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分析高尿酸血症与牙周炎的相关性:一项基于 KoGES HEXA 数据的横断面研究。

Analyzing the Association between Hyperuricemia and Periodontitis: A Cross-Sectional Study Using KoGES HEXA Data.

机构信息

Department of Oral & Maxillofacial Surgery, Dentistry, Hallym University College of Medicine, Anyang 14068, Korea.

Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Korea.

出版信息

Int J Environ Res Public Health. 2020 Jul 2;17(13):4777. doi: 10.3390/ijerph17134777.

Abstract

Hyperuricemia arises from the buildup of excessive uric acid in the blood, and it is implicated in the development of periodontitis. The objective of this study was to investigate the association between hyperuricemia and periodontitis using a cross-sectional study design and Korean Genome and Epidemiology Study Health Examinee (KoGES HEXA) data. This prospective cohort study used epidemiological data from the KoGES from 2004 to 2016. Among 173,209 participants, 8809 with hyperuricemia and 126,465 controls (non-hyperuricemia) were selected. This study defined hyperuricemia as >7.0 mg/dL of uric acid in men and >6.0 mg/dL in women. This study analyzed the history of periodontitis among hyperuricemia and control participants. Participants' age, gender, income, obesity, smoking, alcohol consumption, and nutritional intake were all examined. Chi-square tests, independent -tests, and two-tailed analyses were used for statistical analysis. The adjusted OR (aOR) of hyperuricemia for periodontitis was 0.89 (95% confidence interval (CI) = 0.81-0.96, = 0.005). This study demonstrated that hyperuricemia was associated with periodontitis. This finding meant that elevated uric acid levels could have a positive effect on periodontitis. However, further studies should be performed to determine the range of uric acid levels beneficial to periodontal health.

摘要

高尿酸血症是由于血液中尿酸过多而引起的,它与牙周炎的发生有关。本研究旨在通过横断面研究设计和韩国基因组与流行病学研究健康受检者(KoGES HEXA)数据来探讨高尿酸血症与牙周炎之间的关系。这项前瞻性队列研究使用了 KoGES 2004 年至 2016 年的流行病学数据。在 173209 名参与者中,选择了 8809 名高尿酸血症患者和 126465 名对照(非高尿酸血症)。本研究将高尿酸血症定义为男性尿酸>7.0mg/dL,女性>6.0mg/dL。本研究分析了高尿酸血症和对照组参与者的牙周炎病史。研究人员还检查了参与者的年龄、性别、收入、肥胖、吸烟、饮酒和营养摄入情况。采用卡方检验、独立 t 检验和双尾分析进行统计学分析。高尿酸血症与牙周炎的调整比值比(aOR)为 0.89(95%置信区间(CI)=0.81-0.96,P=0.005)。本研究表明,高尿酸血症与牙周炎有关。这一发现意味着尿酸水平升高可能对牙周炎有积极影响。然而,还需要进一步研究来确定对牙周健康有益的尿酸水平范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6913/7370102/06670cc9d10e/ijerph-17-04777-g001.jpg

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