심뇌혈관질환의 위험요인으로서 구강건강행태가 미치는 영향

초록

Objectives: Cardio-cerebrovascular diseases (CVDs) are the leading cause of death in advancedcountries due to their upward-trending incidence rates. Preventing CVDs is imperative to ensurea healthy elderly life and prepare for an aging society. Considering the relationship between oralhealth and systemic health, effective oral health management will have an important role in pre venting CVDs. This study aimed to examine the influence of oral health behaviors as risk factors forCVDs. Methods: A custom database combining data from the Korean National Health Insurance Serviceand the Korea National Health and Nutrition Examination Survey from 2010 to 2017 was analyzed. The study included participants aged 35 or over (n=14,492) with recorded responses on oral healthbehaviors. Logistic regression analyses were performed to assess the association between oralhealth behaviors and CVDs. Results: The CVDs group was shown to practice inappropriate oral health management. In com parison to the non-CVDs group, the CVDs group showed a significantly higher rate of 8.0% in ‘onceor less’ of toothbrushing frequency (P<0.001). Moreover, the percentage of individuals who did notuse oral hygiene supplements was 13.8% higher (P<0.001). Multiple logistic regression analysis re vealed that the ‘use of dental floss and/or interdental brush’ was associated with a 16% lower riskfor CVDs (P<0.05). Additionally, ‘twice’ and ‘three or more’ of toothbrushing frequency were asso ciated with a 19% and 23% lower risk for CVDs, respectively (P<0.05). Conclusions: The frequency of daily toothbrushing and the utilization of dental floss or interdentalbrush were significantly associated with CVDs. Therefore, there is a need to consistently emphasizethe relationship between oral health and systemic diseases, along with the importance of oral hy giene management

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