Metabolic syndrome and masticatory hypofunction: a cross-sectional study

Pérez‐Sayáns, Mario; González-Juanatey, José Ramón; Lorenzo-Pouso, Alejandro I.; Chamorro-Petronacci, Cintia; Carrión, Andrés Blanco; Marichalar-Mendía, Xabier; Somoza-Martín, Jose Manuel; Suárez‐Quintanilla, Juan

doi:10.1007/s10266-020-00577-x

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…The increasing prevalence of obesity leads to this metabolic syndrome characterized by abdominal obesity, insulin resistance, hypertension, and dyslipidaemia ( 14 ). Previous studies of the group have shown that masticatory hypofunctionality may be associated to this metabolic syndrome, and the number of functional teeth has been directly related to abdominal obesity ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

Association between xerostomia, oral and general health, and obesity in adults. A cross-sectional pilot study

Pérez-González¹,

Ja²,

Rey³

et al. 2021

Med Oral

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Background The objective of this study was to analyse the association between oral and general health variables and obesity indicators with the sensation of dry mouth or xerostomia as evaluated on the Xerostomia Inventory (XI). Material and Methods A total of 354 randomly selected subjects participated in this cross-sectional pilot study and completed an anonymous questionnaire. Anthropometric, clinical, and xerostomic variables were evaluated. Kruskal-Wallis, ANOVA and Bonferroni test were used for multiple comparisons. ROC curves and multinomial logistic regression were used to determine the (OR) risk of xerostomia. Results A total of 30.7 % of respondents reported xerostomia based on XI. The dry mouth question, the XI taken as a “gold standard”, showed a diagnostic sensitivity of 70.37 %, and a specificity of 83.27 % (AUC=0.768, p <0.001). Logistical regression showed the highest xerostomia OR was associated to patients with bad self-perceived health, 6.31 (CI 95% 2.89-13.80, p <0.001). In the model adjusted for tooth mobility, bone or respiratory diseases, and the consumption of anxiolytics and antidepressants, the OR was 3.46 (CI 95% 1.47-8.18, p =0.005). Conclusions a high prevalence of xerostomia was found in this cross-sectional pilot study, which was significantly more frequent in women, and increased with age. Xerostomia was associated to several systemic diseases, psychological conditions, and oral functional disorders such as tooth mobility. These preliminary results can serve as the basis for developing guidelines for the application of innovative measures designed to improve the quality of life of individuals with xerostomia. Key words: Xerostomia, systemic pathology, oral health, obesity, geriatrics.

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Section: Introductionmentioning

confidence: 99%

Association between xerostomia, oral and general health, and obesity in adults. A cross-sectional pilot study

Pérez-González¹,

Ja²,

Rey³

et al. 2021

Med Oral

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“…Regarding self-reported eating behavior, Woodward et al [37] reported a discrepancy between self-reporting and objective observation on eating rate. Furthermore, masticatory performance was reported to be associated with the prevalence of MetS [38,39]. These previous reports suggested that mastication was associated with MetS through nutrition and feeling full.…”

Section: Relationship Between Mets and Masticatory Behaviormentioning

confidence: 86%

Impact of Masticatory Behaviors Measured With Wearable Device on Metabolic Syndrome: Cross-sectional Study

