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绝经后女性代谢综合征与剩余牙齿数量之间的关联:基于韩国国民健康与营养检查调查的横断面分析

Association between Metabolic Syndrome and the Number of Remaining Teeth in Postmenopausal Women: A Cross-Sectional Analysis Using the Korean National Health and Nutritional Examination Survey.

作者信息

Kim Jeong-In, Choi Choong-Ho, Chung Ki-Ho

机构信息

Department of Preventive & Public Health Dentistry, Chonnam National University, Gwangju 61186, Korea.

Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju 61186, Korea.

出版信息

J Clin Med. 2021 Oct 17;10(20):4759. doi: 10.3390/jcm10204759.

Abstract

There are very few studies on metabolic syndrome (MetS) and oral health in postmenopausal women. The purpose of this cross-sectional study was to determine the association between MetS and its components and the number of remaining teeth in postmenopausal women in Korea. The study selected 3320 menopausal women (40-79 years old) from those who participated in the seventh Korea National Health and Nutrition Survey (2016-2018). Multiple regression and multiple logistic regression analyses were performed to determine the association between MetS and its components and the number of remaining teeth. According to the multiple regression analysis, the regression coefficient () values were -1.62 ( < 0.05), -1.31 ( < 0.05), -1.60 ( < 0.05), and -2.28 ( < 0.05) in the hypertension group, hyperglycemia group, low high-density lipoprotein (HDL) cholesterol group, and MetS prevalence group, respectively. This indicates that the number of remaining teeth was lower in the MetS prevalence group as compared to the non-prevalence groups. As observed in the multiple logistic regression analysis, the odds ratio of the number of remaining teeth (less than 20) was higher in the MetS prevalence group (1.82 ( < 0.05)) as compared to the non-prevalence groups (1.25 ( < 0.05) in the abdominal obesity group, 1.50 ( < 0.05) in the hypertension group, 1.36 ( <0.05) in the hyperglycemia group, and 1.72 ( < 0.05) in the low HDL cholesterol group). Therefore, our results indicate that abdominal obesity, hypertension, diabetes, dyslipidemia, and prevalence of MetS are associated with tooth loss in postmenopausal women.

摘要

关于绝经后女性代谢综合征(MetS)与口腔健康的研究非常少。这项横断面研究的目的是确定韩国绝经后女性中代谢综合征及其组成成分与剩余牙齿数量之间的关联。该研究从参与第七次韩国国家健康与营养调查(2016 - 2018年)的人群中选取了3320名绝经女性(40 - 79岁)。进行了多元回归和多元逻辑回归分析,以确定代谢综合征及其组成成分与剩余牙齿数量之间的关联。根据多元回归分析,高血压组、高血糖组、低高密度脂蛋白(HDL)胆固醇组和代谢综合征患病率组的回归系数()值分别为 -1.62(<0.05)、-1.31(<0.05)、-1.60(<0.05)和 -2.28(<0.05)。这表明与非患病率组相比,代谢综合征患病率组的剩余牙齿数量更少。如多元逻辑回归分析所示,与非患病率组相比,代谢综合征患病率组中剩余牙齿数量(少于20颗)的优势比更高(1.82(<0.05)),非患病率组中腹部肥胖组为1.25(<0.05)、高血压组为1.50(<0.05)、高血糖组为1.36(<0.05)、低HDL胆固醇组为1.72(<0.05)。因此,我们的结果表明腹部肥胖、高血压、糖尿病、血脂异常以及代谢综合征的患病率与绝经后女性的牙齿脱落有关。

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