Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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A convergence study on the association between obesity and periodontitis in Korean adults aged 30-79

30-79세 한국 성인의 비만과 치주염의 관계에 대한 융합연구

  • Han, Su-Jin (Department of Dental Hygiene, College of Health Science, Gachon University)
  • Received : 2020.05.03
  • Accepted : 2020.06.20
  • Published : 2020.06.28
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Abstract

The aim of this study was to confirm the association between obesity and periodontitis in adults and identify the convergence relationship between periodontal disease and health-related behavior at each stage of obesity among 10,058 adults aged 30-79 years from the 7th National Health and Nutrition Survey data. We performed chi-square tests and multivariate logistic regression analyses, adjusting for demographic characteristics and health status. We found that the higher the obesity stage, the higher the risk of periodontitis. Smoking, not using oral care products, and not attending dental check-ups were associated with periodontitis. In addition, we found a difference in influence factors according to the stage of obesity. Increase in obesity stage is a negative influence on the prevalence of periodontitis. Hence, an oral health program should be applied to the obesity management process.

본 연구는 성인의 비만과 치주염 사이의 연관성을 확인하고, 비만의 각 단계에서 치주질환과 건강행동의 융합적 관계를 확인하는 것이었다. 국민건강영양조사 제7기 원시자료를 활용하여 30-79세 성인 10,056명을 추출하였으며, 가중치를 적용한 복합표본설계를 반영하여 카이제곱 검증과 다변량 로지스틱 회귀분석을 수행하였으며, 인구사회학적 특성과 건강상태로 보정하였다. 비만단계가 높아질수록 치주염 위험이 증가되는 것을 확인하였다. 흡연과 구강관리용품 사용, 구강검진 비수검이 치주염과 유의한 관련이 있었으며, 비만의 단계에 따라 영향요인에 차이가 있는 것을 확인하였다. 비만 단계의 증가는 치주염 유병에 부정적인 영향을 미친다. 따라서 구강건강프로그램은 비만관리 과정에 적용되어야 한다.

