2型糖尿病作为韩国成年人龋齿的风险指标：2011 - 2012年韩国国家健康与营养检查调查
Type 2 diabetes as a risk indicator for dental caries in Korean adults: the 2011-2012 Korea national health and nutrition examination survey.
作者信息
Song I-S, Han K, Park Y-M, Ryu J-J, Park J-B
机构信息
Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital, Seoul, Republic of Korea.
Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
出版信息
Community Dent Health. 2017 Sep;34(3):169-175. doi: 10.1922/CDH_4113Song07.
OBJECTIVES
The associations between type 2 diabetes (T2D) and untreated dental caries was examined. This study hypothesized that there would be a positive association between T2D and the prevalence of decayed permanent teeth (DT) in representative Korean adults.
METHODS
The information was derived from the Korea National Health and Nutrition Examination Survey conducted in 2011-2012. Sociodemographic and lifestyle variables, anthropometric and biochemical status, metabolic health and glucose tolerance status, oral health behaviors, and dental caries index were evaluated.
RESULTS
The number of DT had a positive association with degree of fasting plasma glucose (FPG) level, and glycated hemoglobin (HbA1c) (p-value = 0.045 and 0.007, respectively). The levels of FPG and HbA1c increased with the number of DT (p for trend = 0.009 and 0.004, respectively). The prevalence of untreated caries uncontrolled T2D participants was about 26% higher than those with normal glucose tolerance levels after adjusting for potential confounders including diets and socioeconomic status (OR [95% CI] = 1.26 [1.02, 1.56]).
CONCLUSIONS
T2D is an independent risk indicator for untreated caries in Korean adults.
目的
研究2型糖尿病（T2D）与未经治疗的龋齿之间的关联。本研究假设，在具有代表性的韩国成年人中，T2D与恒牙龋坏（DT）患病率之间存在正相关。
方法
数据来源于2011 - 2012年韩国国家健康与营养检查调查。评估了社会人口统计学和生活方式变量、人体测量和生化状况、代谢健康和葡萄糖耐量状况、口腔健康行为以及龋齿指数。
结果
DT数量与空腹血糖（FPG）水平和糖化血红蛋白（HbA1c）呈正相关（p值分别为0.045和0.007）。FPG和HbA1c水平随DT数量增加而升高（趋势p值分别为0.009和0.004）。在调整包括饮食和社会经济地位等潜在混杂因素后，未经治疗龋齿的T2D患者患病率比糖耐量正常者高约26%（比值比[95%置信区间]=1.26[1.02, 1.56]）。
结论
T2D是韩国成年人未经治疗龋齿的独立风险指标。
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