DOI QR코드

DOI QR Code

Relationship between body mass index(BMI) and periodontal disease in Korean adult: The fifth Korea National Health and Nutrition Examination Survey(KNHANES V-1)

한국 성인의 체질량지수와 치주질환의 관련성: 제5기 1차년도 국민건강영양조사

Lee, Min-Kyung;Jin, Hye-Jung
이민경;진혜정

  • Received : 2015.01.29
  • Accepted : 2015.12.11
  • Published : 2015.12.30

Abstract

Objectives: The purpose of the study is to investigate the relationship between body mass index(BMI) and periodontal disease in Korean adult from the data of the fifth Korea National Health and Nutrition Examination Survey(KNHANES). Methods: The subjects were 3,309 adults from 25 ro 45 years old in the fifth KNHANES. The subjects were divided into three BMI categories: normal weight 1,549(BMI ${\leq}22.9kg/m^2$), overweight 792(BMI $23.0-25.0kg/m^2$) and obesity 968(BMI ${\geq}25.0kg/m^2$). Periodontal disease was assessed by community periodontal index(CPI) and periodontitis was defined as ${\geq}$ code 3. Results: Increased BMI adults had no significantly higher prevalence of periodontitis than those having normal body weight after adjusting for variables; the odds ratio(OR) was 1.06 in overweight and 1.23 in obesity. BMI and periodontitis had no significant relation to increased age, but the age increase tended to have high odds ratio. Women had a higher OR than men. Conclusions: Through this study, it is necessary to analyze the relationship between the obesity index and periodontitis in the further study.

