睡眠质量与慢性牙周炎之间的关联：马来西亚人群的一项病例对照研究。
Association between quality of sleep and chronic periodontitis: A case-control study in Malaysian population.
作者信息
Singh Vijendra Pal, Gan Joe Yin, Liew Wei Ling, Kyaw Soe Htoo Htoo, Nettem Sowmya, Nettemu Sunil Kumar
机构信息
Department of Periodontology and Implantology, Faculty of Dentistry, Melaka Manipal Medical College, Manipal Academy of Higher Education, Melaka, Malaysia.
Klinik Pergigian, Tanglin, Wilayah Persekutuan, Kuala Lumpur, Malaysia.
出版信息
Dent Res J (Isfahan). 2019 Jan-Feb;16(1):29-35.
BACKGROUND
Periodontitis is a public health concern since it is a major factor in tooth loss worldwide and has association with many systemic diseases. Sleep is a complex and essentially biological process and a critical factor for maintaining mental and physical health. Since inflammation is characteristic of both chronic periodontitis and sleep deprivation, few studies in recent years present the contradictory results regarding this potential association. The objective of the present study was to investigate the association between quality of sleep and chronic periodontitis.
MATERIALS AND METHODS
A total of 200 individuals participated in this study. All participants underwent a comprehensive clinical periodontal examination. Case-control were identified using the Centers for Disease Control and Prevention/American Academy of Periodontology case definitions for periodontal disease. The quality of sleep was assessed by Pittsburgh Sleep Quality Index. The univariate and multivariate logistic regression analysis was used to test the influence of variables (quality of sleep, age, sex, ethnicity, education, and socioeconomic status), in the occurrence of periodontitis. Odds ratio (OR) and respective confidence intervals (CIs) were calculated and reported. P =0.05 was considered statistically significant.
RESULTS
The prevalence of poor quality of sleep was 56.75% in cases (periodontitis group) and 43.24% in control group. There was positive association between quality of sleep and chronic periodontitis (OR = 3.04; 95% CI = 1.42-6.5; = 0.004). In multivariate logistic regression analysis, only the age was significantly related to the periodontitis (OR = 1.11; 95% CI = 1.07-1.41; < 0.001), other variables failed to reach the significant level.
CONCLUSION
Poor quality of sleep was significantly associated with chronic periodontitis. Only the age was significantly related to periodontitis among the other covariable measured.
背景
牙周炎是一个公共卫生问题，因为它是全球牙齿脱落的主要因素，并且与许多全身性疾病有关。睡眠是一个复杂的基本生物过程，也是维持身心健康的关键因素。由于炎症是慢性牙周炎和睡眠剥夺的共同特征，近年来很少有研究就这种潜在关联给出相互矛盾的结果。本研究的目的是调查睡眠质量与慢性牙周炎之间的关联。
材料与方法
共有200人参与了本研究。所有参与者都接受了全面的临床牙周检查。根据疾病控制与预防中心/美国牙周病学会的牙周病病例定义确定病例对照。睡眠质量通过匹兹堡睡眠质量指数进行评估。采用单因素和多因素逻辑回归分析来检验变量（睡眠质量、年龄、性别、种族、教育程度和社会经济地位）对牙周炎发生的影响。计算并报告比值比（OR）和相应的置信区间（CI）。P = 0.05被认为具有统计学意义。
结果
病例组（牙周炎组）睡眠质量差的患病率为56.75%，对照组为43.24%。睡眠质量与慢性牙周炎之间存在正相关（OR = 3.04；95% CI = 1.42 - 6.5；P = 0.004）。在多因素逻辑回归分析中，只有年龄与牙周炎显著相关（OR = 1.11；95% CI = 1.07 - 1.41；P < 0.001），其他变量未达到显著水平。
结论
睡眠质量差与慢性牙周炎显著相关。在所测量的其他协变量中，只有年龄与牙周炎显著相关。
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