DOI QR코드

DOI QR Code

The relationship between sleep duration and the number of remaining teeth among the elderly using data from the Korean National Health and Nutrition Examination Survey (KNHANES)

노인의 수면시간과 현존치아 수와의 관련성 : 제6기 국민건강영양조사 자료를 이용하여

  • Kim, Nam-Suk (Department of Biomedical Health Science, Graduate School, Dongeui University) ;
  • Yoon, Jung-Won (Department of Biomedical Health Science, Graduate School, Dongeui University) ;
  • Lee, Jung-Hwa (Department of Dental Hygiene, Dongeui University)
  • 김남숙 (동의대학교 일반대학원 보건의과학과) ;
  • 윤정원 (동의대학교 일반대학원 보건의과학과) ;
  • 이정화 (동의대학교 치위생학과)
  • Received : 2019.08.30
  • Accepted : 2019.09.30
  • Published : 2019.10.30

Abstract

Objectives: To analyze the association between sleep duration and the number of remaining teeth in people aged 65 years or older in order to provide basic data for improving sleep quality and developing oral health programs for teeth maintenance. Methods: The raw data for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (KNHANES) dataset, conducted between 2013 and 2015. The 4,340 subjects included in the study underwent oral examinations and then proceeded to answer related questions. The collected data were analyzed using SPSS (ver 23.0) program via composite samples, with the calculations for mean, standard deviation, chi-square test, and logistic return analysis being performed. Results: An analysis of the effect of sleep duration on the number of remaining teeth among people aged >65 years old showed that if the confounding variables were not corrected for, the risk of having less than 9 hours of sleep was 1.40 times higher (95% CI: 1.06-1.86). However, this was not statistically significant in models that corrected for gender, age, and other confounding variables (p>0.05). Conclusions: The association between sleep duration among the elderly with their number of remaining teeth was confirmed. Therefore, measures to improve sleep quality and oral care practices to maintain the remaining teeth in people over 65 years old should be developed.

