of the american academy of periodontology: periodontal disease as a potential risk factor for systemic diseases", J Periodontol, 69(7), pp.841~850 (1998)
- Yoo-Been Ahn, "Periodontitis is associated with the risk of subclinical atherosclerosis and peripheral arterial disease in Korean adults", Atherosclerosis, 251, pp.311~318 (2016), Elsevier BV[DOI]
- Mattila KJ, "Dental infection and the risk of new coronary events: prospective study of patients with documented coronary artery disease", Clin Infect Dis, 20(3), pp.588~592 (1995)
- Grau AJ, "Association between acute cerebrovascular ischemia and chronic and recurrent infection", Stroke, 28(9), pp.1724~1729 (1997)
- Ylöstalo PV, "Gingivitis, dental caries and tooth loss: risk factors for cardiovascular diseases or indicators of elevated health risks", J Clin Periodontol, 33(2), pp.92~101 (2006)
- Joshipura KJ, "Poor oral health and coronary heart disease", J Dent Res, 75(9), pp.1631~1636 (1996)
- Ministry of Health, "Korea health statistics 2015 : Korea National Health and Nutrition Examination Survey(KNHANES Ⅵ-3)", pp.295~296 (2015), Korea Centers for Disease Control and Prevention
- "Outpatient benefits by frequency of disease 2016" (2016)[URL]
- Umino M, "Systemic diseases in elderly dental patients", Int Dent J, 43(3), pp.213~218 (1993)
- 최성림, "환자들의 예후에 관한 후향적 연구", Maxillofacial Plastic Reconstructive Surgery, 25(5), pp.439~447 (2003), 대한악안면성형재건외과학회
- "Hypercholesterolemia"[URL]
- James Beck, "Periodontal Disease and Cardiovascular Disease", Journal of Periodontology, 67(10s), pp.1123~1137 (1996), Wiley[DOI]
- 나희삼, "Contribution of Periodontal Disease in Atherosclerosis", Journal of Bacteriology and Virology, 45(2), pp.165~170 (2015), 대한미생물학회[DOI]
- 심선주, "뇌졸중 환자의 구강건강상태", 대한뇌졸중영문학회지, 9(2), pp.142~147 (2007), 대한뇌졸중학회
- Hong SP, "Oral condition in cardiovascular disease patients", Yeungnam University J of Med, 24(2S), pp.598~605 (2007)
- 김은경, "재활병동에 입원한 뇌졸중 환자의 구강건강 및 구강건강관련 삶의 질에 관한 연구: 예비연구", 치위생과학회지, 16(2), pp.127~133 (2016), 한국치위생과학회
- 천혜원, "우리나라 성인의 구강질환과 만성질환의 관련성", 한국치위생학회지, 12(2), pp.235~249 (2012), 한국치위생학회[DOI]
- 김철신, "일부 성인의 만성질환과 구강건강 연관성에 대한 인식조사", 치위생과학회지, 17(1), pp.12~19 (2017), 한국치위생과학회[DOI]
- 차은숙, "동맥경화증과 치주질환, 전신건강 및 구강건강지표간의 관련성: 예비연구", 대한구강보건학회지, 41(4), pp.274~281 (2017), 대한예방치과·구강보건학회
- Reichert S, "Use of floss", interdental brushes is associated with lower risk for new cardiovascular events among patients with coronary heart disease, 2015, pp.50(2), 180~188
