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Chewing difficulty and multiple chronic conditions in Korean elders: KNHANES IV  

Han, Dong-Hun (Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University)
Publication Information
The Journal of the Korean dental association / v.51, no.9, 2013 , pp. 511-517 More about this Journal
Abstract
To assess the association between oral health and general health, this study examined the relationship between chewing difficulty and twelve chronic health conditions such as hypertension, hyperlipidemia, diabetes, cerebro- and cardiovascular disease, musculoskeletal disease, respiratory disease, eye/nose/throat disease, stomach/intestinal ulcer, renal dysfunction, thyroid disease, depression, and cancer in Korea. The study population was 3,066 elders aged 65 years old and more from the fourth Korean National Health and Nutrition Examination Survey. Chewing difficulty was measured on a 5-point Likert scale. Chronic conditions were assessed by self-reported questionnaire. Confounders were age, gender, education, income, smoking, drinking, and obesity. Chi-square test, general linear model, and multiple logistic regression model were done with complex sampling design. Musculoskeletal disease (adjusted odds ratio=1.33), respiratory disease (adjusted odds ratio=1.52), and cancer (adjusted odds ratio=1.58) were independently associated with chewing difficulty. Multiple chronic conditions with more than 4 chronic disease showed significant association with chewing difficulty (adjusted odds ratio=1.37).
Keywords
multiple chronic;
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1 Paola de Pablo, Thomas Dietrich, Timothy E McAlindon. Association of periodontal disease and tooth loss with rheumatoid arthritis in the US population. The Journal of Rheumatology 2008;35:70-76.
2 Kety Nicopoulou-Karayianni, Panagiotis Tzoutzoukos, Anastasia Mitsea, Athanasios Karayiannis, Kostas Tsiklakis, Reinhilde Jacobs, Christina Lindh, Paul Van Der Stelt, Philip Allen, Jim Graham, Keith Horner, Hugh Devlin, Susan Pavitt, Jingsong Yuan. Tooth loss and osteoporosis: the osteodent study. Journal of Clinical Periodontology 2009;36:190-197.   DOI   ScienceOn
3 Frank A. Scannapieco. Potential Associations Between Chronic Respiratory Disease and Periodontal Disease: Analysis of National Health and Nutrition Examination Survey III. Journal of Periodontology 2001;72:50-56.   DOI   ScienceOn
4 Christian C Abnet, You-Lin Qiao, Sanford M Dawsey, Zhi-Wei Dong, Philip R Taylor. Tooth loss is associated with increased risk of total death and death from upper gastrointestinal cancer, heart disease, and stroke in a Chinese population-based cohort. International Journal of Epidemiology 2005;34:467-474.   DOI   ScienceOn
5 Dominique S. Michaud, Yan Liu, Mara Meyer, Edward Giovannucci, Kaumudi Joshipura. Periodontal disease, tooth loss, and cancer risk in male health professionals: a prospective cohort study. Lancet oncology 2008;9:550-558.   DOI   ScienceOn
6 Han DH, Lim S, Kim JB. The Association of Smoking and Diabetes With Periodontitis in a Korean Population. Journal of Periodontology 2012;83:1397-1406.   DOI   ScienceOn
7 Evans CA, Kleinman DV. Surgeon general's report. Journal of the American Dental Association 2001;132:276-278.
8 Choi YH, Robert E. McKeown, Elizabeth J. Mayer- Davis, Angela D. Liese, Keun-Bae Song, Anwar T. Merchant. Association Between Periodontitis and Impaired Fasting Glucose and Diabetes. Diabetes Care 2011;34:381-386.   DOI   ScienceOn
9 Kim HD, Sim SJ, Moon JY, Hong YC, Han DH. Association Between Periodontitis and Hemorrhagic Stroke Among Koreans: A Case-Control Study. Journal of Periodontology 2010;81:658-665.   DOI   ScienceOn
10 Han DH, Lim SY, Sun BC, Paek D, Kim HD. The association of metabolic syndrome with periodontal disease is confounded by age and smoking in a Korean population: the Shiwha?Banwol Environmental Health Study. Journal of Clinical Periodontology 2010;37:609-616.   DOI   ScienceOn
11 Teeuw WJ, Gerdes VE, Loos BG. EFfect of periodontal treatment on glycemic control of diabetic patients: a systematic review and metaanalysis. Diabetes Care 2010;33:421-427.   DOI   ScienceOn
12 Jennifer L. Wolff, Barbara Starfield, Gerard Anderson. Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly. Archives of Internal Medicine 2002;162:2269-2276.   DOI   ScienceOn
13 Cornoni-Huntley JCFoley DJGuralnik JM Comorbidity analysis: a strategy for understanding mortality, disability, and use of health care facilities of older people. International Journal of Epidemiology 1991;20:S8-S17
14 http://www.mw.go.kr/front_new/jb/sjb030301vw. jsp?PAR_MENU_ID=03&MENU_ID=031601&page =1&CONT_SEQ=257824&SEARCHKEY=TITLE&SE ARCHVALUE=국민건강증진종합계획
15 Poul Erik Petersen, Denis Bourgeois, Hiroshi Ogawa, Saskia Estupinan-Day, Charlotte Ndiaye. The global burden of oral diseases and risks to oral health. Bulletin of the World Health Organization 2005;83:661-669.
16 Carol C Guarnizo-Herre?o, Richard G Watt, Hynek Pikhart, Aubrey Sheiham, Georgios Tsakos. Socioeconomic inequalities in oral health in different European welfare state regimes. Journal of Epidemiology and Community Health 2013;67:728-735.   DOI   ScienceOn
17 Johan P. Mackenbach, Irina Stirbu, Albert-Jan R. Roskam, Maartje M. Schaap, Gwenn Menvielle, Mall Leinsalu, Anton E. Kunst. Socioeconomic Inequalities in Health in 22 European Countries. New England Journal of Medicine 2008;358:2468- 2481.   DOI   ScienceOn
18 Gregg H. Gilbert, Xiaoxian Meng, R. Paul Duncan, Brent J. Shelton. Incidence of Tooth Loss and Prosthodontic Dental Care: Effect on Chewing Difficulty Onset, a Component of Oral Health- Related Quality of Life. Journal of the American Geriatrics Society 2004;52:880-885.   DOI   ScienceOn
19 http://kosis.kr/abroad/abroad_01List.jsp? parentId=A#jsClick
20 Jennifer S. Brach, Eleanor M. Simonsick, Stephen Kritchevsky, Kristine Yaffe, Anne B. Newman. The Association Between Physical Function and Lifestyle Activity and Exercise in the Health, Aging and Body Composition Study. Journal of the American Geriatrics Society 2004;52:502-509.   DOI   ScienceOn
21 Anders Hjern, Margaret Grindefjord, Hans Sundberg, Måns Rosén. Social inequality in oral health and use of dental care in Sweden. Community Dentistry and Oral Epidemiology 2001;29:167-174.   DOI   ScienceOn