Faculty of Sport Sciences, University of Murcia, Murcia, Spain.
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, CB1 1PT, UK.
Br Dent J. 2020 Mar;228(5):361-365. doi: 10.1038/s41415-020-1306-3.
Background The aim of this study was to assess the association between levels of physical activity and oral health in adults residing in Spain.Methods Cross-sectional data from the Spanish National Health Survey 2017 were analysed (n = 17,777 adults aged ≥15 years; 52.0% females). The International Physical Activity Questionnaire (IPAQ) short form was used to measure physical activity. Oral health was self-reported through eight variables. Covariates included were sex, age, marital status, education, obesity, smoking and alcohol consumption.Results Dental caries (19.8% vs 27.8%), dental extraction (72.7% vs 75.4%), gingival bleeding (15.5% vs 19.1%), tooth movement (4.3% vs 5.9%) and missing tooth (57.9% vs 62.5%) were statistically significantly less frequent in the sufficient than insufficient physical activity group, whereas dental filling (74.2% vs 70.9%), dental material (36.6% vs 34.8%) and no missing tooth and no material (28.2% vs 25.1%) were statistically significantly more common. After adjustment, there was a negative relationship between physical activity and dental caries (OR = 0.72; 95%CI = 0.66-0.78), gingival bleeding (OR = 0.79; 95%CI = 0.72-0.86), tooth movement (OR = 0.83; 95%CI = 0.71-0.96) and missing tooth (OR = 0.91; 95%CI = 0.85-0.98). In contrast, physical activity was positively associated with dental material (OR = 1.16; 95%CI = 1.07-1.25).Conclusions Participation in physical activity is favourably associated with some but not all self-reported oral health correlates.
本研究旨在评估西班牙成年人的身体活动水平与口腔健康之间的关联。
分析了 2017 年西班牙国家健康调查的横断面数据（n=17777 名年龄≥15 岁的成年人；女性占 52.0%）。采用国际体力活动问卷（IPAQ）短表测量身体活动。口腔健康状况通过 8 个变量进行自我报告。纳入的协变量包括性别、年龄、婚姻状况、教育程度、肥胖、吸烟和饮酒。
与身体活动不足组相比，充足身体活动组的龋齿（19.8%比 27.8%）、拔牙（72.7%比 75.4%）、牙龈出血（15.5%比 19.1%）、牙齿松动（4.3%比 5.9%）和缺牙（57.9%比 62.5%）的发生率明显较低，而补牙（74.2%比 70.9%）、镶牙（36.6%比 34.8%）和无缺牙且无镶牙（28.2%比 25.1%）的发生率明显较高。调整后，身体活动与龋齿（OR=0.72；95%CI=0.66-0.78）、牙龈出血（OR=0.79；95%CI=0.72-0.86）、牙齿松动（OR=0.83；95%CI=0.71-0.96）和缺牙（OR=0.91；95%CI=0.85-0.98）呈负相关，而与镶牙（OR=1.16；95%CI=1.07-1.25）呈正相关。
参与身体活动与部分但非所有自我报告的口腔健康指标呈正相关。
