中国北方中老年人群刷牙行为与心血管代谢性多重慢病的关系：一项横断面研究。
Association between toothbrushing behavior and cardiometabolic multimorbidity among middle aged and older adults in North China: a cross-section study.
机构信息
Department of Scientific Research and Teaching, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, 100074, China.
China Center for Health Development Studies, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China.
出版信息
BMC Oral Health. 2024 Nov 1;24(1):1333. doi: 10.1186/s12903-024-05112-w.
OBJECTIVES
To evaluate the association between toothbrushing behavior and cardiometabolic multimorbidity (CMM) among middle-aged and older adults.
METHODS
Data from the Beijing Health Service Survey were used to estimate the association between toothbrushing behavior and the risk of CMM using multilevel logistic models (N = 18,158).
RESULTS
There were 554 patients with CMM, with a prevalence of 3.05%. We found a higher risk of CMM for those with toothbrushing once or less (OR = 2.16, 95%CI: 1.80, 2.59) compared with those brushed two or more times per day in the crude model. After adjusting for confounding factors, the association between the two remained significant (OR = 1.68, 95%CI: 1.39, 2.04). The effect size was higher in adults with a higher education level (OR = 2.32) compared to those with a lower education level (OR = 1.39, P <0.01).
CONCLUSIONS
Poor toothbrushing practices were associated with CMM among middle-aged and older people. Longitudinal study can be considered to explore the causal association between the two and whether good toothbrushing habits can predict CMM and its progression.
目的
评估中老年人刷牙行为与心血管代谢性多种疾病（CMM）的关联。
方法
使用北京卫生服务调查的数据，采用多层次逻辑回归模型（N=18158）估计刷牙行为与 CMM 风险之间的关联。
结果
共发现 554 例 CMM 患者，患病率为 3.05%。与每天刷牙两次或以上的人相比，每天刷牙一次或以下的人患 CMM 的风险更高（OR=2.16，95%CI：1.80，2.59）。在调整了混杂因素后，两者之间的关联仍然显著（OR=1.68，95%CI：1.39，2.04）。与受教育程度较低的成年人（OR=1.39）相比，受教育程度较高的成年人的关联强度更大（OR=2.32，P<0.01）。
结论
较差的刷牙习惯与中老年人的 CMM 有关。可以考虑进行纵向研究来探讨两者之间的因果关系，以及良好的刷牙习惯是否可以预测 CMM 及其进展。
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