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한국 성인에서 성별에 따른 음주량 및 폭음과 치주염의 관련성: 2013∼2014 국민건강영양조사

Gender-Specific Association between Average Volume of Alcohol Consumption, Binge Drinking, and Periodontitis among Korean Adults: The Korea National Health and Nutrition Examination Survey, 2013∼2014

이영훈|형주희
한국치위생과학회 (The Korean Society of Dental Hygiene Science)|2016.10|치위생과학회지 (Journal of Dental Hygiene Science)|제16권 제5호|pp. 339-348

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Binge drinkingPeriodontitisAlcohol drinkingHealth surveys
주제분류치의학

초록

We investigated the gender-specific association between average volume of alcohol consumption, binge drinking, and periodontitis usingrepresentative nationwide data. In total, we included 3,549 men and 4,810 women, aged 19 years and older, who participated in the sixth KoreaNational Health and Nutrition Examination Survey performed in 2013∼2014. According to the average volume of alcohol consumption, studyparticipants were grouped as follows: mild drinkers (0.1∼2.0 drinks/day in men and 0.1∼1.0 drink/day in women), moderate drinkers (2.1∼4.0drinks/day in men and 1.1∼2.0 drinks/day in women), and heavy drinkers (＞4.0 drinks/day in men and ＞2.0 drinks/day in women). Additionally,binge drinking was categorized as never (no binge drinking), rarely (＜1 time/month), occasionally (1 time/month), frequently (1 time/week), andalways (almost every day/week). Periodontitis was defined as a community periodontal index equal to code 3 or greater. In men, after controllingfor covariates, the association between average volume of alcohol consumption and periodontitis showed a J-shaped curve; the risk of periodontitiswas significantly higher in moderate drinkers (odds ratio [OR], 1.25; 95% confidence interval [CI], 1.01∼1.56) and heavy drinkers (OR, 1.39; 95%CI, 1.04∼1.87) than in mild drinkers. In contrast, no significant association between average volume of alcohol consumption and periodontitis wasobserved in women. In a fully adjusted analysis, which used ‘never binge drinking’ as a reference, a significant dose-response relationship betweenbinge drinking and periodontitis was observed only in men: rarely (OR, 1.64; 95% CI, 1.16∼2.34), occasionally (OR, 1.51; 95% CI, 1.05∼2.16),frequently (OR, 1.58; 95% CI, 1.07∼2.33), and always (OR, 2.56; 95% CI, 1.56∼4.22) (p for trend=0.005). In conclusion, unhealthy drinkingpatterns such as moderate or heavy alcohol consumption and binge drinking were significantly associated with periodontitis in men but not inwomen.

Abstract

We investigated the gender-specific association between average volume of alcohol consumption, binge drinking, and periodontitis usingrepresentative nationwide data. In total, we included 3,549 men and 4,810 women, aged 19 years and older, who participated in the sixth KoreaNational Health and Nutrition Examination Survey performed in 2013∼2014. According to the average volume of alcohol consumption, studyparticipants were grouped as follows: mild drinkers (0.1∼2.0 drinks/day in men and 0.1∼1.0 drink/day in women), moderate drinkers (2.1∼4.0drinks/day in men and 1.1∼2.0 drinks/day in women), and heavy drinkers (＞4.0 drinks/day in men and ＞2.0 drinks/day in women). Additionally,binge drinking was categorized as never (no binge drinking), rarely (＜1 time/month), occasionally (1 time/month), frequently (1 time/week), andalways (almost every day/week). Periodontitis was defined as a community periodontal index equal to code 3 or greater. In men, after controllingfor covariates, the association between average volume of alcohol consumption and periodontitis showed a J-shaped curve; the risk of periodontitiswas significantly higher in moderate drinkers (odds ratio [OR], 1.25; 95% confidence interval [CI], 1.01∼1.56) and heavy drinkers (OR, 1.39; 95%CI, 1.04∼1.87) than in mild drinkers. In contrast, no significant association between average volume of alcohol consumption and periodontitis wasobserved in women. In a fully adjusted analysis, which used ‘never binge drinking’ as a reference, a significant dose-response relationship betweenbinge drinking and periodontitis was observed only in men: rarely (OR, 1.64; 95% CI, 1.16∼2.34), occasionally (OR, 1.51; 95% CI, 1.05∼2.16),frequently (OR, 1.58; 95% CI, 1.07∼2.33), and always (OR, 2.56; 95% CI, 1.56∼4.22) (p for trend=0.005). In conclusion, unhealthy drinkingpatterns such as moderate or heavy alcohol consumption and binge drinking were significantly associated with periodontitis in men but not inwomen.

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