Department of Preventive and Public Health Dentistry, School of Dentistry, Seoul National University, Seoul, Korea.
J Clin Periodontol. 2011 Sep;38(9):781-6. doi: 10.1111/j.1600-051X.2011.01756.x. Epub 2011 Jul 3.
The aim of this study was to examine whether metabolic syndrome (MS) is associated with periodontitis in a representative sample of Korean adults, who were involved in the Fourth Korea National Health and Nutrition Examination Survey (KNHANES).
A total of 7178 subjects over the age of 19 years who participated in KNHANES were examined. MS was defined as the definition proposed by the National Cholesterol Education Program Adult Treatment Panel III and the abdominal obesity cut-off line based on Korean Society for the Study of Obesity. The periodontal status was assessed by the Community Periodontal Index. Multivariate logistic regression analysis was carried out adjusting for the sociodemographics, oral health behaviours and status, and health behaviour. All analyses considered a complex sampling design, and multivariate analysis was also performed in the subgroups (age, gender, current smoking status).
Multivariate logistic regression analysis revealed significant associations between MS and periodontitis. After adjusting for all covariates, the adjusted odds ratio (OR) of periodontitis (community periodontal index ≥ 3) was 1.55 (1.32-1.83) for MS. In subgroup analysis, periodontitis is associated with MS in subjects over age 40 and the adjusted ORs were higher in females and in the smoker group than in males and in non-smokers.
MS is associated with periodontitis.
本研究旨在检查代谢综合征（MS）是否与韩国成年人代表性样本中的牙周炎有关，这些成年人参与了第四次韩国国家健康和营养检查调查（KNHANES）。
共检查了 7178 名年龄在 19 岁以上的参与 KNHANES 的受试者。MS 的定义采用国家胆固醇教育计划成人治疗专家组 III 的定义和基于韩国肥胖研究学会的腹部肥胖截断线。牙周状况由社区牙周指数评估。进行了多变量逻辑回归分析，调整了社会人口统计学、口腔健康行为和状况以及健康行为。所有分析均考虑了复杂的抽样设计，并在亚组（年龄、性别、当前吸烟状况）中进行了多变量分析。
多变量逻辑回归分析显示，MS 与牙周炎之间存在显著关联。在调整所有协变量后，牙周炎（社区牙周指数≥3）的调整后优势比（OR）为 1.55（1.32-1.83）。在亚组分析中，牙周炎与 40 岁以上人群中的 MS 相关，女性和吸烟者组的调整 OR 高于男性和不吸烟者组。
MS 与牙周炎有关。
