Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary.
J Clin Periodontol. 2022 Jun;49(6):562-572. doi: 10.1111/jcpe.13622. Epub 2022 Apr 15.
This study aimed to examine the association between metabolic syndrome (MetS), its components, and periodontitis among Indonesian adults.
Cross-sectional data from the 2018 Indonesia National Health Survey (Riskesdas) was analysed. The sample included dentate individuals aged 35 years or older for whom complete information was available on components of MetS and periodontitis, including bleeding on probing (BOP) (N = 13,356), pocket depth (PD) (N = 13,273), and clinical attachment loss (CAL) (N = 13,000). Rate ratios (RRs) and 95% confidence intervals (CIs) were estimated with negative binomial regression models.
The prevalence of MetS was 41.0%. The prevalence of individuals having at least one tooth with BOP, one tooth with PD ≥4 mm, or one sextant with CAL ≥4 mm was 74.9%, 40.7%, and 40.6%, respectively. No associations were observed between MetS and BOP, PD, or CAL, but hyperglycaemia was constantly positively associated with BOP (RR = 1.06; 95% CI 1.01-1.11), PD (RR = 1.13; 95% CI 1.03-1.23), and CAL (RR = 1.15; 95% CI 1.08-1.23).
Our findings support the potential influence of hyperglycaemia on periodontitis. Incorporating oral disease prevention strategies into the management of systemic diseases could be beneficial for reducing the burden of these diseases in Indonesia.
本研究旨在探讨代谢综合征(MetS)及其各组分与印度尼西亚成年人牙周炎之间的关系。
对 2018 年印度尼西亚国家健康调查(Riskesdas)的横断面数据进行分析。该样本包括 35 岁或以上有完整 MetS 各组分和牙周炎信息的有牙个体,包括探诊出血(BOP)(N=13356)、牙周袋深度(PD)(N=13273)和临床附着丧失(CAL)(N=13000)。使用负二项回归模型估计率比(RR)和 95%置信区间(CI)。
MetS 的患病率为 41.0%。至少有一颗牙探诊出血、一颗牙 PD≥4mm 或一个象限 CAL≥4mm 的个体患病率分别为 74.9%、40.7%和 40.6%。MetS 与 BOP、PD 或 CAL 之间均无关联,但高血糖与 BOP(RR=1.06;95%CI 1.01-1.11)、PD(RR=1.13;95%CI 1.03-1.23)和 CAL(RR=1.15;95%CI 1.08-1.23)始终呈正相关。
我们的研究结果支持高血糖可能对牙周炎有影响。将口腔疾病预防策略纳入系统性疾病的管理中,可能有助于减轻这些疾病在印度尼西亚的负担。