30-79세 한국 성인의 비만과 치주염의 관계에 대한 융합연구
A convergence study on the association between obesity and periodontitis in Korean adults aged 30-79
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초록
본 연구는 성인의 비만과 치주염 사이의 연관성을 확인하고, 비만의 각 단계에서 치주질환과 건강행동의 융합적 관계를 확인하는 것이었다. 국민건강영양조사 제7기 원시자료를 활용하여 30-79세 성인 10,056명을 추출하였으며, 가중치를 적용한 복합표본설계를 반영하여 카이제곱 검증과 다변량 로지스틱 회귀분석을 수행하였으며, 인구사회학적 특성과 건강상태로 보정하였다. 비만단계가 높아질수록 치주염 위험이 증가되는 것을 확인하였다. 흡연과 구강관리용품 사용, 구강검진 비수검이 치주염과 유의한 관련이 있었으며, 비만의 단계에 따라 영향요인에 차이가 있는 것을 확인하였다. 비만 단계의 증가는 치주염 유병에 부정적인 영향을 미친다. 따라서 구강건강프로그램은 비만관리 과정에 적용되어야 한다.
Abstract
The aim of this study was to confirm the association between obesity and periodontitis in adults and identify the convergence relationship between periodontal disease and health-related behavior at each stage of obesity among 10,058 adults aged 30-79 years from the 7th National Health and Nutrition Survey data. We performed chi-square tests and multivariate logistic regression analyses, adjusting for demographic characteristics and health status. We found that the higher the obesity stage, the higher the risk of periodontitis. Smoking, not using oral care products, and not attending dental check-ups were associated with periodontitis. In addition, we found a difference in influence factors according to the stage of obesity. Increase in obesity stage is a negative influence on the prevalence of periodontitis. Hence, an oral health program should be applied to the obesity management process.
참고문헌 (39)
- Mohammad Enamul Hoque, "Economic burden of underweight and overweight among adults in the Asia-Pacific region: a systematic review", Tropical Medicine & International Health, 21(4), pp.458~469 (2016), Wiley[DOI]
- C. M. Apovian., "Obesity : definition, comorbidities, causes, and burden", American Journal of Managed Care, 22(7 Suppl), pp.s176~s185 (2016)
- Marie Ng, "Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013", The Lancet, 384(9945), pp.766~781 (2014), Elsevier BV[DOI]
- C. J. Moon, "2017 White paper on Obesity" (2017), National Health Insurance Service
- Comprehensive measures for national obesity management(2018-2022), "The Government of the Republic of Korea", ~ (2018)
- Obesity : preventing and managing the global epidemic, "World Health Organization", World Health Organization, ~ (2000)
- Nelson Wood, "Comparison of body composition and periodontal disease using nutritional assessment techniques: Third National Health and Nutrition Examination Survey (NHANES III)", Journal of Clinical Periodontology, 30(4), pp.321~327 (2003), Wiley[DOI]
- Robert J. Genco, "A Proposed Model Linking Inflammation to Obesity, Diabetes, and Periodontal Infections", Journal of Periodontology, 76(11-s), pp.2075~2084 (2005), Wiley[DOI]
- Ishita Rawal, "Association between poor oral health and diabetes among Indian adult population: potential for integration with NCDs", BMC Oral Health, 19(1) (2019), Springer Science and Business Media LLC[DOI]
- Eun-Jin Kim, "Periodontitis and Obesity: A Study of the Fourth Korean National Health and Nutrition Examination Survey", Journal of Periodontology, 82(4), pp.533~542 (2011), Wiley[DOI]
- 김수경, "성인의 비만과 치주질환의 관련성", 한국치위생학회지, 16(6), pp.815~824 (2016), 한국치위생학회[DOI]
- 이유희, "성인의 비만과 치주질환과의 융합적 관계", 한국융합학회논문지, 8(11), pp.215~222 (2017), 한국융합학회[DOI]
- Marc Schatzle, "The clinical course of chronic periodontitis. IV. Gingival inflammation as a risk factor in tooth mortality", Journal of Clinical Periodontology, 31(12), pp.1122~1127 (2004), Wiley[DOI]
- N.J. Kassebaum, "Global Burden of Severe Periodontitis in 1990-2010", Journal of Dental Research, 93(11), pp.1045~1053 (2014), SAGE Publications[DOI]