Keywords

body mass index(BMI);Korean adults;periodontal disease

References

  1. WHO Expert Consultation. Appropriate body-mass index for asian populations and its implications for policy and intervention strategies. Lancet 2014; 10: 157-63.
  2. Saxlin T, Ylostalo P, Suominen-Taipale L, Mannisto S, Knuuttila M. Association between periodontal infection and obesity: results of the Health 2000 Survey. J Clin Periodontol 2011; 38: 236-42. http://dx.doi:10.1111/j.1600-051X.2010.01677. https://doi.org/10.1111/j.1600-051X.2010.01677.x
  3. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006; 14(6): 801-9. http://dx.doi.org/10.1503/cmaj.051351. https://doi.org/10.1503/cmaj.051351
  4. Saito T, Simazaki Y, Sakamoto M. Obesity and periodontitis. N Engl J Med 1998; 13(7): 482-3. http://dx.doi.org/10.1056/nejm199808133390717. https://doi.org/10.1056/nejm199808133390717
  5. Nishimura F, Murayama Y. Periodontal inflammation and insulin resistance -lessons from obesity. J Dent Res 2001; 80(8): 1690-4. http://dx.doi.org/10.1177/00220345010800080201. https://doi.org/10.1177/00220345010800080201
  6. Wood N, Johnson RB, Streckfus CF. Comparison of body composition and periodontal disease using nutritional assessment techniques: Third National Health and Nutrition Examination Survey(NHANES III). J Clin Periodontol 2003; 30(4): 321-7. http://dx.doi.org/10.1034/j.1600-051x.2003.00353. https://doi.org/10.1034/j.1600-051X.2003.00353.x
  7. Ylostalo P, Taiale LS, Reunanen A, Knuuttila M. Association between body weight and periodontal infection. J Clin Periodontol 2008; 35: 297-304. http://dx.doi: 10.1111/j.1600-051X.2008.01203. https://doi.org/10.1111/j.1600-051X.2008.01203.x
  8. Lee YK, Park JR. The relationship of obesity and periodontal disease by age. J Korean Soc Dent Hyg 2013; 13(6): 1015-21. http://dx.doi.org/10.13065/jksdh.2013.13.06.1015. https://doi.org/10.13065/jksdh.2013.13.06.1015
  9. An SY, Park SY. Relationship between BMI, oral health behavior and perceived oral symptoms among child care teachers. J Korean Soc Dent Hyg 2013; 13(5): 769-76. http://dx.doi.org/10.13065/jksdh.2013.13.05.769. https://doi.org/10.13065/jksdh.2013.13.05.769
  10. Han JH, Hwang JM. The relationship between BMI and health and oral health promotion behavior of highschool. J Korean Soc Dent Hyg 2010; 10(1): 141-56.
  11. Korea Centers for Disease Control and Prevention. The fifth Korea national health and nutrition examination survey(KNHANES V-1), 2011. Seoul: Korea Centers for Disease Control and Prevention; 2012: 3-6.
  12. Kim HJ, Kim CH. Usefulness and validation of cutoff points of body mass index for overweight and obesity in Korean adults. KSME 2014; 16(1): 131-40.
  13. World Health Organization. Oral health survey: basic methods. 4th ed. Geneva: World Health Organization; 1997: 34-9.
  14. Yu Ok, Cha Ys. A Comparative study on dietary life according to the obesity assessment methods of higher grade elementary school students in Jeonju. Korean J Human Ecology 2006; 9(4): 83-93.
  15. Korea Centers for Disease Control and Prevention. [Internet]. [cited 2014 Nov 28]. Available from: http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp?cid=60602&menuId s=HOME001-MNU1130-MNU1639-MNU1640-MNU1645.
  16. Haenle MM, Brockmann SO, Kron M, Bertling U, Mason RA, Steinbach G, et al. Overweight, physical activity, tobacco and alcohol consumption in a cross-sectional random sample of German adults. BMC Public Health 2006; 18(6): 233. http://dx.doi:10.1186/1471-2458-6-233. https://doi.org/10.1186/1471-2458-6-233
  17. Khader YS, Bawadi HA, Haroun TF, Alomari M, Tayyem RF. The association between periodontal disease and obesity among adults in Jordan. J Clin Periodontol 2009; 36(1): 18-24. http://dx.doi: 10.1111/j.1600-051X.2008.01345. https://doi.org/10.1111/j.1600-051X.2008.01345.x
  18. Al-Zahrani MS, Bissada NF, Borawskit EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol 2003; 74(5): 610-5. http://dx.doi.org/10.1902/jop.2003.74.5.610. https://doi.org/10.1902/jop.2003.74.5.610
  19. Torrungruang K, Tamsailom S, Rojanasomsith K, Sutdhibhisal S, Nisapakultorn K, Vanichjakvong O, et al. Risk indicators of periodontal disease in older Thai adults. J Periodontol 2005; 76(4): 558-65. http://dx.doi.org/10.1902/jop.2005.76.4.558. https://doi.org/10.1902/jop.2005.76.4.558
  20. Han DH, Lim SY, Sun BC, Paek EM, Kim HD. Visceral fat area-defined obesity and periodontitis among Koreans. J Clin Periodontol 2010; 37(2): 172-9. http://dx.doi:10.1111/j.1600-051X.2009.01515. https://doi.org/10.1111/j.1600-051X.2009.01515.x
  21. D'Aiuto F, Sabbah W, Netuveli G, Donos N, Hingorani AD, Deanfield J, et al. Association of the metabolic syndrome with severe periodontitis in a large U.S. population-based survey. J Clin Endocrinol Metab 2008; 93(10): 3989-94. http://dx.doi: 10.1210/jc.2007-2522. https://doi.org/10.1210/jc.2007-2522
  22. Morita I, Okamoto Y, Yoshii S, Nakagaki H, Mizuno K, Sheiham A, et al. Five-year incidence of periodontal disease is related to body mass index. J Dent Res 2011; 90(2): 199-202. http://dx.doi: 10.1177/0022034510382548. https://doi.org/10.1177/0022034510382548
  23. Reeves GK, Pirie K, Beral V, Green J, Spencer E, Bull D. Cancer incidence and mortality in relation to body mass index in the Million Women Study: cohort study. BMJ 2007; 335(7630): 1134. http://dx.doi.org/10.1136/bmj. 39367.495995. https://doi.org/10.1136/bmj.39367.495995.AE
  24. Saito T, Shimazaki Y, Koga T, Tsuzuki M, Ohshima A. Relationship between upper body obesity and periodontitis. J Dent Res 2001; 80(7): 1631-6. http://dx.doi.org/10.1177/00220345010800070701. https://doi.org/10.1177/00220345010800070701

Cited by

  1. Health and oral health factors related to hypertension in Korean elderly: analysis of data from the fifth Korea national health and nutrition examination survey(KNHANES 2014) vol.16, pp.5, 2016, https://doi.org/10.13065/jksdh.2016.16.05.709