Keywords

References

  1. M. E. Hoque, M. Mannan, K. Z Long & A. Al Mamun. (2016). Economic burden of underweight and overweight among adults in the Asia-Pacific region: a systematic review. Tropical Medicine and International Health, 21(4), 458-469. DOI : 10.1111/tmi.12679
  2. C. M. Apovian. (2016) Obesity: definition, comorbidities, causes, and burden. American Journal of Managed Care, 22(7 Suppl), s176-185.
  3. M. Ng et al. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 384(9945), 766-781. DOI : 10.1016/s0140-6736(14)60460-8
  4. C. J. Moon et al. (2017). 2017 White paper on Obesity. Wonju: National Health Insurance Service.
  5. The Government of the Republic of Korea. (2018). Comprehensive measures for national obesity management (2018-2022). Seoul.
  6. World Health Organization. (2000). Obesity: preventing and managing the global epidemic. Geneva : World Health Organization.
  7. N. Wood, R. B. Johnson & C. F. Streckfus. (2003). Comparison of body composition and periodontal disease using nutritional assessment techniques: third national health and nutrition examination survey (NHANES III). Journal of Clinical Periodontology, 30(4), 321-327. DOI : 10.1034/j.1600-051x.2003.00353.x
  8. R. J. Genco, S. G. Grossi, A. Ho, F. Nishimura & Y. Murayama. (2005). A proposed model linking inflammation to obesity, diabetes, and periodontal infections. Journal of Periodontology, 76 Suppl 11S, 2075-2084. DOI : 10.1902/jop.2005.76.11-S.2075
  9. I Rawal et al. (2019). Association between poor oral health and diabetes among Indian adult population: potential for integration with NCDs. BMC Oral Health 19(1), 191. DOI : 10.1186/s12903-019-0884-4
  10. E. J. Kim, B. H. Jin & K. H. Bae. (2011). Periodontitis and obesity: a study of the fourth Korean national health and nutrition examination survey. Journal of Periodontology, 82(4), 533-542. DOI : 10.1902/jop.2010.100274
  11. S. K. Kim. (2016). Relationship between obesity and periodontal diseases in adults. Journal of Korean Society of Dental Hygiene, 16(6), 815-824. https://doi.org/10.13065/jksdh.2016.16.06.815
  12. Y. H. Lee & J. O. Choi. (2017). Convergence of relationship between obesity and periodontal disease in adults. Journal of the Korea Convergence Society, 8(11), 215-222. DOI : 10.15207/JKCS.2017.8.11.215
  13. M. Schatzle, H. Loe, N. P. Lang, W. Burgin, A. Anerud & H. Boysen. (2004). The clinical course of chronic periodontitis. Journal of Clinical Periodontol ogy, 31(12), 1122-1127. DOI : 10.1111/j.1600-051X.2004.00634.x
  14. N. J. Kassebaum, E. Bernabe, M. Dahiya, B. Bhandari, C. J. Murray & W. Marcenes. (2014). Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. Journal of dental research, 93(11), 1045-1053. DOI : 10.1177/0022034514552491
  15. N. J. Kassebaum et al. (2017). Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. Journal of dental research, 96(4), 380-387. DOI : 10.1177/0022034517693566
  16. Health Insurance Review & Assessment Service. (2020). Outpatient disease statistics. Healthcare Bigdata Hub [Online]. https://opendata.hira.or.kr/home.do
  17. K. C. Oswal. (2010). A common risk approach for oral health promotion and prevention. Indian Journal of Dental Research, 21(2), 157. DOI : 10.4103/0970-9290.66623
  18. M. A. Nazir. (2017). Prevalence of periodontal disease, its association with systemic diseases and prevention. International journal of health sciences, 11(2), 72-80.
  19. Y. M. Komg & K. S. Han. (2012). Relationships between obesity types and periodontitis according to characteristics of subjects. Journal of Dental Hygiene Science, 12(3), 279-286.
  20. M. H. Seo et al. (2019). 2018 Korean society for the study of obesity guideline for the management of obesity in Korea. Journal of Obesity & Metabolic Syndrome, 28(1), 40-45. DOI : 10.7570/jomes.2019.28.1.40
  21. World Health Organization. Regional Office for the Western, Pacific. (2000). The Asia-pacific perspective : redefining obesity and its treatment. Sydney : Health Communications Australia.
  22. Y. S. Yoon & S. W. Oh. (2017). Recent shift of body mass index distribution in korea: a population-based Korea national health insurance database, 2002-2013. Journal of Korean Medical Science, 32(3), 434-438. DOI : 10.3346/jkms.2017.32.3.434
  23. Korea Centers for Disease Control and Prevention. (2020). The seventh Korea national health and nutrition examination survey (KNHANES VII). Cheongju : Korea Centers for Disease Control and Prevention.
  24. World Health Organization. (1997). Oral health surveys: basic methods, 4edn. Geneva : World Health Organization.
  25. World Health Organization. (2010). Global recommen dations on physical activity for health. Geneva: World Health Organization.
  26. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. (2020). Guidelines of the seventh Korea national health and nutrition examination survey VII (2016-2018). Cheongju : Korea Centers for Disease Control and Prevention.
  27. S. Y. Lee et al. (2006). Cut-off points of waist circumference for defining abdominal obesity in the Korean population. The Korean journal of obesity, 15(1), 1-9.
  28. M. H. Seo et al. (2018). Prevalence of obesity and incidence of obesity-related comorbidities in koreans based on National Health Insurance Service Health Checkup Data 2006-2015. Journal of Obesity & Metabolic Syndrome, 27(1), 46-52. DOI : 10.7570/jomes.2018.27.1.46
  29. I. L. Chapple et al. (2015). Primary prevention of periodontitis: managing gingivitis. Journal of clinical periodontology, 42 Suppl 16, S71-76. DOI : 10.1111/jcpe.12366.
  30. S. Kumar, J. Tadakamadla & N. W. Johnson. (2016). Effect of toothbrushing frequency on incidence and increment of dental caries: a systematic review and meta-analysis. Journal of dental research, 95(11), 1230-1236. DOI : 10.1177/0022034516655315
  31. T. Poklepovic et al. (2013). Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults. The Cochrane database of systematic reviews, (12), Cd009857. DOI : 10.1002/14651858.CD009857.pub2.
  32. D. Sambunjak et al. (2011). Flossing for the management of periodontal diseases and dental caries in adults. The Cochrane database of systematic reviews, (12), Cd008829. DOI : 10.1002/14651858.CD008829.pub2.
  33. D. Bourgeois, I. Saliasi, J. C. Llodra, M. Bravo, S. Viennot & F. Carrouel. (2016). Efficacy of interdental calibrated brushes on bleeding reduction in adults: a 3-month randomized controlled clinical trial. European Journal of Oral Sciences, 124(6), 566-571. DOI : 10.1111/eos.12302
  34. M. S. Al-Zahrani, N. F. Bissada & E. A. Borawskit. (2003). Obesity and periodontal disease in young, middle-aged, and older adults. Journal of Periodon tology, 74(5), 610-615. DOI : 10.1902/jop.2003.74.5.610
  35. G. C. Armitage & P. Xenoudi. (2016). Post- treatment supportive care for the natural dentition and dental implants. Periodontology 2000, 71(1), 164-184. DOI : 10.1111/prd.12122.
  36. S. Yun & C. J. Suh. (2016). The effects of the scaling health insurance coverage expansion policy on the use of dental services among patients with gingivitis and periodontal diseases. The Korean Journal of Health Economics and Policy, 22(2), 143-162.
  37. Y. M. Heo et al. (2015). Affecting factors on national health insurance coverage dental scaling experience. Journal of Dental Hygiene Science, 15(3), 287-294. DOI : 10.17135/jdhs.2015.15.3.287
  38. I. S. Park. (2017). A study on the change of dental scaling experience in some areas after applying scaling insurance. Journal of Digital Convergence, 15(10), 387-397. DOI : 10.14400/JDC.2017.15.10.387
  39. J. R. Lee, M. A. Han, J. Park, S. Y. Ryu, C. G. Lee & S. E. Moon. (2017). The associated factors with scaling experience among some workers in small and medium-sized companies. Journal of Dental Hygiene Science, 17(4), 333-340. DOI : 10.17135/jdhs.2017.17.4.333