Wee Jee Hye, Yoo Dae Myoung, Byun Soo Hwan, Lee Hyo-Jeong, Park Bumjung, Park Min Woo, Choi Hyo Geun
Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital.
Hallym Data Science Laboratory.
Medicine (Baltimore). 2020 Oct 23;99(43):e22967. doi: 10.1097/MD.0000000000022967.
Oral health can affect or be a manifestation of general health. Although oral health assessment has been used as a proxy for general health, few studies have reported an association between oral health status and allergic diseases. This cross-sectional study aimed to investigate the relationship between subjective oral health status and asthma/allergic rhinitis in a nationwide representative sample of Korean adults.A total of 227,977 participants from the Korean Community Health Survey 2015 were enrolled. Participants were asked about their subjective oral health status (very good, good, normal, poor, very poor), periodontal status (mobility, swelling, calculus, bleeding), teeth brushing frequency, and scaling history within the past 12 months. Histories of physician-diagnosed asthma and allergic rhinitis throughout life were surveyed. The associations between subjective oral health status and allergic diseases were analyzed using multiple logistic regression analysis. Age, sex, economic level, educational level, region of residence, smoking, alcohol, obesity, subjective general health status, stress level, physical activity, periodontal status, teeth brushing frequency, and scaling history within the past 12 months were adjusted as covariates.A higher prevalence of asthma (3.6%) was reported in the poor oral health group than in the good (1.8%) and normal (2.1%) groups (P < .001). Poor oral health status was significantly related to asthma, with an adjusted odds ratio (aOR) of 1.19 (95% CI = 1.07-1.33, P = .002). Although the prevalence of allergic rhinitis was not higher in the poor oral health group (13.4%) than in the good (15.4%) and normal oral health groups (15.9%), the aOR for allergic rhinitis was 1.05 (95% CI = 1.00-1.11, P = .045) in the poor oral health group after adjusting for covariates.Subjective poor oral health status was significantly associated with asthma and allergic rhinitis in Korean adults.
口腔健康会影响整体健康或反映整体健康状况。尽管口腔健康评估已被用作衡量整体健康的指标,但很少有研究报告口腔健康状况与过敏性疾病之间的关联。这项横断面研究旨在调查韩国成年人全国代表性样本中主观口腔健康状况与哮喘/过敏性鼻炎之间的关系。
共有2015年韩国社区健康调查的227,977名参与者入组。询问参与者他们的主观口腔健康状况(非常好、好、正常、差、非常差)、牙周状况(松动、肿胀、牙石、出血)、刷牙频率以及过去12个月内的洗牙史。调查一生中医生诊断的哮喘和过敏性鼻炎病史。使用多元逻辑回归分析来分析主观口腔健康状况与过敏性疾病之间的关联。将年龄、性别、经济水平、教育水平、居住地区、吸烟、饮酒、肥胖、主观整体健康状况、压力水平、身体活动、牙周状况、刷牙频率以及过去12个月内的洗牙史作为协变量进行调整。
口腔健康状况差的组中哮喘患病率(3.6%)高于口腔健康状况好的组(1.8%)和正常组(2.1%)(P<0.001)。口腔健康状况差与哮喘显著相关,调整后的优势比(aOR)为1.19(95%置信区间=1.07-1.33,P=0.002)。尽管口腔健康状况差的组中过敏性鼻炎患病率(13.4%)并不高于口腔健康状况好的组(15.4%)和口腔健康正常组(15.9%),但在调整协变量后,口腔健康状况差的组中过敏性鼻炎的aOR为1.05(95%置信区间=1.00-1.11,P=0.045)。
在韩国成年人中,主观口腔健康状况差与哮喘和过敏性鼻炎显著相关。