Uehara¹,

Hori²,

Hirabayashi³

et al. 2022

JMIR Mhealth Uhealth

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Background It has been widely recognized that mastication behaviors are related to the health of the whole body and to lifestyle-related diseases. However, many studies were based on subjective questionnaires or were limited to small-scale research in the laboratory due to the lack of a device for measuring mastication behaviors during the daily meal objectively. Recently, a small wearable masticatory counter device, called bitescan (Sharp Co), for measuring masticatory behavior was developed. This wearable device is designed to assess objective masticatory behavior by being worn on the ear in daily life. Objective This study aimed to investigate the relation between mastication behaviors in the laboratory and in daily meals and to clarify the difference in mastication behaviors between those with metabolic syndrome (MetS) and those without (non-MetS) measured using a wearable device. Methods A total of 99 healthy volunteers (50 men and 49 women, mean age 36.4 [SD 11.7] years) participated in this study. The mastication behaviors (ie, number of chews and bites, number of chews per bite, and chewing rate) were measured using a wearable ear-hung device. Mastication behaviors while eating a rice ball (100 g) in the laboratory and during usual meals for an entire day were monitored, and the daily energy intake was calculated. Participants’ abdominal circumference, fasting glucose concentration, blood pressure, and serum lipids were also measured. Mastication behaviors in the laboratory and during meals for 1 entire day were compared. The participants were divided into 2 groups using the Japanese criteria for MetS (positive/negative for MetS or each MetS component), and mastication behaviors were compared. Results Mastication behaviors in the laboratory and during daily meals were significantly correlated (number of chews r=0.36; P<.001; number of bites r=0.49; P<.001; number of chews per bite r=0.33; P=.001; and chewing rate r=0.51; P<.001). Although a positive correlation was observed between the number of chews during the 1-day meals and energy intake (r=0.26, P=.009), the number of chews per calorie ingested was negatively correlated with energy intake (r=–0.32, P=.002). Of the 99 participants, 8 fit the criteria for MetS and 14 for pre-MetS. The number of chews and bites for a rice ball in the pre-MetS(+) group was significantly lower than the pre-MetS(–) group (P=.02 and P=.04, respectively). Additionally, scores for the positive abdominal circumference and hypertension subgroups were also less than the counterpart groups (P=.004 and P=.01 for chews, P=.006 and P=.02 for bites, respectively). The number of chews and bites for an entire day in the hypertension subgroup were significantly lower than in the other groups (P=.02 and P=.006). Furthermore, the positive abdominal circumference and hypertension subgroups showed lower numbers of chews per calorie ingested for 1-day meals (P=.03 and P=.02, respectively). Conclusions These results suggest a relationship between masticatory behaviors in the laboratory and those during daily meals and that masticatory behaviors are associated with MetS and MetS components. Trial Registration University Hospital Medical Information Network Clinical Trials Registry R000034453; https://tinyurl.com/mwzrhrua

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“…The findings of this study were similar to those of cross-sectional studies on the association between Mets and decreased masticatory capacity. Participants with poor masticatory function, categorized based on the total number of functioning teeth and masticatory capacity, had a more than 2.5-fold increased risk for diseases such as Mets (diabetes, hypertension, abdominal circumference, and hypercholesterolemia) [31]. Similarly, metabolic syndrome (MetS) and periodontitis exhibit a bidirectional relationship, arising from factors related to immune and inflammatory responses [32].…”

Section: Discussionmentioning

confidence: 99%

Association of Urine (pH < 5.5) with Community Periodontal Index (CPI) and the Number of Remaining Teeth in Korean Adults: A Cross-Sectional Study Using Data from Korea National Health and Nutrition Examination Survey 2016–2018

Hwang,

Park

2024

Healthcare

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This study aims to determine the association between UpH (<5.5), Community Periodontal Index (CPI), and the number of remaining teeth—cumulative indicators of oral health—using data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES, 2016–2018), which represents the Korean population. Data from 12,689 adults aged 19 years and older who had periodontal examinations were analyzed. Logistic regression analysis was performed after adjusting for demographic, health, and health-related behavioral factors as covariates to determine the association between UpH, CPI, and the number of remaining teeth. This study found that UpH (<5.5) was associated with CPI and the number of remaining teeth. For UpH (<5.5), the odds ratio for CPI (≥4 mm) was 1.19 times (95% CI: 1.06–1.33). The risk of tooth loss was 1.25 times (95% CI: 1.06–1.48) for those with 0–19 remaining teeth and 1.20 times (95% CI: 1.07–1.34) for those with 20–27 teeth. The results revealed an association between UpH, CPI, and the number of remaining teeth. However, further longitudinal research on UpH and oral status is necessary.

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Metabolic syndrome and masticatory hypofunction: a cross-sectional study

Cited by 5 publications

References 30 publications

Association between xerostomia, oral and general health, and obesity in adults. A cross-sectional pilot study

Association between xerostomia, oral and general health, and obesity in adults. A cross-sectional pilot study

Impact of Masticatory Behaviors Measured With Wearable Device on Metabolic Syndrome: Cross-sectional Study

Association of Urine (pH < 5.5) with Community Periodontal Index (CPI) and the Number of Remaining Teeth in Korean Adults: A Cross-Sectional Study Using Data from Korea National Health and Nutrition Examination Survey 2016–2018

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