당뇨와 지역사회치주지수의 관련성: 제5기 국민건강영양조사
The association between diabetes mellitus and community periodontal index: The 5th Korean National Health and Nutrition examination survey
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Objectives: The purpose of the study was to examine the association between diabetes mellitus and community periodontal index inKorean adults. Methods: The study populations were recruited by the Fifth Korea National Health and Nutrition Examination Survey. Studysubjects were 10,411 who were examined oral examination, blood test, and aged over 19 years. Using multiple logistic regressionanalyses, the variables were adjusted for gender, age, household income, family history of diabetes, body mess index, smoking habit,and frequency of tooth brushing. Periodontal tissue examination of the subjects was performed and scored by Communityperiodontal index(CPI). Using probe, six teeth were examined for hemorrhage, plaque, and pocket depth and classified into CPI0,CPI1, CPI2, CPI3 and CPI4. Healthy periodontal groups(CPI0-2) and periodontal disease groups(CPI3-4) were divided by theperiodontal disease status. The definition of diabetes mellitus(DM) was decided by the diagnosis by the doctors and fasting bloodsugar level. Those who were diagnosed as DM were included in DM group. The DM variables included normal blood sugar level,increased fasting blood sugar level, and DM blood sugar level. The DM variables were compared to periodontal disease blood sugarlevel and analyzed. Results: The periodontitis prevalence rate was 23.2%. Those who had diabetes mellitus accounted for 5.5% of the subjects. Thosewho had impaired fasting glucose accounted for 17.7% and 7.9% of subjects were diabetes mellitus by blood test. In the confirmeddiabetes group by doctor, the periodontitis prevalence rate was significantly higher than the non-diabetic group. Diabetic group byblood test had the highest prevalence rate of periodontitis than those who had impaired fasting glucose group or normal group. Afteradjusting for gender, age, household income, family history of diabetes, body mass index, smoking habit, and frequency of toothbrushing, the risk of periodontitis in diagnosed diabetes mellitus was 1.57 times(95% CI; 1.27-1.94) higher than the normal group. Inimpaired fasting glucose group and diabetes mellitus group by blood test, the risk of periodontitis was 1.11 times(95% CI; 0.95-1.30)and 1.45 times(95% CI; 1.45-2.12) higher, respectively. Conclusions: There was a significant relationship between diabetes mellitus and periodontitis in Korean adults. These results suggestthat diabetes mellitus is a risk factor for periodontitis.
Abstract
Objectives: The purpose of the study was to examine the association between diabetes mellitus and community periodontal index inKorean adults. Methods: The study populations were recruited by the Fifth Korea National Health and Nutrition Examination Survey. Studysubjects were 10,411 who were examined oral examination, blood test, and aged over 19 years. Using multiple logistic regressionanalyses, the variables were adjusted for gender, age, household income, family history of diabetes, body mess index, smoking habit,and frequency of tooth brushing. Periodontal tissue examination of the subjects was performed and scored by Communityperiodontal index(CPI). Using probe, six teeth were examined for hemorrhage, plaque, and pocket depth and classified into CPI0,CPI1, CPI2, CPI3 and CPI4. Healthy periodontal groups(CPI0-2) and periodontal disease groups(CPI3-4) were divided by theperiodontal disease status. The definition of diabetes mellitus(DM) was decided by the diagnosis by the doctors and fasting bloodsugar level. Those who were diagnosed as DM were included in DM group. The DM variables included normal blood sugar level,increased fasting blood sugar level, and DM blood sugar level. The DM variables were compared to periodontal disease blood sugarlevel and analyzed. Results: The periodontitis prevalence rate was 23.2%. Those who had diabetes mellitus accounted for 5.5% of the subjects. Thosewho had impaired fasting glucose accounted for 17.7% and 7.9% of subjects were diabetes mellitus by blood test. In the confirmeddiabetes group by doctor, the periodontitis prevalence rate was significantly higher than the non-diabetic group. Diabetic group byblood test had the highest prevalence rate of periodontitis than those who had impaired fasting glucose group or normal group. Afteradjusting for gender, age, household income, family history of diabetes, body mass index, smoking habit, and frequency of toothbrushing, the risk of periodontitis in diagnosed diabetes mellitus was 1.57 times(95% CI; 1.27-1.94) higher than the normal group. Inimpaired fasting glucose group and diabetes mellitus group by blood test, the risk of periodontitis was 1.11 times(95% CI; 0.95-1.30)and 1.45 times(95% CI; 1.45-2.12) higher, respectively. Conclusions: There was a significant relationship between diabetes mellitus and periodontitis in Korean adults. These results suggestthat diabetes mellitus is a risk factor for periodontitis.
