Journal of dental hygiene science (치위생과학회지)

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

DOI QR Code

Relationship between Sleep Duration and Periodontitis in Korean Adult Women: Data from KNHNES 2014

한국 성인 여성의 수면시간과 치주염과의 관련성

  • Do, Kyung-Yi (Department of Public Health, Graduate School, The Catholic University of Korea) ;
  • Lee, Eun-Sun (Department of Dental Hygiene, Hanyang Women's University)
  • 도경이 (가톨릭대학교 대학원 보건학과) ;
  • 이은선 (한양여자대학교 치위생과)
  • Received : 2017.05.10
  • Accepted : 2017.06.21
  • Published : 2017.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to investigate the relationship between sleep duration and periodontitis in adult Korean women. This cross-sectional study was based on the 2014 Korea National Health and Nutrition Examination Survey (KNHNES). We selected the data from 3,292 women (over 19 years of age) out of 7,550 participants for analysis, after excluding data from men. Complex logistic regression analysis was performed to determine the effect of sleep duration on the risk of periodontitis; the crude and adjusted odds ratios (ORs) were calculated. The risk of periodontitis was higher in participants who had a sleep duration of 7 hours or more, than in those with less than 7 hours (crude OR) by 1.37 times (95% confidence interval [CI], 1.13~1.65). The adjusted OR of the participants after adjusting for the sample characteristics of the participants (age, education level, income level, diabetes, hypertension, obesity) was 1.04 times (95% CI, 0.82~1.32), but the risk for periodontitis was slightly higher, though not statistically significant. This study confirmed the relationship between sleep duration and the risk of periodontitis in Korean women. Therefore, it is necessary to develop and implement a comprehensive health promotion program that can improve the proper sleeping habits of adult women in Korea and to combine oral hygiene management programs to prevent periodontal disease.

본 연구는 한국 성인 여성의 수면시간과 치주염과의 관련성을 확인하기 위해 국민건강영양조사 제 6기 2차년도(2014) 자료를 바탕으로, 만 19세 이상의 한국 성인 여성 총 3,292명을 대상으로 연구를 수행하였다. 대상자의 일반적 특성(연령, 교육수준, 소득수준, 당뇨, 고혈압, 비만)에 따라 치주염의 차이를 확인할 수 있었으며, 흡연과는 관련성이 없는 것으로 나타났다. 수면시간이 7시간 이상인 대상자에 비해 7시간 미만인 대상자의 치주염 위험도가 1.37배(crude OR, 1.37; 95% CI, 1.13~1.65) 높았다. 그러나 대상자의 일반적 특성(연령, 교육수준, 소득수준, 당뇨, 고혈압, 비만)을 보정한 후의 수면시간이 치주염에 미치는 영향력은 더 이상 유의하지 않았다. 따라서 후속연구에서는 두 요인의 직접적인 인과관계를 밝힐 수 있는 전향적 코호트 연구가 수행되어야 하며, 성인 여성의 적절한 수면습관을 도모하고 아울러 구강건강 증진을 위한 포괄적 건강증진 프로그램의 시행이 필요하다고 생각된다.

