Browse > Article
http://dx.doi.org/10.13065/jksdh.20220028

Effect of oral health status on risk factors for obstructive sleep apnea in middle-aged Koreans: the Korea National Health and Nutrition Examination Survey (2019)  

Kim, Yu-Rin (Department of Dental Hygiene, Silla University)
Publication Information
Journal of Korean society of Dental Hygiene / v.22, no.4, 2022 , pp. 249-257 More about this Journal
Abstract
Objectives: This study aimed to investigate the effect of the oral health status on risk factors for obstructive sleep apnea (OSA) using data from the 2019 National Health and Nutrition Examination Survey. Methods: Of a total of 2,422 persons, 1,295 and 1,127 were categorized into the control group (CG) and OSA risk group (OSARG), respectively. The effect of the oral health status on OSA risk factors was presented in Model 1 by performing a complex sample linear regression analysis. Results: Our findings showed that OSA risk factors decreased by 0.075 points when there were no speaking problems with demographic characteristics adjusted. In addition, when systemic diseases were adjusted for, OSA risk factors decreased to 0.074 points (p<0.05). Conclusions: Therefore, in order to reduce oral problems that affect OSA risk factors, dentists and dental hygienists should seek accurate recognition of OSA and effective oral care methods.
Keywords
Oral health; Oral medicine; Risk factors; Sleep apnea;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Chung SH, Yoon IY, Shin YK, Lee CH, Kim JW, Ahn HJ. Endothelial dysfunction and inflammatory reactions of elderly and middle - aged men with obstructive sleep apnea syndrome. Sleep Breath 2009;13(1):11-7. https://doi.org/10.1007/s11325-008-0210-x   DOI
2 Tkacova R, Dorkova Z. Clinical presentations of OSA in adults. Eur Respir Monogr 2010;50:86-103. https://doi.org/10.1183/1025448x.00024209   DOI
3 Rotenberg BW, Vicini C, Pang EB, Pang KP. Reconsidering first - line treatment for obstructive sleep apnea: a systematic review of the literature. J Otolaryngol Head Neck Surg 2016;45:23. https://doi.org/10.1186/s40463-016-0136-4   DOI
4 Menn SJ, Loube DI, Morgan TD, Mitler MM, Berger JS, Erman MK. The mandibular repositioning device: role in the treatment of obstructive sleep apnea. Sleep 1996;19(10):794-800. https://doi.org/10.1093/sleep/19.10.794   DOI
5 Kim JH, Ahn JM. Treatment of snoring using mandibular advancement device: case report. Oral Biol Res 2014;38(1):46-9. https://doi.org/10.21851/obr.38.1.201403.46   DOI
6 Krishnan V, Dixon-Williams S, Thornton JD. Where there is smoke there is sleep apnea: exploring the relationship between smoking and sleep apnea. Chest 2014;146(6):1673-80. https://doi.org/10.1378/chest.14-0772   DOI
7 Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep - disordered breathing in adults. Am J Epidemiol 2013;177(9):1006-14. https://doi.org/10.1093/aje/kws342   DOI
8 Sutherland K, Lee RWW, Cistulli PA. Obesity and craniofacial structure as risk factors for obstructive sleep apnoea: impact of ethnicity. Respirology 2012;17(2):213-22. https://doi.org/10.1111/j.1440-1843.2011.02082.x   DOI
9 Valiensi SM, Belardo MA, Pilnik S, Izbizky G, Starvaggi AP, Castelo Branco C. Sleep quality and related factors in postmenopausal women. Maturitas 2019;123:73-7. https://doi.org/10.1016/j.maturitas.2019.02.008   DOI
10 Nuckton TJ, Glidden DV, Browner WS, Claman DM. Physical examination: mallampati score as an independent predictor of obstructive sleep apnea. Sleep 2006;29(7):903-8. https://doi.org/10.1093/sleep/29.7.903   DOI
11 Matsumoto T, Chin K. Prevalence of sleep disturbances: sleep disordered breathing, short sleep duration, and non - restorative sleep. Respir Investig 2019;57(3):227-37. https://doi.org/10.1016/j.resinv.2019.01.008   DOI
12 Barbe F, Duran-Cantolla J, Sanchez-de-la-Torre M, Martinez-Alonso M, Carmona C, Barcelo A, et al. Effect of continuous positive airway pressure on the incidence of hypertension and cardiovascular events in nonsleepy patients with obstructive sleep apnea: a randomized controlled trial. JAMA 2012;307(20):2161-8. https://doi.org/10.1001/jama.2012.4366   DOI
13 Guyenet PG. The sympathetic control of blood pressure. Nat Rev Neurosci 2006;7(5):335-46. https://doi.org/10.1038/nrn1902   DOI
14 Morris G, Berk M, Walder K, Maes M. Central pathways causing fatigue in neuro - inflammatory and autoimmune illnesses. BMC Med 2015;13(1):28. https://doi.org/10.1186/s12916-014-0259-2   DOI
