牙周健康与中风之间的关联：2013 - 2015年韩国国民健康与营养检查调查（KNHANES）的结果
Association between Periodontal Health and Stroke: Results from the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHANES).
作者信息
Cho Min-Jeong, Kim Young-Seok, Park Eun Young, Kim Eun-Kyong
机构信息
Department of Dental Hygiene, College of Science & Technology, Kyungpook National University, Sangju, South Korea.
Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, South Korea.
出版信息
J Dent Sci. 2021 Jan;16(1):268-274. doi: 10.1016/j.jds.2020.05.006. Epub 2020 May 29.
BACKGROUND/PURPOSE: As the population ages, the prevalence of stroke increases, and as such there has been increasing interest in the risk factors associated with stroke. Although an association between periodontitis and stroke has been suggested, there has been no study of this association among the Korean population. Therefore, we investigated the association between periodontal health and stroke among Korean adults.
MATERIALS AND METHODS
A total of 9497 adults aged ≥40 years representing the Korean population were included in this cross-sectional study from the Korea National Health and Nutrition Examination Survey (KNHANES) VI (2013-2015). Periodontitis was diagnosed by dentists based on the Community Periodontal Index (CPI). Also, participants filled out a questionnaire regarding their experience of doctor-diagnosed stroke. Hypertension, diabetes, body mass index (BMI), and oral hygiene behavior covariates were adjusted in logistic regression analysis.
RESULTS
The mean age of the study population was 55.71 ± 0.17 years and 52.7% of them were female. Also, 248 people had a history of having a stroke. Results of the logistic regression analysis after adjusting for age and sex showed a significant relationship between oral health behavior, periodontal health, and stroke even after adjusting for age, sex, education, household income, national health insurance, employment status, alcohol, smoking, diabetes, hypertension, BMI, and oral health behaviors (odds ratio [OR], 1.71; 95% confidence interval [CI] = 1.03-2.85).
CONCLUSION
Our findings suggest that periodontitis is associated with stroke in Korean adults.
背景/目的：随着人口老龄化，中风的患病率增加，因此人们对与中风相关的风险因素越来越感兴趣。尽管已有研究表明牙周炎与中风之间存在关联，但韩国人群中尚未有关于此关联的研究。因此，我们调查了韩国成年人牙周健康与中风之间的关联。
材料与方法
本横断面研究纳入了来自韩国国家健康与营养检查调查（KNHANES）VI（2013 - 2015年）的9497名年龄≥40岁的韩国成年人。牙医根据社区牙周指数（CPI）诊断牙周炎。此外，参与者填写了一份关于医生诊断中风经历的问卷。在逻辑回归分析中对高血压、糖尿病、体重指数（BMI）和口腔卫生行为协变量进行了调整。
结果
研究人群的平均年龄为55.71±0.17岁，其中52.7%为女性。此外，248人有中风病史。在调整年龄和性别后的逻辑回归分析结果显示，即使在调整了年龄、性别、教育程度、家庭收入、国民健康保险、就业状况、饮酒、吸烟、糖尿病、高血压、BMI和口腔卫生行为后，口腔健康行为、牙周健康与中风之间仍存在显著关联（优势比[OR]，1.71；95%置信区间[CI]=1.03 - 2.85）。
结论
我们的研究结果表明，牙周炎与韩国成年人的中风有关。
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