Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지
DOI QR코드

DOI QR Code

Association between Systemic Health Conditions and Self-Reported Oral Health in Korean Elderly

한국노인의 전신건강상태와 주관적 구강건강 관련성

  • Choi, Eun Sil (BK21 PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University) ;
  • Lyu, Jiyoung (National Institute of Dementia) ;
  • Patton, Lauren L. (Department of Dental Ecology, School of Dentistry, University of North Carolina) ;
  • Kim, Hae-Young (BK21 PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University)
  • 최은실 (고려대학교 대학원 보건과학과 BK21+인간생명-사회환경 상호작용 융합사업단) ;
  • 유지영 (중앙치매센터) ;
  • ;
  • 김혜영 (고려대학교 대학원 보건과학과 BK21+인간생명-사회환경 상호작용 융합사업단)
  • Received : 2016.11.11
  • Accepted : 2017.01.10
  • Published : 2017.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65~98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08~2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.

Keywords

References

  1. Statistical Report on the Aged: National health and nutrition survey Korea, 2013. Retrieved August 25, 2016, from http://www.kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=252623(2011, December 7).
  2. Rowe JW, Kahn RL: Human aging: usual and successful. Science 237: 143-149, 1987. https://doi.org/10.1126/science.3299702
  3. Dennison C, Prasad M, Lloyd A, Bhattacharyya SK, Dhawan R, Coyne K: The health-related quality of life and economic burden of constipation. Pharmacoeconomics 23: 461-476, 2005. https://doi.org/10.2165/00019053-200523050-00006
  4. Grundy SM: Hypertriglyceridemia, insulin resistance, and the metabolic syndrome. Am J Cardiol 83: 25F-29F, 1999.
  5. Kuo LC, Polson AM, Kang T: Associations between periodontal diseases and systemic diseases: a review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Public Health 122: 417-433, 2008. https://doi.org/10.1016/j.puhe.2007.07.004
  6. Jung JO: Effects of metabolic syndrome on periodontal diseases in Korean adults. J Dent Hyg Sci 12: 245-252, 2012.
  7. Kang HJ: A study on periodontal disease and tooth loss in metabolic syndrome patient. J Dent Hyg Sci 15: 445-456, 2015. https://doi.org/10.17135/jdhs.2015.15.4.445
  8. Kong YM, Han GS: Relationships between obesity types and periodontitis according to characteristics of subjects. J Dent Hyg Sci 12: 279-286, 2012.
  9. Khader Y, Khassawneh B, Obeidat B, et al.: Periodontal status of patients with metabolic syndrome compared to those without metabolic syndrome. J Periodontol 79: 2048-2053, 2008. https://doi.org/10.1902/jop.2008.080022
  10. Andriankaja OM, Sreenivasa S, Dunford R, DeNardin E: Association between metabolic syndrome and periodontal disease. Aust Dent J 55: 252-259, 2010. https://doi.org/10.1111/j.1834-7819.2010.01231.x
  11. Han DH, Lim S, Paek D, Kim HD: Periodontitis could be related factors on metabolic syndrome among Koreans: a case-control study. J Clin Periodontol 39: 30-37, 2012. https://doi.org/10.1111/j.1600-051X.2011.01806.x
  12. Kwon YE, Ha JE, Paik DI, Jin BH, Bae KH: The relationship between periodontitis and metabolic syndrome among a Korean nationally representative sample of adults. J Clin Periodontol 38: 781-786, 2011. https://doi.org/10.1111/j.1600-051X.2011.01756.x
  13. Lee PH, McGrath CP, Kong AY, Lam TH: Self-report poor oral health and chronic diseases: the Hong Kong family project. Community Dent Oral Epidemiol 41: 451-458, 2013.
  14. Holmlund A, Hulthe J, Lind L: Tooth loss is related to the presence of metabolic syndrome and inflammation in elderly subjects: a prospective study of the vasculature in Uppsala seniors (PIVUS). Oral Health Prev Dent 5: 125-130, 2007.
  15. Elsig F, Schimmel M, Duvernay E, et al.: Tooth loss, chewing efficiency and cognitive impairment in geriatric patients. Gerodontology 32: 149-156, 2015. https://doi.org/10.1111/ger.12079