15 Tan H, Cao J, Zhang J, Zuo Z. Critical role of inflammatory cytokines in impairing biochemical processes for learning and memory after surgery in rats. J Neuroinflammation 2014;11(1):93. https://doi.org/10.1186/1742-2094-11-93   DOI
16 Ustun B, Westover MB, Rudin C, Bianchi MT. Clinical prediction models for sleep apnea: the importance of medical history over symptoms. J Clin Sleep Med 2016;12(2):161-8. https://doi.org/10.5664/jcsm.5476   DOI
17 Griffin EW, Skelly DT, Murray CL, Cunningham C. Cyclooxygenase - 1 - dependent prostaglandins mediate susceptibility to systemic inflammation - induced acute cognitive dysfunction. J Neurosci 2013;33(38):15248-58. https://doi.org/10.1523/JNEUROSCI.6361-11.2013   DOI
18 Parish JM, Somers VK. Obstructive sleep apnea and cardiovascular disease. Mayo Clin Proc 2004;79(8):1036-46. https://doi.org/10.4065/79.8.1036   DOI
19 Kim JK, In KH, Kim JH, You SH, Kang KH, Shim JJ, et al. Prevalence of sleep - disordered breathing in middle - aged Korean men and women. Am J Respir Crit Care Med 2004;170(10):1108-13. https://doi.org/10.1164/rccm.200404-519OC   DOI
20 Liu L, Kang R, Zhao S, Zhang T, Zhu W, Li E, et al. Sexual dysfunction in patients with obstructive sleep apnea: a systematic review and meta - analysis. J Sex Med 2015;12(10):1992-2003. https://doi.org/10.1111/jsm.12983   DOI
21 Kashyap R, Hock LM, Bowman TJ. Higher prevalence of smoking in patients diagnosed as having obstructive sleep apnea. Sleep Breath 2001;5(4):167-72. https://doi.org/10.1007/s11325-001-0167-5   DOI
22 Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996;19(2):156-77. https://doi.org/10.1093/sleep/19.2.156   DOI
23 Thorpy M, Chesson A, Derderian S, Kader G, Millman R, Potolicchio S, et al. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995;18(6):511-3. https://doi.org/10.1093/SLEEP/18.6.511   DOI
24 Buratti L, Viticchi G, Falsetti L, Cagnetti C, Luzzi S, Bartolini M, et al. Vascular impairment in Alzheimer's disease: the role of obstructive sleep apnea. J Alzheimers Dis 2014;38(2):445-53. https://doi.org/10.3233/JAD-131046   DOI
25 Eckert DJ, White DP, Jordan AS, Malhotra A, Wellman A. Defining phenotypic causes of obstructive sleep apnea. identification of novel therapeutic targets. Am J Respir Crit Care Med 2013;188(8):996-1004. https://doi.org/10.1164/rccm.201303-0448OC   DOI
26 Almeida FR, Lowe AA, Sung JO, Tsuiki S, Otsuka R. Long - term sequellae of oral appliance therapy in obstructive sleep apnea patients: part 1. cephalometric analysis. Am J Orthod Dentofacial Orthop 2006;129(2):195-204. https://doi.org/10.1016/j.ajodo.2005.10.001   DOI
27 Gong X, Zhang J, Zhao Y, Gao X. Long - term therapeutic efficacy of oral appliances in treatment of obstructive sleep apnea - hypopnea syndrome. Angle Orthod 2013;83(4):653-8. https://doi.org/10.2319/060412-463.1   DOI
28 Park KJ, Kim ST. Long - term side effects of mandibular advancement devices in patients with obstructive sleep apnea. J Sleep Med 2019;16(2):67-70. https://doi.org/10.13078/jsm.190025   DOI
29 Sutherland K, Lee RWW, Chan TO, Ng S, Hui DS, Cistulli PA. Craniofacial phenotyping in Chinese and Caucasian patients with sleep apnea: influence of ethnicity and sex. J Clin Sleep Med 2018;14(7):1143-51. https://doi.org/10.5664/jcsm.7212   DOI
30 Furuta M, Yamashita Y. Oral health and swallowing problems. Curr Phys Med Rehabil Rep 2013;1(4):216-22. https://doi.org/10.1007/s40141-013-0026-x   DOI
31 Yeates EM, Molfenter SM, Steele CM. Improvements in tongue strength and pressure - generation precision following a tongue - pressure training protocol in older individuals with dysphagia: three case report. Clin Interv Aging 2008;3(4):735-47. https://doi.org/10.2147/cia.s3825   DOI
32 Richmond S, Chestnutt I, Shennan J, Brown R. The relationship of medical and dental factors to perceived general and dental health. Community Dent Oral Epidemiol 2007;35(2):89-97. https://doi.org/10.1111/j.1600-0528.2007.00296.x   DOI
33 Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta - analysis. Am Heart J 2007;154(5):830-7. https://doi.org/10.1016/j.ahj.2007.06.037   DOI
34 Fregosi RF, Ludlow CL. Activation of upper airway muscles during breathing and swallowing. J Appl Physiol 2014;116(3):291-301. https://doi.org/10.1152/japplphysiol.00670.2013   DOI