Relationship between metabolic syndrome and oral diseases in the middle aged and elderly people

Abstract

Objectives:The purpose of the study was to identify the relationship between metabolic syndrome and oral diseases in the middle aged and elderly in Korea. Methods:The study subjects were 6,390 people over 40 years old from 2010 and 2012 Korea National Health and Nutrition Examination Survey. The survey questionnaire consisted of health, nutrition, and oral examination surveys. The independent variables included general characteristics, health behavior, oral health behavior, and metabolic syndrome. The dependent variables included dental caries experience and periodontal disease. The oral examination was carried out by the dentist based on World Health Organization standard. Results: The average prevalence rate of metabolic syndrome MS was 23.79%, including 54.84% of risk group and 21.37% of normal group. The missing teeth rate was 82.38%, DMFT rate was 90.28% and the periodontal disease rate was 33.15%. Those having abnormal fasting blood glucose had 1.17 fold(95% CI: 1.00∼1.37) higher periodontal disease than the normal group. The abnormal HDL cholesterol group had 1.25 times higher odds ratio(95% CI: 1.07∼1.46) and the obese group had 1.27 times higher odds ratio(95% CI: 1.07∼1.51). The risk group had 1.20 times higher odds ration(95% CI: 1.00∼1.44) and that of the metabolic syndrome group was 1.60 times higher(95% CI: 1.29∼1.97) in periodontal disease. The high blood pressure group had 1.25 times of missing teeth prevalence rate(95% CI: 1.00∼ 1.37). The metabolic syndrome group had 1.47 times of missing teeth prevalence rate(95% CI: 1.11∼1.94). Conclusions:The middle aged and elderly people in Korea had higher rate of metabolic syndrome and oral disease. It is necessary to implement the preventive oral health examination for the control of metabolic syndrome and oral diseases prevalence.

Association between Metabolic Syndrome and the Number of Remaining Teeth in Postmenopausal Women: A Cross-Sectional Analysis Using the Korean National Health and Nutritional Examination Survey

“…Song and Lee [29] also reported that the number of remaining teeth was low in patients with chronic diseases, such as diabetes and hyperlipidemia. This was similar to the findings of a study by Oh [20], which showed a high prevalence of tooth loss in the hypertension, obesity, and disease morbidity groups, as well as a study by Kang et al [30], which showed a 1.25-and 1.47-times higher loss of teeth in the hypertension and MetS groups, respectively, than in the non-disease group. In a study by Lee et al [16], dyslipidemia and hypertriglyceridemia were significantly correlated with the number of remaining teeth, and the number of remaining teeth was low in people with MetS, similar to the findings of this study.…”

“…Several determinants, such as the age, education level, and demographic socioeconomic status, are associated with oral health-related behaviors, such as dental caries, periodontal conditions, and smoking in postmenopausal women, and tooth loss can be a complex measure of dental disease [31]. In addition, various chronic diseases are believed to cause inflammation in the teeth and periodontium and appear as a result of tooth loss [30]. In addition, postmenopausal hormone replacement therapy has a positive effect on maintaining natural teeth; therefore, the lack of hormone replacement therapy can be considered as an independent risk indicator for tooth loss in postmenopausal women [32].…”

The Relationship between Meal Regularity and Oral Health and Metabolic Syndrome of Adults in Single Korean Households

“…In addition, the lower the educational level, the higher was the chewing difficulty. This is in line with research by Kang and Yu 28) who studied metabolic syndrome and oral disease, and found that the lower the educational level, the higher the periodontitis and the lower the educational level, the higher the missing value. In addition, the study by Hawg et al 29) proved that the lower the education level, the more chewing difficulty was, which is consistent with the results of this study.…”

No Association between Metabolic Syndrome and Periodontitis in Korean Postmenopausal Women

“…Additionally, it was significant in diabetes and abdominal obesity, and it was consistent with the study results of Han [42], which showed a significant association with CPI as the number of risk factors for MetS increased. According to Kang et al [43], the prevalence of periodontitis was significantly higher in fasting glucose, HDL cholesterol, and abdominal obesity, and the odds ratio for hypertension was significantly higher in the model corrected for health behavior and oral health behavior. According to a Kim [37], the risk of periodontitis in the hypertensive group was 1.60 times higher whereas the risk of periodontal disease was 2.22 times higher when 1 or more MetS risk factors were present.…”