  16. Iwasaki M, Sato M, Minagawa K, Manz MC, Yoshihara A, Miyazaki H: Longitudinal relationship between metabolic syndrome and periodontal disease among Japanese adults aged ${\geq}$70 years: the Niigata Study. J Periodontol 86: 491-498, 2015. https://doi.org/10.1902/jop.2015.140398
  17. Nesbitt MJ, Reynolds MA, Shiau H, Choe K, Simonsick EM, Ferrucci L: Association of periodontitis and metabolic syndrome in the Baltimore longitudinal study of aging. Aging Clin Exp Res 22: 238-242, 2010. https://doi.org/10.1007/BF03324802
  18. Lee KS, Kim EK, Kim JW, et al.: The relationship between metabolic conditions and prevalence of periodontal disease in rural Korean elderly. Arch Gerontol Geriatr 58: 125-129, 2014. https://doi.org/10.1016/j.archger.2013.08.011
  19. Morita T, Yamazaki Y, Mita A, et al.: A cohort study on the association between periodontal disease and the development of metabolic syndrome. J Periodontol 81: 512-519, 2010. https://doi.org/10.1902/jop.2010.090594
  20. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M: Defining comorbidity: implications for understanding health and health services. Ann Fam Med 7: 357-363, 2009. https://doi.org/10.1370/afm.983
  21. Kritchevsky SB, Cesari M, Pahor M: Inflammatory markers and cardiovascular health in older adults. Cardiovasc Res 66: 265-275, 2005. https://doi.org/10.1016/j.cardiores.2004.12.026
  22. Kim HY, Patton LL, Park YD: Assessment of predictors of global self-ratings of oral health among Korean adults aged 18-95 years. J Public Health Dent 70: 241-244, 2010. https://doi.org/10.1111/j.1752-7325.2009.00160.x
  23. Kim HY, Patton LL: Intra-category determinants of global self-rating of oral health among the elderly. Community Dent Oral Epidemiol 38: 68-76, 2010. https://doi.org/10.1111/j.1600-0528.2009.00513.x
  24. Douglass CW, Berlin J, Tennstedt S: The validity of self-reported oral health status in the elderly. J Public Health Dent 51: 220-222, 1991. https://doi.org/10.1111/j.1752-7325.1991.tb02218.x
  25. Reisine ST, Bailit HL: Clinical oral health status and adult perceptions of oral health. Soc Sci Med Med Psychol Med Sociol 14A: 597-605, 1980.
  26. Beck JD, Slade GD: Epidemiology of periodontal diseases. Curr Opin Periodontol 3: 3-9, 1996.
  27. Linden GJ, Lyons A, Scannapieco FA: Periodontal systemic associations: review of the evidence. J Clin Periodontol 40 Suppl 14: S8-S19, 2013. https://doi.org/10.1111/jcpe.12064
  28. Korean Ministry of Health and Welfare: National Health and Nutrition Examination 2010-2012. Retrieved August 25, 2016, from https://knhanes.cdc.go.kr/knhanes/index.do (2015, February 24).
  29. Garcia RI, Henshaw MM, Krall EA: Relationship between periodontal disease and systemic health. Periodontol 2000 25: 21-36, 2001. https://doi.org/10.1034/j.1600-0757.2001.22250103.x
  30. Watanabe K, Cho YD: Periodontal disease and metabolic syndrome: a qualitative critical review of their association. Arch Oral Biol 59: 855-870, 2014. https://doi.org/10.1016/j.archoralbio.2014.05.003
  31. Heft MW, Gilbert GH, Shelton BJ, Duncan RP: Relationship of dental status, sociodemographic status, and oral symptoms to perceived need for dental care. Community Dent Oral Epidemiol 31: 351-360, 2003. https://doi.org/10.1034/j.1600-0528.2003.00014.x
  32. Locker D, Clarke M, Payne B: Self-perceived oral health status, psychological well-being, and life satisfaction in an older adult population. J Dent Res 79: 970-975, 2000. https://doi.org/10.1177/00220345000790041301

Cited by

  1. Relevance between oral health life practices and oral discomforts in elderly school participants in W urban-rural complex city vol.10, pp.6, 2017, https://doi.org/10.15207/jkcs.2019.10.6.049