참고문헌 (27)
- Lamster IB, "The relationship between oral health and diabetes mellitus", J Am Dent Assoc, 139(Suppl), pp.19S~24S (2008)
- Aronson D, "Coronary Artery Disease and Diabetes Mellitus", Cardiol Clin, 32(3), pp.439~455 (2014)[DOI]
- Balanda KP, "Prevalence of diabetes in the Republic of Ireland: results from the National Health Survey (SLAN) 2007", PLoS One, 8(10), pp.e78406~ (2013)[DOI]
- Dong Y, "Prevalence of Type 2 diabetes in urban and rural Chinese populations in Qingdao, China", Diabet Med, 22(10), pp.1427~1433 (2005)
- Han DH, "The association of smoking and diabetes with periodontitis in a Korean population", J Periodontol, 83(11), pp.1397~1406 (2012)[DOI]
- Gurav AN, "The association of periodontitis and metabolic syndrome", Dent Res J, 11(1), pp.1~10 (2014)
- Thornton-Evans G, "Periodontitis among adults aged ≥30 years - United States, 2009-2010", MMWR Surveill Summ, 62(Suppl 3), pp.129~135 (2013)
- Holtfreter B, "Prevalence of periodontal disease and treatment demands based on a German dental survey (DMS IV)", J Clin Periodontol, 37(3), pp.211~219 (2010)[DOI]
- Han DH, "Smoking induced heavy metals and periodontitis: findings from the Korea National Health and Nutrition Examination Surveys 2008-2010", JOURNAL OF CLINICAL PERIODONTOLOGY, 40(9), pp.850~858 (2013), WILEY-BLACKWELL[DOI]
- Ponte E, "Diabetes mellitus and oral disease", Acta Diabetol, 38(2), pp.57~62 (2001)
- 백혜진, "우리나라 성인의 대사증후군과 치주질환의 관련성", 대한구강보건학회지, 34(3), pp.338~345 (2010), 대한예방치과·구강보건학회
- Kim EJ, "Periodontitis and obesity: a study of the Fourth Korean National Health and Nutrition Examination Survey", J Periodontol, 82(4), pp.533~542 (2011)[DOI]
- Beck J, "Periodontal disease and cardiovascular disease", J Periodontol, 67(10 Suppl), pp.1123~1137 (1996)
- Si Y, "Association between periodontitis and chronic obstructive pulmonary disease in a Chinese population", J Periodontol, 83(10), pp.1288~1296 (2012)
- Oztekin G, "The Association between Periodontal Disease and Chronic Obstructive Pulmonary Disease: A Case Control Study", COPD, 11(4), pp.424~430 (2014)[DOI]
- Kim HD, "Association between periodontitis and hemorrhagic stroke among Koreans: a case-control study", J Periodontol, 81(5), pp.658~665 (2010)[DOI]
- 강희은, "제2형 당뇨병 환자에서 구강관리 자기효능감과의 관련요인", 한국치위생학회지, 12(6), pp.1203~1211 (2012), 한국치위생학회
- 주온주, "당뇨환자의 구강건강행태가 치주질환 및 상실치 유무에 미치는 영향", 한국치위생학회지, 11(4), pp.511~522 (2011), 한국치위생학회
- "The Ministry of Health and Welfare: The Fifth Korean National Health and Nutrition Exanimation Survey, 2012"[URL]
- Campus G, "Diabetes and periodontal disease: a case-control study", J Periodontol, 76(3), pp.418~425 (2005)
- Al-Khabbaz AK, "Type 2 diabetes mellitus and periodontal disease severity", Oral Health Prev Dent, 12(1), pp.77~82 (2014)[DOI]
- Popławska-Kita A, "Association between type 1 diabetes and periodontal health", Adv Med Sci, 59(1), pp.126~131 (2014)[DOI]
- Ajita M, "Periodontal disease and type 1 diabetes mellitus: associations with glycemic control and complications: an Indian perspective", Diabetes Metab Syndr, 7(2), pp.61~63 (2013)[DOI]
- Mealey BL, "Diabetes mellitus and periodontal diseases", J Periodontol, 77(8), pp.1289~1303 (2006)
- Mealey B, "Diabetes and periodontal diseases", J Periodontol, 70(8), pp.935~949 (1999)
- Mealey BL, "Diabetes mellitus and periodontal disease", Periodontol, 44, pp.127~153 (2007)
- Mealey BL, "Hormonal influences: effects of diabetes mellitus and endogenous female sex steroid hormones on the periodontium", Periodontol, 32, pp.59~81 (2003)