Keywords

References

  1. Reners M, Brecx M: Stress and periodontal disease. Int J Dent Hyg 5: 199-204, 2007. https://doi.org/10.1111/j.1601-5037.2007.00267.x
  2. Elter JR, Beck JD, Slade GD, Offenbacher S: Etiologic models for incident periodontal attachment loss in older adults. J Clin Periodontol 26: 113-123, 1999. https://doi.org/10.1034/j.1600-051X.1999.260209.x
  3. Genco RJ: Current view of risk factors for periodontal diseases. J Periodontol 67(10 Suppl): 1041-1049, 1996.
  4. Feng D, Zhang J, Fu J, et al.: Association between sleep duration and cardiac structure in youths at risk for metabolic syndrome. Sci Rep 6: 39017, 2016. https://doi.org/10.1038/srep39017
  5. Sundararajan S, Muthukumar S, Rao SR: Relationship between depression and chronic periodontitis. J Indian Soc Periodontol 19: 294-296, 2015. https://doi.org/10.4103/0972-124X.153479
  6. Jung JO: Effects of metabolic syndrome on periodontal diseases in Korean adults. J Dent Hyg Sci 12: 245-252, 2012.
  7. Korean Statistical Information Service: Periodontitis prevalence rate. 2015. Retrieved January 10, 2017, from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N107&vw_cd=MT_ZTITLE&list_id=117_11702_B01&se qNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1(2016, December 27).
  8. Dinges DF, Douglas SD, Hamarman S, Zaugg L, Kapoor S: Sleep deprivation and human immune function. Adv Neuroimmunol 5: 97-110, 1995. https://doi.org/10.1016/0960-5428(95)00002-J
  9. Majde JA, Krueger JM: Links between the innate immune system and sleep. J Allergy Clin Immunol 116: 1188-1198, 2005. https://doi.org/10.1016/j.jaci.2005.08.005
  10. Mullington JM, Simpson NS, Meier-Ewert HK, Haack M: Sleep loss and inflammation. Best Pract Res Clin Endocrinol Metab 24: 775-784, 2010. https://doi.org/10.1016/j.beem.2010.08.014
  11. Nakada T, Kato T, Numabe Y: Effects of fatigue from sleep deprivation on experimental periodontitis in rats. J Periodontal Res 50: 131-137, 2015. https://doi.org/10.1111/jre.12189
  12. Carra MC, Schmitt A, Thomas F, Danchin N, Pannier B, Bouchard P: Sleep disorders and oral health: a cross-sectional study. Clin Oral Investig 21: 975-983, 2017. https://doi.org/10.1007/s00784-016-1851-y
  13. Grover V, Malhotra R, Kaur H: Exploring association between sleep deprivation and chronic periodontitis: a pilot study. J Indian Soc Periodontol 19: 304-307, 2015. https://doi.org/10.4103/0972-124X.154173
  14. Wiener RC: Relationship of routine inadequate sleep duration and periodontitis in a nationally representative sample. Sleep Disord 2016: 9158195, 2016.
  15. Young E, Korszun A: Sex, trauma, stress hormones and depression. Mol Psychiatry 15: 23-28, 2010. https://doi.org/10.1038/mp.2009.94
  16. Lee ES, Do KY, Lee KS: Association of anxiety and depressive symptoms with periodontal disease in Korean women. J Dent Hyg Sci 17: 73-80, 2017. https://doi.org/10.17135/jdhs.2017.17.1.73
  17. Sanders AE, Akinkugbe AA, Slade GD, Essick GK: Tooth loss and obstructive sleep apnea signs and symptoms in the US population. Sleep Breath 20: 1095-1102, 2016. https://doi.org/10.1007/s11325-015-1310-z
  18. Al Habashneh R, Khassawneh B, Khader YS, Abu-Jamous Y, Kowolik MJ: Association between obstructive sleep apnea and periodontitis among male adults attending a primary healthcare facility in Jordan. Oral Health Prev Dent 14: 157-164, 2016.
  19. Gamsiz-Isik H, Kiyan E, Bingol Z, Baser U, Ademoglu E, Yalcin F: Does obstructive sleep apnea increase the risk for periodontal disease? A case-control study. J Periodontol 88: 443-449, 2017. https://doi.org/10.1902/jop.2016.160365
  20. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES VI-2): Examination manual. 2014. Korea Centers for Disease Control and Prevention, Osong, 2014.
  21. Korean Diabetes Association: 2015 treatment guidelines for diabetes. 5th ed. KDA, Seoul, 2015.
