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성인의 골밀도와 잔존치아수와의 관련성

Relationship between bone mineral density and the remaining teeth in Korean adults

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Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Koreanadults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years oldhaving bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted ofgeneral characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general healthsurvey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regressionanalysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral healthbehavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, andvocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diethabit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of toothbrushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire forhypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, andlumbar vertebrae. Bone density was classified into normal(T-score ≥ -1.0), osteopenia(-2.5 < T-score < -1.0), and osteoporosis(T-score ≤ -2.5). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men,diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral healthmanagement behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral densitycan reserve the remaining teeth through the whole life.

Abstract

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Koreanadults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years oldhaving bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted ofgeneral characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general healthsurvey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regressionanalysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral healthbehavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, andvocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diethabit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of toothbrushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire forhypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, andlumbar vertebrae. Bone density was classified into normal(T-score ≥ -1.0), osteopenia(-2.5 < T-score < -1.0), and osteoporosis(T-score ≤ -2.5). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men,diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral healthmanagement behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral densitycan reserve the remaining teeth through the whole life.

참고문헌 (34)

  1. Statistics, "2013 Elderly statistics", Statistics, 1~14 (2013)
  2. Pihlstrom BL, "Periodontal diseases", ScienceDirect, 366(9499), pp.1809~1820 (2005)
  3. Cochran DL, "Inflammation and bone loss in periodontal disease", J Periodontol, 79(8), pp.1569~1576 (2008)[DOI]
  4. 2010 National survey of oral health status, "Jo GH", Department of health and human services, 2~13 (2011)
  5. Yoshie H, "Periodontal disease and seven kinds of diseases", pp.98~103 (2009), Gentleman publisher
  6. "Health insurance review and assessment service. Press release", Health insurance review and assessment service, 1~4 (2013)
  7. Carr M, "The emergence of the metabolic syndrome with menopause", JCEM, 88, pp.2402~2411 (2003)
  8. Wactawski-Wende J, "Periodontal Diseases and Osteoporosis: Association and Mechanisms", J Periodontol, 6(1), pp.197~208 (2001)[DOI]
  9. Wactawski-Wende J, "The role of osteopenia in oral bone loss and periodontal disease", J Periodontol, 67(10), pp.1076~1084 (1996)[DOI]
  10. Jagelaviciene E, "The relationship between general osteoporosis of the organism and periodontal diseases", J Medicina, 42(8), pp.613~618 (2006)
  11. Phipps KR, "Longitudinal study of bone density and periodontal disease in men", J Dent Res, 86(11), pp.1110~1114 (2007)
  12. Esfahanian V, "Relationship between osteoporosis and periodontal disease: review of the literature", J Dent Res, 9(4), pp.256~264 (2012)
  13. Passos JS, "Outcome measurements in studies on the association between osteoporosis and periodontal disease", J Periodontol, 81(12), pp.1773~1780 (2010)[DOI]
  14. Centers for disease control and prevention, "2007 National Health Statistics", Centers for disease control and prevention, 279~ (2008)
  15. 이태정, "일부지역 노인의 구강건강 실태에 관한 조사 연구", 한국치위생학회지, 12(4), pp.801~815 (2012), 한국치위생학회
  16. Choi YH, "Author and relationship skills of the elderly in Korea and the remaining dimensions", J Khep, 2009(5), pp.83~ (2009)
  17. Kim JB, "Public oral health", pp.299~311 (2004), Gomunsa
  18. Wactawski-Wende J, "The association between osteoporosis and alveolar crestal height in postmenopausal women", J Periodontol, 76(11), pp.2116~2124 (2005)[DOI]
  19. Centers for disease control and prevention, "2005 Health behaviors and chronic disease statistics Kit", Centers for disease control and prevention, 135~ (2006)
  20. Atalar E, "Factors affecting bone mineral density in men", Rheumatology International, 29(9), pp.1025~1030 (2009)
  21. Charles NS, "Clues for new therapeutics in osteoporosis and periodontal disease: new roles for lipoxygenases?", Infoma Healthcare, 8(6), pp.643~652 (2004)[DOI]
  22. Kim KS, "Osteoporosis", pp.11~ (2006), Society for bone
  23. Yoshihara A, "A longitudinal study of the relationship between periodontal disease and bone mineral density in community-dwelling older adults", J Clini Periodontol, 31(8), pp.680~684 (2004)
  24. Papaioannou A, "Risk factors for low BMD in healthy men age 50 years or older: a systematic review", J Osteoporosis International, 20(4), pp.501~518 (2009)
  25. Lau EM, "Risk factors for hip fracture in Asian men and women: the Asian osteoporosis study", J Bone Miner Res, 16(3), pp.572~580 (2001)[DOI]
  26. Chen HW, "Related factors analysis of oral disease and chronic illness", 박사, pp.2011
  27. 소미현, "일부지역의 구강위생용품 사용실태에 관한 조사연구", 한국치위생학회지, 10(6), pp.1107~1119 (2010), 한국치위생학회
  28. 남상미, "치위생과 실습실 내원환자의 구강위생보조용품 사용유무와 구강건강상태와의 관계", 한국치위생학회지, 11(3), pp.373~381 (2011), 한국치위생학회
  29. 임현주, "방문구강보건사업 대상 노인의 현존 자연치아 수에 영향을 미치는 요인", 한국치위생학회지, 13(4), pp.693~700 (2013), 한국치위생학회[DOI]
  30. 최연희, "치아결손과 전신건강과의 관련성", 대한구강보건학회지, 26(2), pp.169~180 (2002), 대한예방치과·구강보건학회
  31. 박주희, "한국 성인에서 흡연과 치주낭 형성의 관련성", 대한구강보건학회지, 29(3), pp.293~301 (2005), 대한예방치과·구강보건학회
  32. 장분자, "일부 대학 스켈링센터 방문환자의 흡연 및 음주와 치주낭 형성의 관련성", 치위생과학회지, 10(2), pp.117~122 (2010), 한국치위생과학회
  33. 한경순, "수도권 지역 성인에서 흡연과 치주상태의 관련성", 대한구강보건학회지, 32(2), pp.250~260 (2008), 대한예방치과·구강보건학회
  34. 장윤정, "지역사회치주지수와 골다공증 관련성", 한국치위생학회지, 12(5), pp.943~953 (2012), 한국치위생학회

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