Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Influence of Lifestyle-Related Diseases on the Oral Health of the Rural Elderly in Korea

일부 농촌지역 60세 이상 노인의 생활습관병이 구강건강에 미치는 영향

  • Park, Jung-Hye (Department of Health, Graduate School, Yeungnam University) ;
  • Lee, Hee-Kyung (Department of Preventive Medicine Yeungnam University) ;
  • Lee, Kyeong-Soo (Department of Preventive Medicine & Public Health, College of Medicine, Yeungnam University) ;
  • Jang, Eun-Jin (Department of Health, Graduate School, Yeungnam University)
  • 박정혜 (영남대학교 대학원) ;
  • 이희경 (영남대학교 의과대학 치과학교실) ;
  • 이경수 (영남대학교 의과대학 예방의학교실) ;
  • 장은진 (영남대학교 대학원)
  • Received : 2010.04.16
  • Accepted : 2010.07.26
  • Published : 2010.09.30
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Abstract

Objectives: The purpose of this study was to analyze the influence of four lifestyle-related diseases, diabetes, hypertension, obesity and hypercholesterolemia, on oral health in the rural elderly in Korea. Methods: We enrolled 399 subjects over 60 years of age over a six year period, year 2000-2006/ year 2001-2007. All subjects received a routine health examination as part of a program conducted by the National Health Insurance Corporation at Seongju-gun Public Health Center in Gyeongsangbuk-do Province, South Korea. All subjects were surveyed and examined to determine their general and oral health statuses. Results: Our results suggest that the duration of lifestyle-related diseases has a significant influence on oral health. The following factors were all significant in the results of analyses: duration of diabetes, tooth decay, which teeth had decayed, missing and filled teeth(DMFT), duration of hypertension, and duration of obesity and hypercholesterolemia(p<0.05). Our results also suggest that the number of lifestyle related diseases has a significant influence on oral health. Subjects with more than two diseases had significantly greater numbers of missing teeth and greater numbers of DMFT(p<0.01). The results of simple regression analysis indicate that patients exhibiting longer durations of diabetes also exhibit more tooth decay, and that patients exhibiting longer durations of hypertension and obesity are characterized by greater numbers of missing teeth. The longer the duration of any of the four lifestyle-related diseases we considered, the more DMFT we observed. Multiple regression analyses also demonstrated that longer duration of lifestyle-related disease was associated with greater numbers of missing teeth. As the number of lifestyle-related diseases increased, DMFT also increased. Conclusions: In summary, lifestyle-related diseases such as diabetes, hypertension, obesity and hypercholesterolemia have significant influences on oral health in the elderly. In this context, the prevention and management of lifestyle-related disease is critical for the maintenance and promotion of oral health.

당뇨병, 고혈압, 비만, 고콜레스테롤혈증이 노인의 구강건강상태에 미치는 영향을 파악하고 구강질환의 예방 및 치료의 기초자료를 마련하고자 2006년과 2007년에 성주군에 소재한 보건소에서 시행하는 건강검진을 받은 만 60세 이상의 노인을 대상으로 설문조사와 구강검사를 실시하고 이 대상자 중 2000년과 2001년에 조사되어 6년간 추적 관찰된 399명을 대상으로 분석하였다. 당뇨병, 고혈압, 비만과 고콜레스테롤혈증 유병기간에 따라서 당뇨병은 우식치아 수와 우식경험 영구치아 수, 고혈압은 결손치아 수와 우식경험 영구치아 수, 비만과 고콜레스테롤혈증은 결손치아수와 우식경험영구치아 수가 증가하는 것으로 나타났고 (p<0.05), 두 가지 이상 질병 보유군에서 결손치아 수와 우식경험영구치아 수가 유의하게 많은 것으로 나타났다(p<0.01). 단순회귀분석 결과 당뇨병의 유병기간이 길수록 우식치아 수가 증가하고, 고혈압과 비만의 유병기간이 길수록 결손치아 수가 증가하는 것으로 나타났으며, 4가지 질병의 유병기간이 길수록 우식경험영구치아 수도 증가하는 것으로 나타났다. 다변량 회귀분석 결과 각 질병의 유병기간이 길수록 결손치아 수가 증가하는 것으로 나타났고, 당뇨병, 고혈압, 비만 등 각 질병의 유병기간이 길수록 그리고 보유질병 수가 많을수록 우식경험 영구치아 수가 증가하는 것으로 나타났다. 이와 같이 당뇨병, 고혈압, 비만, 고콜레스테롤 혈증 환자가 구강질환 발생위험이 상당히 높게 나타났다. 따라서 이들 생활습관병의 예방 및 관리는 구강건강상태에 크게 기여할 것이다.

