Number of Teeth, Oral Self-care, Eating Speed, and Metabolic Syndrome in an Aged Japanese Population

Saito, Mizuki; Shimazaki, Yoshihiro; Nonoyama, Toshiya; Tadokoro, Yasushi

doi:10.2188/jea.je20170210

Cited by 28 publications

(31 citation statements)

References 33 publications

(41 reference statements)

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“…This subsequently can lead to intake of soft foods, often laden with fat, sugar, and salt -exactly what people with diabetes should try to avoid [24,79]. For example, the risk for metabolic syndrome was 54% greater in 75-80-year old Japanese with 0-9 teeth remaining, compared to those with 20-28 teeth [80]. Similarly, tooth loss was strongly associated with impaired glucose metabolism in middle-aged Finnish women during 46-years follow up [81].…”

Section: Tooth Lossmentioning

confidence: 99%

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Borgnakke

2019

Diabetes Research and Clinical Practice

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The current scientific evidence for the bi-directional associations between oral health and diabetes is summarized. The universal biologic mechanisms and demographic and behavioral risk drivers underlying these associations in both directions are also described. Dysglycemia, even slightly elevated blood sugar levels, adversely affects oral health, manifesting itself in several oral diseases and conditions. In the opposite direction, any oral infection with its subsequent local and systemic inflammatory responses adversely affects blood glucose levels. Moreover, painful, mobile, or missing teeth may lead to intake of soft food items representing a sub-optimal diet and hence poor nutrition, and thereby contribute to incident type 2 diabetes or to poorer glucose control in existing diabetes. Treatment of inflammation related oral conditions, such as non-surgical periodontal treatment and extraction of infected teeth, can lead to a clinically significant decrease in blood glucose levels. Attention to infectious oral diseases and referral to dental care professionals for treatment can therefore be an important novel tool for medical care professionals in preventing and managing diabetes mellitus. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Such interprofessional, patient centered care may contribute to improved health, wellbeing, and quality of life in people with diabetes.

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Section: Tooth Lossmentioning

confidence: 99%

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Borgnakke

2019

Diabetes Research and Clinical Practice

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“…The reason for a male predominance in belching is still unknown. Saito et al reported that men eat food faster than women (14), suggesting that men may swallow air more often during eating. In addition, men generally might prefer carbonated alcohol drinks and they do not hesitate to belch when compared to women.…”

Section: Discussionmentioning

confidence: 99%

Belching symptoms in gastroesophageal reflux disease, and prevalence and clinical characteristics of belching in Japanese adults

FUJIWARA

Okuyama

Nagami

et al. 2020

Preprint

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Background Belching is the act of expelling gas from the stomach or esophagus noisily through the oral cavity. Although it is a physiological phenomenon, belching may also be a symptom of upper gastrointestinal diseases such as gastroesophageal reflux disease (GERD). A detailed epidemiology of belching has not yet been reported. Aim The aim of this study was to examine the prevalence and clinical characteristics of belching in Japanese adults. Methods We analyzed 1,998 subjects using data from a previous study of the association between GERD, psychological stress, and sleep disturbances in Japanese adults. Belching was evaluated according to the score to question 11 (‘Do you burp a lot?’) on the frequency scale for the symptoms of GERD (FSSG): 0 (never), 1 (occasionally), 2 (sometimes), 3 (often), and 4 (always). We also collected the clinical parameters, endoscopic findings, and data according to the Athens Insomnia Scale (AIS), Rome III questionnaire, and Hospital Anxiety and Depression scale (HADS). Results Subjects with GERD, especially non-erosive reflux disease, complained of belching more frequently. When we defined belching as an FSSG Q11 score ≥ 2 (sometimes or more frequent), 347 (17.4%) Japanese adults had belching. Subjects with belching were predominantly men and had more common functional dyspepsia. In addition, scores of HADS and AIS in subjects with belching were significantly higher compared to subjects without belching. Male sex, presence of functional dyspepsia, anxiety/depression, and sleep disturbances were significantly associated with a higher odds ratio for belching. Conclusion The epidemiology of belching in Japanese adults was clarified.

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“…16 Additionally, some novel confounding factors were also collected, including breakfast frequency and dietary patterns. 17,18…”

Section: Data Collectionmentioning

confidence: 99%

<p>The Impact of BMI Categories on Metabolic Abnormality Development in Chinese Adults Who are Metabolically Healthy: A 7-Year Prospective Study</p>

Liu¹,

Zhang²,

Wu³

et al. 2020

DMSO

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Purpose: To determine what metabolic abnormalities develop frequently among metabolically healthy adults over time according to different baseline body mass index (BMI) categories. Patients and Methods: A prospective cohort study was performed on 10,805 adults, who were metabolically healthy at the time of the 2008 survey. Participants were divided into four groups: metabolically healthy obese (MHO), metabolically healthy overweight (MHOW), metabolically healthy normal-weight (MHN), and metabolically healthy underweight (MHU). Modified Poisson regression models were used to evaluate the relationship of BMI with the development of metabolic abnormalities. Association rule mining was used to identify the most frequent abnormalities that developed over time. Results: Compared with the MHN group, the adjusted relative risks of the MHO group were 1.57 (95% CI: 1.09-2.27) and 2.08 (95% CI: 1.59-2.73) for developing elevated fasting glucose and elevated blood pressure, respectively, after adjusting for lifestyle behaviours and dietary factors. At the end of follow-up, 33 (19.1%) MHO subjects and 342 (16.6%) MHOW subjects had elevated blood pressure as the predominant metabolic syndrome component, whereas 236 (9.0%) MHU subjects had elevated plasma glucose. The results were similar after stratification by sex. Conclusion: MHO and MHOW subjects developed elevated blood pressure most frequently, and MHU subjects developed elevated blood glucose most commonly, regardless of sex.

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Number of Teeth, Oral Self-care, Eating Speed, and Metabolic Syndrome in an Aged Japanese Population

Abstract: These results suggest that maintaining teeth, eating slowly, and using secondary oral hygiene products every day are associated with a lower likelihood of MetS in the aged population.

Cited by 28 publications

References 33 publications

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Belching symptoms in gastroesophageal reflux disease, and prevalence and clinical characteristics of belching in Japanese adults

<p>The Impact of BMI Categories on Metabolic Abnormality Development in Chinese Adults Who are Metabolically Healthy: A 7-Year Prospective Study</p>

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