Keywords

References

  1. Min KJ, Hwang JS. A study on the effect of the daily activities on the quality of life for the aged. KJGSW 2007;36:221-46.
  2. Hong SH, Kim SY. Effects of sleep promoting program on sleep and immune response in elderly. J Korean Adult Nurs 2009;21(2):167-78.
  3. Kim YH, Lee JH. Relevance of periodontal disease according to presence of cognitive stress, sleeping hours, and subjective oral-health status of adults. KJOHSM 2017;11(4):169-78. https://doi.org/10.12811/kshsm.2017.11.4.169
  4. Driscoll HC, Serody L, Patrick S, Maurer J, Bensasi S, Houck PR, et al. Sleeping well, aging well: a descriptive and cross-sectional study of sleep in "successful agers" 75 and older. Am J Geriatr Psychiatry 2008;16(1):74-82. https://doi.org/10.1097/JGP.0b013e3181557b69
  5. Jeon SN, Song HJ. The relationship between EQ-5D and optimal sleep duration among community dwelling elderly. Korean Public Health Research 2017;43(1):13-22. https://doi.org/10.22900/KPHR.2017.43.1.002
  6. Do KY, Lee ES. Relationship between sleep duration and periodontitis in Korean adult women: data from Korea national health and nutrition examination survey 2014. J Dent Hyg Sci 2017;17(4):298-305. https://doi.org/10.17135/jdhs.2017.17.4.298
  7. Majde JA, Krueger JM. Links between the innate immune system and sleep. J Allergy Clin Immunol Pract 2005;116(6):1188-98. https://doi.org/10.1016/j.jaci.2005.08.005
  8. Kim MY, Ha SJ, Jun SS. The relationship among life habits, health status and sleep time of the elderly. KJOHSM 2014;8(1):41-50. https://doi.org/10.12811/kshsm.2014.8.1.041
  9. Shin EY. Relationships between health status, physical activity level, health related quality of life and sleep duration in the elderly. Korean Public Health Research 2016;42(3):53-65. https://doi.org/10.22900/KPHR.2016.42.3.006
  10. Kim MY, Lee EJ. Rest-activity rhythm and sleep pattern in the elderly. J Korean Biol Nurs Sci 2011;13(3):211-9.
  11. Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Opler MG, et al. Sleep duration associated with mortality in elderly, but not middle-aged, adults in a large US sample. Sleep 2008;31(8):1087-96.
  12. Lee DH, Lee YH. Association between sleep duration, dental caries, and periodontitis in Korean adults: the Korea national health and nutrition examination survey, 2013-2014. J Dent Hyg Sci 2017;17(1):38-45. https://doi.org/10.17135/jdhs.2017.17.1.38
  13. Nakada T, Kato T, Numabe Y. Effects of fatigue from sleep deprivation on experimental periodontitis in rats. J Periodont Res 2015;50(1):131-7. https://doi.org/10.1111/jre.12189
  14. Foreman MD, Wykle M. Nursing standard-of-practice protocol: sleep disturbances in elderly patients. Geriatr Nurs 1995;16(5):238-43. https://doi.org/10.1016/S0197-4572(05)80173-9
  15. Jike M, Itani O, Watanabe N, Buysse DJ, Kaneita Y. Long sleep duration and health outcomes: a systematic review, meta-analysis and meta-regression. Sleep Med Rev 2018;39:25-36. https://doi.org/10.1016/j.smrv.2017.06.011
  16. Cho MJ, Kim HK, Oh NR. Influence of the number of remaining teeth of on sleep time and stress of adults older than 40 years. J Digit Converg 2016;14(7):225-32. https://doi.org/10.14400/JDC.2016.14.7.225
  17. Kim SY. Factors related to sleep duration in Korean adults. JKDIS 2018;29(1):153-65. https://doi.org/10.7465/jkdi.2018.29.1.153
  18. Kim HN, Kim KR, Kim JB. The association between number of present teeth and oral function in Korean adults aged 55-84 years. J Dent Hyg Sci 2015;15(3):340-7. https://doi.org/10.17135/jdhs.2015.15.3.340
  19. Jang SH, Choi MH. Evaluation of the qualite of life related to oral health among elderly people in some elderly care facilities by OHIP-14. J Korean Soc Dent Hyg 2011;11(4):475-87.
  20. Koong HS, Song EJ, Hwang SJ, Jang HR, Jeon DH, Jeon MJ, et al. The happiness index by the number of teeth of senior citizens residing in dong-gu in Daejeon. J Digit Converg 2013;11(10):661-7. https://doi.org/10.14400/JDPM.2013.11.10.661
  21. Lee YS, Tak YR. Sleep disorders among community-dwelling elders and their physical, psychological, and functional health. J Korean Gerontol Nurs 2013;15(2):120-30.
  22. Magee CA, Caputi P, Iverson DC. Relationships between self-rated health, quality of life and sleep duration in middle aged and elderly Australians. Sleep Med 2011;12(4):346-50. https://doi.org/10.1016/j.sleep.2010.09.013
  23. Yang SJ, Kim JS. Factors affecting the quality of sleep among community dwelling elders. J Korean Gerontol Nurs 2010;12(2):108-18.
  24. Cho YY. Relationship between the number of remaining teeth and bone health status among the elderly in Korea. J Korean Soc Dent Hyg 2018;18(2):205-15. https://doi.org/10.13065/jksdh.2018.18.02.205
  25. Lim HJ, Lee EK. Factors influencing the number of remaining natural teeth in elderly people visiting dental care services. J Korean Soc Dent Hyg 2013;13(4):693-700. http://doi.org/10.13065/iksdh.2013.13.4.693
  26. Kim NH, Hwang SJ, Choi JA, Mun SJ, Chung WG. Quartile present teeth related socioeconomic status and oral health behaviors among Korean elderly. J Korean Acad Oral Health 2009;33(2):254-66.
  27. Kim SY, Lee JK, Lee YH, Chun KH. Differences between middle-aged and older people in association between income level and remaining teeth. J Korean Acad Oral Health 2016;40(1):9-16. https://doi.org/10.11149/jkaoh.2016.40.1.9
  28. Yu GS, Park HS. Comparison of health status between senior people living alone and those who live with their families. J Korean Geront Soc 2003;23(4):163-79.
  29. Dahl KE, Calogiuri G, Jonsson B. Perceived oral health and its association with symptoms of psychological distress, oral status and socio-demographic characteristics among elderly in Norway. BMC Oral Health 2018;18(1):93. https://doi.org/10.1186/s12903-018-0556-9
  30. Koyama S, Aida J, Cable N, Tsuboya T, Matsuyama Y, Sato Y, et al. Sleep duration and remaining teeth among older people. Sleep Med 2018;52:18-22. https://doi.org/10.1016/j.sleep.2018.07.020