一项针对日本在职成年人的队列研究：工作场所牙齿健康计划对血糖控制的影响
The impact of a workplace dental-health program on glycemic control in Japanese working adults: a cohort study.
作者信息
Kitamura Takumi, Shimazaki Yoshihiro, Hashimoto Hiroko, Ito Manabu, Fukumori Tetsuya, Inamoto Yoshinori, Okuno Yutaka, Maruyama Akemi
机构信息
Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, 1-100 Kusumoto-cho, Chikusa-ku, Nagoya, 464-8650, Japan.
Mie Dental Association, Tsu, 514-0003, Japan.
出版信息
BMC Oral Health. 2025 Apr 30;25(1):670. doi: 10.1186/s12903-025-06039-6.
BACKGROUND
This study implemented a workplace dental-health program to encourage those at risk of diabetes to visit a dentist, and examined factors associated with changes in glycemic control.
METHODS
The participants included 342 people aged 40-64 years old with an A1c value of 5.6% or higher, and those with diabetes, prediabetes, or needing to exercise caution with regard to diabetes. Participants underwent a dental checkup at a dental clinic in 2018, after which their diabetes status was followed for 3 years. Multivariate multinomial logistic regression analysis was performed to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) for the effect of each independent variable on the 3-year change in the A1c value (decrease, stable, or increase).
RESULTS
Having a greater number of teeth was associated with a significantly lower OR for an increased A1c value (decrease ≥ 0.3%) (OR, 0.88; 95% CI, 0.79-0.97). Visiting a dentist regularly was associated with a significantly higher OR for a decreased A1c value (increase ≥ 0.3%) (OR, 4.20; 95% CI, 1.45-12.2).
CONCLUSION
Among working adults, those who visited a dentist regularly had better A1c values, and those with a greater number of teeth were less likely to experience worsening of A1c values.
背景
本研究实施了一项职场口腔健康计划，以鼓励有糖尿病风险的人去看牙医，并研究与血糖控制变化相关的因素。
方法
参与者包括342名年龄在40 - 64岁、糖化血红蛋白（A1c）值为5.6%或更高的人，以及患有糖尿病、糖尿病前期或需要对糖尿病保持谨慎的人。参与者于2018年在一家牙科诊所进行了口腔检查，之后对他们的糖尿病状况进行了3年的跟踪。进行多变量多项逻辑回归分析，以计算每个自变量对A1c值3年变化（降低、稳定或升高）的影响的比值比（OR）和95%置信区间（CI）。
结果
牙齿数量较多与A1c值升高（降低≥0.3%）的OR显著降低相关（OR，0.88；95% CI，0.79 - 0.97）。定期看牙医与A1c值降低（升高≥0.3%）的OR显著升高相关（OR，4.20；95% CI，1.45 - 12.2）。
结论
在职成年人中，定期看牙医的人A1c值更好，牙齿数量较多的人A1c值恶化的可能性较小。
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