- N.J. Kassebaum, "Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990–2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors", Journal of Dental Research, 96(4), pp.380~387 (2017), SAGE Publications[DOI]
- "Outpatient disease statistics" (2020)[URL]
- KunalC Oswal, "A common risk approach for oral health promotion and prevention", Indian Journal of Dental Research, 21(2), pp.157~ (2010), Medknow[DOI]
- M. A. Nazir., "Prevalence of periodontal disease, its association with systemic diseases and prevention", International journal of health sciences, 11(2), pp.72~80 (2017)
- 공영미, "대상자 특성에 따른 비만유형과 치주질환의 관련성", 치위생과학회지, 12(3), pp.279~286 (2012), 한국치위생과학회[DOI]
- 서미혜, "2018 Korean Society for the Study of Obesity Guideline for the Management of Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 28(1), pp.40~45 (2019), 대한비만학회[DOI]
- The Asia-pacific perspective : redefining obesity and its treatment, "World Health Organization. Regional Office for the Western, Pacific", Health Communications Australia, ~ (2000)
- 윤영숙, "Recent Shift of Body Mass Index Distribution in Korea: a Population-based Korea National Health Insurance Database, 2002–2013", Journal of Korean Medical Science, 32(3), pp.434~438 (2017), 대한의학회
- The seventh Korea national health and nutrition examination survey(KNHANES Ⅶ), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2020)
- Oral health surveys : basic methods, "World Health Organization", World Health Organization, ~ (1997)
- Global recommen dations on physical activity for health, "World Health Organization", World Health Organization, ~ (2010)
- Guidelines of the seventh Korea national health and nutrition examination survey Ⅶ(2016-2018), "Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2020)
- S. Y. Lee, "Cut-off points of waist circumference for defining abdominal obesity in the Korean population", The Korean journal of obesity, 15(1), pp.1~9 (2006)
- 서미혜, "Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015", Journal of Obesity & Metabolic Syndrome, 27(1), pp.46~52 (2018), 대한비만학회
- Iain L. C. Chapple, "Primary prevention of periodontitis: managing gingivitis", Journal of Clinical Periodontology, 42, pp.S71~S76 (2015), Wiley[DOI]
- S. Kumar, "Effect of Toothbrushing Frequency on Incidence and Increment of Dental Caries", Journal of Dental Research, 95(11), pp.1230~1236 (2016), SAGE Publications[DOI]
- Tina Poklepovic, "Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults", Cochrane Database of Systematic Reviews (2013), Wiley[DOI]
- Dario Sambunjak, "Flossing for the management of periodontal diseases and dental caries in adults", Cochrane Database of Systematic Reviews (2011), Wiley[DOI]
- Denis Bourgeois, "Efficacy of interdental calibrated brushes on bleeding reduction in adults: a 3-month randomized controlled clinical trial", European Journal of Oral Sciences, 124(6), pp.566~571 (2016), Wiley[DOI]
- Mohammad S. Al-Zahrani, "Obesity and Periodontal Disease in Young, Middle-Aged, and Older Adults", Journal of Periodontology, 74(5), pp.610~615 (2003), Wiley[DOI]
- Gary C. Armitage, "Post-treatment supportive care for the natural dentition and dental implants", Periodontology 2000, 71(1), pp.164~184 (2016), Wiley[DOI]
- 윤서형, "치석제거 건강보험 급여확대 정책이 치은염 및 치주질환환자의 치과의료이용행태에 미친 영향", 보건경제와 정책연구, 22(2), pp.143~162 (2016), 한국보건경제정책학회
- 허윤민, "건강보험 치석제거 수진에 영향을 미치는 요인", 치위생과학회지, 15(3), pp.287~294 (2015), 한국치위생과학회
- 박일순, "스케일링 보험적용에 따른 일부지역의 스케일링 경험 변화 연구", 디지털융복합연구, 15(10), pp.387~397 (2017), 한국디지털정책학회[DOI]
- 이재라, "중소 사업장 근로자의 치석제거 경험 관련요인", 치위생과학회지, 17(4), pp.333~340 (2017), 한국치위생과학회[DOI]