  22. Chobanian AV, Bakris GL, Black HR, et al.: The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 289: 2560-2572, 2003. https://doi.org/10.1001/jama.289.19.2560
  23. Mukherjee S, Patel SR, Kales SN, et al.: An official American thoracic society statement: the importance of healthy sleep. Recommendations and future priorities. Am J Respir Crit Care Med 191: 1450-1458, 2015. https://doi.org/10.1164/rccm.201504-0767ST
  24. World Health Organization: Periodontal country profiles 2005. Retrieved June 16, 2017, from http://www.who.int/oral_health/databases/niigata/en/(2005, March 15).
  25. Besedovsky L, Lange T, Born J: Sleep and immune function. Pflugers Arch 463: 121-137, 2012. https://doi.org/10.1007/s00424-011-1044-0
  26. Dew MA, Hoch CC, Buysse DJ, et al.: Healthy older adults' sleep predicts all-cause mortality at 4 to 19 years of follow-up. Psychosom Med 65: 63-73, 2003. https://doi.org/10.1097/01.PSY.0000039756.23250.7C
  27. Irwin MR: Sleep and infectious disease risk. Sleep 35: 1025-1026, 2012. https://doi.org/10.5665/sleep.1976
  28. Irwin MR: Why sleep is important for health: a psychoneuroimmunology perspective. Annu Rev Psychol 66: 143-172, 2015. https://doi.org/10.1146/annurev-psych-010213-115205
  29. Park H, Tsai KM, Dahl RE, et al.: Sleep and inflammation during adolescence. Psychosom Med 78: 677-685, 2016. https://doi.org/10.1097/PSY.0000000000000340
  30. 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 17: 38-45, 2017. https://doi.org/10.17135/jdhs.2017.17.1.38
  31. Acar M, Turkcan I, Ozdas T, Bal C, Cingi C: Obstructive sleep apnoea syndrome does not negatively affect oral and dental health. J Laryngol Otol 129: 68-72, 2015. https://doi.org/10.1017/S0022215114003296
  32. Hong MH: Risk factors for the prevalence of periodontal disease among adult workers. J Korean Acad Indust Coop Soc 15: 3706-3713, 2014.
  33. Romandini M, Gioco G, Perfetti G, Deli G, Staderini E, Lafori A: The association between periodontitis and sleep duration. J Clin Periodontol 44: 490-501, 2017. https://doi.org/10.1111/jcpe.12713
  34. Kolte AP, Kolte RA, Lathiya VN: Association between anxiety, obesity and periodontal disease in smokers and non-smokers: a cross-sectional study. J Dent Res Dent Clin Dent Prospects 10: 234-240, 2016. https://doi.org/10.15171/joddd.2016.037
  35. Gupta N, Gupta ND, Goyal L, et al.: The influence of smoking on the levels of matrix metalloproteinase-8 and periodontal parameters in smoker and nonsmoker patients with chronic periodontitis: a clinicobiochemical study. J Oral Biol Craniofac Res 6(Suppl 1): S39-S43, 2016. https://doi.org/10.1016/j.jobcr.2015.08.004
  36. Katuri KK, Alluri JK, Chintagunta C, et al.: Assessment of periodontal health status in smokers and smokeless tobacco users: a cross-sectional study. J Clin Diagn Res 10: ZC143-ZC146, 2016.
  37. Koss MA, Castro CE, Gramajo AM, Lopez ME: sIgA, peroxidase and collagenase in saliva of smokers aggressive periodontal patients. J Oral Biol Craniofac Res 6(Suppl 1): S24-S28, 2016. https://doi.org/10.1016/j.jobcr.2016.05.003

Cited by

  1. Antiperiodontitis Effects of Magnolia biondii Extract on Ligature-Induced Periodontitis in Rats vol.11, pp.4, 2017, https://doi.org/10.3390/nu11040934
  2. Association of Sleep Duration and Depression with Periodontitis in Older People Aged 65 Years and Older vol.19, pp.3, 2017, https://doi.org/10.17135/jdhs.2019.19.3.205
  3. 노인의 수면시간과 현존치아 수와의 관련성 : 제6기 국민건강영양조사 자료를 이용하여 vol.19, pp.5, 2017, https://doi.org/10.13065/jksdh.20190062
  4. Relationship between Insufficient Sleep and Bad Breath in Korean Adolescent Population vol.17, pp.19, 2017, https://doi.org/10.3390/ijerph17197230
  5. Association of Insufficient or Excess Sleep with Type 2 Diabetes Mellitus in the Presence of Periodontitis vol.17, pp.20, 2017, https://doi.org/10.3390/ijerph17207670