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评估免疫球蛋白 E 水平与天然牙数之间的关联。

Evaluation of the associations between immunoglobulin E levels and the number of natural teeth.

机构信息

Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Big Data Steering Department, National Health Insurance Service, Wonju, Republic of Korea.

出版信息

J Formos Med Assoc. 2018 Jul;117(7):605-612. doi: 10.1016/j.jfma.2017.08.001. Epub 2017 Aug 31.

DOI:10.1016/j.jfma.2017.08.001
PMID:28863873
Abstract

BACKGROUND/PURPOSE: The purpose of the study was to evaluate the association between the number of natural teeth and the total serum immunoglobulin E (IgE), allergen-specific IgE against Dermatophagoides farina, allergen-specific IgE against cockroaches, or allergen-specific IgE against dogs with nationally representative data using the Korean National Health and Nutrition Examination Survey (KNHANES).

METHODS

This study involved a cross-sectional analysis using KNHANES data from 2010. A total of 1916 participants were eligible for this study. Multiple regression analyses were used to evaluate the risk of tooth loss in relation to IgE levels. The model was adjusted for age, sex, body mass index, smoking habits, drinking habits, exercise habits, vitamin D levels, metabolic syndrome, allergic rhinitis, asthma, atopic dermatitis, and tooth-brushing frequency.

RESULTS

The number of natural teeth of the first quartile to the fourth quartile of total serum IgE were 25.9 ± 0.2, 25.9 ± 0.2, 25.1 ± 0.2, and 25.4 ± 0.2, respectively, showing an inverse association (P < 0.05). The number of natural teeth of the first quartile to the fourth quartile of allergen-specific IgE against Dermatophagoides farina and allergen-specific IgE against dogs farina both showed an inverse association with statistical significance (P < 0.05).

CONCLUSION

This study clearly showed the inverse association between total serum IgE and number of natural teeth after adjustments, especially regarding participants without systemic diseases, including diabetes mellitus, hypertension, metabolic diseases, and obesity.

摘要

背景/目的:本研究旨在使用韩国国家健康和营养检查调查(KNHANES)的全国代表性数据,评估天然牙数与总血清免疫球蛋白 E(IgE)、对尘螨的过敏原特异性 IgE、对蟑螂的过敏原特异性 IgE 或对狗的过敏原特异性 IgE 之间的关联。

方法

本研究采用 2010 年 KNHANES 数据进行横断面分析。共有 1916 名符合条件的参与者纳入本研究。采用多元回归分析评估与 IgE 水平相关的牙齿缺失风险。该模型调整了年龄、性别、体重指数、吸烟习惯、饮酒习惯、运动习惯、维生素 D 水平、代谢综合征、过敏性鼻炎、哮喘、特应性皮炎和刷牙频率。

结果

总血清 IgE 的第一四分位数到第四四分位数的天然牙数分别为 25.9±0.2、25.9±0.2、25.1±0.2 和 25.4±0.2,呈负相关(P<0.05)。对尘螨的过敏原特异性 IgE 和对狗的过敏原特异性 IgE 的第一四分位数到第四四分位数的天然牙数均呈负相关,具有统计学意义(P<0.05)。

结论

本研究在调整后明确显示了总血清 IgE 与天然牙数之间的负相关,特别是对于没有系统性疾病(包括糖尿病、高血压、代谢疾病和肥胖症)的参与者。

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