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생애주기별 당뇨질환자의 구강건강영향요인

Factors influencing oral health according to life cycle characteristics of patients with diabetes

  • 최혜숙 (경동대학교 치기공학과)
  • Hye-Sook Choi (Department of Dental Technology, Kyungdong University)
  • 투고 : 2024.05.08
  • 심사 : 2024.06.06
  • 발행 : 2024.06.30

초록

Objectives: This study aimed to identify the factors influencing the relationship between diabetes and oral health in Korean adults. Methods: We analyzed 5,319 adults who were included in the 9th Korea National Health and Nutrition Examination Survey. The data were analyzed for demographic characteristics, daily health care, and oral health care according to diabetic conditions using a complex sample analysis. Multiple logistic regression analysis was performed to analyze the factors influencing the oral health of patients with diabetes. Results: The factors influencing the oral health of patients with diabetes varied according to life cycle. In late middle-aged adults, statistically significant differences were observed in sex (p<0.001), educational level (p=0.030), economic activity (p=0.018), aerobic exercise (p=0.034), smoking (p=0.004), periodontal therapy (p=0.011), and prosthesis production/repair (p=0.025). In younger elderly individuals, statistically significant differences were found in terms of whether they lived together (p=0.027) and educational level (p=0.032). Conversely, no statistically significant differences were observed in the older elderly group. Conclusions: The results of this study showed that the level of oral health of patients with diabetes is already determined in middle and old age; therefore, a system should be prepared to ensure that health care can be systematically performed in late middle-aged adults.

키워드

과제정보

This research was supported by Kyungdong University research fund, 2022.

참고문헌

  1. Kim HK, Nah EH. Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital. J Korean Health Educ Promot 2015;32(4):37-46 .https://doi.org/10.14367/kjhep.2015.32.4.37
  2. International Diabetes Federation (IDF). Diabetes atlas [Internet]. International Diabetes Federation[cited 2024 Apr 21]. Available from: https://diabetesatlas.org/data/en/world/.
  3. Korean Diabetes Association. Diabetes fact sheet 2022. [Internet]. Korea Diabetes Association[cited 2024 Apr 08]. Available from: https://www.diabetes.or.kr/bbs/?code=fact_sheet.
  4. Ghandour R, Mikki N, Rmeileh NMA, Jerden L, Norberg M, Eriksson JW, et al. Complications of type 2 diabetes mellitus in Ramallah and al-Bireh: the palestinian diabetes complications and control study (PDCCS). Primary Care Diabetes 2018;12(6):547-57. https://doi.org/10.1016/j.pcd.2018.07.002
  5. World Health Organization. Global action plan, 2013-2020 for the prevention and control of noncommunicable diseases. World Health Organization, Geneva, Switzerland, 2013:1-103.
  6. Chang SA. Diabetes and periodontal disease. J Korean Diabetes 2023;24(1):24-8. https://doi.org/10.4093/jkd.2023.24.1.24
  7. Kim MS, Kim KY, Moon BA. Oral care status and periodontal disease of middle aged diabetic patients. J Korean Soc Dent Hyg 2016;16(1):1-9. https://doi.org/10.13065/jksdh.2016.16.01.1
  8. Hong MH. Relationship between oral health behavior, chronic disease and periodontal disease in middle and older adults according to gender. J KAIS 2018;19(11):403-10. https://doi.org/10.5762/KAIS.2018.19.11.403
  9. Chaudhari M, Hubbard R, Reid RJ, Inge R, Newton KM, Spangler L, et al. Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models. BMC Oral Health 2012;12(1):20. https://doi.org/10.1186/1472-6831-12-20
  10. Bascones-Martinez A, Gonzalez-Febles J, Sanz-Esporrin J. Diabetes and periodontal disease. review of the literature. Am J Dent 2014;27(2):63-7.
  11. Llambes F, Arias-Herrera S, Caffesse R. Relationship between diabetes and periodontal infection. World J Diabetes 2015;6(7):927-35. https://doi.org/10.4239/wjd.v6.i7.927
  12. American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes-2018. Diabetes Care 2018;41(Suppl1):S13-S27.
  13. RichardI GH, Clive C, Allan F, Barry JG. Textbook of diabetes. 4th ed. Wiley-Blackwell; 2010. https://doi.org/10.1002/9781444324808
  14. Shin BM, Bae SM, Yoo SH, Shin SJ. Oral health and occupational status among Korean adults. J Dent Hyg Sci 2016;16(3):225-34. https://doi.org/10.17135/jdhs.2016.16.3.225
  15. Ju OJ, Yu MS, Jang SH. Relationship of oral health care with impaired fasting glucose. J Korean Soc Dent Hyg 2018;18(6):969-77. https://doi.org/10.13065/jksdh.20180083
  16. Shin BM, Jung SH. Socio-economic inequalities in dental caries in Korea. J Korean Acad Oral Health 2012;36(2):144-52.
  17. Kim HJ, Hwang JE, Boo YK. Lifestyle factors affecting blood sugar control by workers with type 2 diabetes using the Korean National Health and Nutrition Examination Survey,2 016-2020. J KAIS 2023;24(6):105-15. https://doi.org/10.5762/KAIS.2023.24.6.105
  18. Yun BY, Sim JH, Lee SH, Cho AR, Oh JY, Kim SH, et al. The relationship between occupational dust exposure and incidence of diabetes in male workers: a retrospective cohort study. Diabetic Medicine 2022;39(6):e14837. https://doi.org/10.1111/dme.14837
  19. Rolando L, Byrne DW, McGown PW, Goetzel RZ, Elasy TA, Yarbrough MI. Health risk factor modification predicts incidence of diabetes in an employee population: results of an 8-year longitudinal cohort study. J Occup Environ Med 2013;55(4):410-5. https://doi.org/10.1097/JOM.0b013e31827cbaec
  20. Korean Statistical Information Service (KOSIS). Health checkup statistics: status of the subjects and the number of examinee by gender [Internet]. Statistics Korea[cited 2024 Apr 28]. Available from: https://kosis.kr/index/index.do.
  21. Eldarrat AH. Awareness and attitude of diabetic patients about their increased risk for oral diseases. Oral Health Prev Dent 2011;9(3):235-41.
  22. Kang HE, Choi JS. Analysis of factors associated with oralcare self-efficacy in the type 2 diabetic patients. J Korean Soc Dent Hyg 2012;12(6):1203-11. https://doi.org/10.13065/jksdh.2012.12.6.1203
  23. Choi HS, Jung YR. Oral disease and oral health care in the diabetic patients. J Korean Soc Dent Hyg 2015;15(5):925-32. https://doi.org/10.13065/jksdh.2015.15.05.925
  24. Cheon HW, Yu MS, Choi MH. The association of oral diseases and chronic diseases in Korean adult population. J Korean Soc Dent Hyg 2012;12(2):235-49. https://doi.org/10.13065/jksdh.2012.12.2.235
  25. Paek KW, Lee SJ, Back JH. A factor of periodontal disease and dietary patterns in Korean adults using data from Korea National Health and Nutrition Examination Survey V. J Korean Acad Oral Health 2015;39(4):280-7. https://doi.org/10.11149/jkaoh.2015.39.4.280
  26. Kim JH. The impact of diabetes mellitus and oral health behavior factors in periodontitis on convergence study. J Korea Converg Soc 2018;9(11):379-84. https://doi.org/10.15207/JKCS.2018.9.11.379
  27. Moon BA, Jeong SR, Jang JY, Kim KY. Health-related quality of life by oral health behavior and oral health status for the middle-aged people. J Korean Soc Dent Hyg 2015;15(2):197-204.