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References

  1. Jorm AF, Korten AE, JAcomb PA. Projected increases in the number of dimentia case for 29 developed countries: Application of a new method for making projection. Acta Psch Scann 1988;79(4):493-500 https://doi.org/10.1111/j.1600-0447.1988.tb06372.x
  2. Shirai K, shinomiya M, Satio Y, Umezono T, Takahashi K, YOshida S. Incidence of childhood obesity over the last 10 years in Japan. Diabetes Res Clin Pract 1990;10:s65-s70 https://doi.org/10.1016/0168-8227(90)90142-G
  3. 보건복지부. 2008 국민건강통계 - 국민건강영양조사 제4기 2차년도, 2008
  4. 보건복지부. 국민구강건강실태조사. 서울, 보건복지부, 2006, 쪽26-32
  5. Slavkin HC, Baum BJ. Relationship of dental and pathology to systemic illness. JAMA 2000;284(10):1215-1217 https://doi.org/10.1001/jama.284.10.1215
  6. Kweider M. Dental disease, fibrinogen and white cell count: Links with mycardial infarction?. Scott Med J 1993;38:73-74 https://doi.org/10.1177/003693309303800304
  7. Mattila KJ. Dental infections as a risk factor for acute myocardial infarction. Eur Heart J 1993;14:51-53
  8. Mattila KJ, Valtonen VV, Nieminen M, Huttume JK. Dental infection and the risk of new coronary events: Prospective study of patients with documented coronary artery disease. Clin Infect Dis 1995;20:588-592 https://doi.org/10.1093/clinids/20.3.588
  9. Joshipura KJ, Rimm BB, Douglass CW, Trichopoulos D, Ascherio A, Willett WC. Poor oral health and coronary heart disease. J Dent Res 1996;75(9):1631-1636 https://doi.org/10.1177/00220345960750090301
  10. Sandberg GE, Sandberg HE, Wikblad KF. A controlled study of oral self-care and self-perceived oral health in type 2 diabetic patients. Acta Odontol 2001;59:28-33 https://doi.org/10.1080/000163501300035742
  11. World Health Organization Regional Office for the Western Pacific(WPRO), the International Association for the Study of Obesity(IASO) and the International Obesity Task Force(IOTF): The Asia-Pacific Perspective: Redefining Obesity and Its Treatment, 2000
  12. Chobanian AV, Bakris GL, Black HR. The seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure. JAMA 2003;289:2560-2572 https://doi.org/10.1001/jama.289.19.2560
  13. The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2003;26:s5-s20 https://doi.org/10.2337/diacare.26.2007.S5
  14. National Cholesterol Education Program/National Heart, Lung and Blood Institute/National Institute of Health: Third of the expert panel on direction, evaluation, and treatment of high blood cholesterol in adults full report, 2002
  15. World Health Organization. Oral health surveys: Basic methods 4th ed. 1997
  16. Beck JD, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Periodontal disease and cardiovascular disease. J Periodontol 1996;67: 1123-1137 https://doi.org/10.1902/jop.1996.67.10s.1123
  17. Mattila KJ, Asikainen S, Wolf J. Age, dental infections and coronary heart disease. J Dent Res 2000;79:756-760 https://doi.org/10.1177/00220345000790020901
  18. Buhlin K, Gustafasson A, H kansson J. Oral health and cardiovascular disease in Sweden. J Clin Periodontol 2002;29:254-259. https://doi.org/10.1034/j.1600-051x.2002.290312.x
  19. Loesche WJ. Periodontal disease as a risk factor for heart disease. Compend Contin Educ Dent 1994;15(8):976-991
  20. Wakai K, Kawamur T, Umemura D, Hara Y, Machida J, Anno T, Ichihara Y, Mizuno Y. Associations of medical status and physical fitness with periodontal disease. J Clin Periodontol 1999;26:664-672 https://doi.org/10.1034/j.1600-051X.1999.261006.x
  21. Fure S, Zickert I. Incidence of tooth loss and dental caries in 60-, 70-and 80-year old Swedish individuals. Community Dent Oral Epidemiol 1997;25(2):137-142 https://doi.org/10.1111/j.1600-0528.1997.tb00911.x
  22. Gilbert GH, Miller MK, Duncan RP, Ringeberg ML, Dolan TA, Foerster U. Tooth-specific and person-level predictors of 24-month tooth loss among older adults. Community Dent Oral Epidemiol 1999;27(5):372-385 https://doi.org/10.1111/j.1600-0528.1999.tb02034.x
  23. Haddad I, Haddad K, Jebrin S, Maana M, Amman OY. Reasons for extraction of permanent teeth in Jordan. Int Dent J 1999;49(6):343-346. https://doi.org/10.1111/j.1875-595X.1999.tb00535.x
  24. Kyung-Dong Lee, Hee-Kyung Lee. DMFT Index, Periodontal Index and Oral Hygiene Status in Diabetic Patients. Yeungnam Univ. J. of Med 2005;22(1):62-71 (Korean) https://doi.org/10.12701/yujm.2005.22.1.62
  25. Lee HK, Park EY, Lee SK. Oral condition and Oral Health Promotion Method in Diabetes Mellitus. Journal of Korean Society for Health Education and Promotion 2007;24(4):149-159 (Korean)
  26. Research Science and Therapy Committee of the American Academy of Periodontology: Periodontal disease as a potential risk factor for systemic disease. J Periodontol 1998;69:841-850
  27. Choi YH. Associations of dental disease with medical status. Graduate school Yonsei University, A thesis for the degree of doctor, 2001
  28. Seung DK. The effect of oral diseases on the incidence of cardiovascular diseases. Graduate school Yonsei University, A thesis for the degree of doctor, 2003
  29. Lee KD. Associations of missing teeth with health status of rural elderly in Korea. Graduate school Yeungnam University, A thesis for the degree of doctor, 2007
  30. Johansson I, Tidehag P, Lundberg V, Hallamans G. Dental status, diet and cardiovascular risk factors in middle-aged people in northern Sweden. Community Dent Oral Epidemiol 1994;22:431-436 https://doi.org/10.1111/j.1600-0528.1994.tb00792.x
  31. Sheiman A, Lundberg V, Hallamans G. The relationship between oral health status and body mass index among older people: A national survey of older people in Great Britain. Br Dent J 2002;192:703-706 https://doi.org/10.1038/sj.bdj.4801461

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