Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.

We investigated the association between oral hygiene indicators of periodontitis, tooth loss, and tooth brushing on the longitudinal fasting glucose level in non-diabetic subjects. Using a nationwide health screening database in Korea, we included non-diabetic individuals who received a health scree...

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Autores principales: Tae-Jin Song, Yoonkyung Chang, Jimin Jeon, Jinkwon Kim
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Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/c3d6eb9cd1bd40e78e9f78c7ed7adf34
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spelling oai:doaj.org-article:c3d6eb9cd1bd40e78e9f78c7ed7adf342021-12-02T20:09:50ZOral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.1932-620310.1371/journal.pone.0253769https://doaj.org/article/c3d6eb9cd1bd40e78e9f78c7ed7adf342021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253769https://doaj.org/toc/1932-6203We investigated the association between oral hygiene indicators of periodontitis, tooth loss, and tooth brushing on the longitudinal fasting glucose level in non-diabetic subjects. Using a nationwide health screening database in Korea, we included non-diabetic individuals who received a health screening program with oral health check in 2009-2010. We constructed a linear mixed model for the longitudinal data of fasting glucose from the baseline to 2015. During the 4.84-year of median follow-up, 91,963 individuals (mean age 56.2 at baseline) underwent 392,780 health examinations with fasting glucose level (mmol/L). The presence of periodontitis was 39.3%. In the multivariate linear mixed analysis, periodontitis was related with increased fasting glucose levels (β = 0.0084, standard error = 0.0035, p = 0.018). Similarly, tooth loss was associated with increased level of fasting glucose (β = 0.0246, standard error = 0.0038, p < 0.001). Compared with tooth brushing ≤2 times/day, tooth brushing ≥3 times/day was associated with decreased fasting glucose levels (β = -0.0207, standard error = 0.0033, p < 0.001). Our data showed that periodontitis and tooth loss were associated with increased fasting glucose levels in non-diabetic individuals. The study findings imply that frequent tooth brushing may reduce fasting glucose levels. Further research is needed to determine the effect of periodontal intervention on glycemic control.Tae-Jin SongYoonkyung ChangJimin JeonJinkwon KimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253769 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Tae-Jin Song
Yoonkyung Chang
Jimin Jeon
Jinkwon Kim
Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.
description We investigated the association between oral hygiene indicators of periodontitis, tooth loss, and tooth brushing on the longitudinal fasting glucose level in non-diabetic subjects. Using a nationwide health screening database in Korea, we included non-diabetic individuals who received a health screening program with oral health check in 2009-2010. We constructed a linear mixed model for the longitudinal data of fasting glucose from the baseline to 2015. During the 4.84-year of median follow-up, 91,963 individuals (mean age 56.2 at baseline) underwent 392,780 health examinations with fasting glucose level (mmol/L). The presence of periodontitis was 39.3%. In the multivariate linear mixed analysis, periodontitis was related with increased fasting glucose levels (β = 0.0084, standard error = 0.0035, p = 0.018). Similarly, tooth loss was associated with increased level of fasting glucose (β = 0.0246, standard error = 0.0038, p < 0.001). Compared with tooth brushing ≤2 times/day, tooth brushing ≥3 times/day was associated with decreased fasting glucose levels (β = -0.0207, standard error = 0.0033, p < 0.001). Our data showed that periodontitis and tooth loss were associated with increased fasting glucose levels in non-diabetic individuals. The study findings imply that frequent tooth brushing may reduce fasting glucose levels. Further research is needed to determine the effect of periodontal intervention on glycemic control.
format article
author Tae-Jin Song
Yoonkyung Chang
Jimin Jeon
Jinkwon Kim
author_facet Tae-Jin Song
Yoonkyung Chang
Jimin Jeon
Jinkwon Kim
author_sort Tae-Jin Song
title Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.
title_short Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.
title_full Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.
title_fullStr Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.
title_full_unstemmed Oral health and longitudinal changes in fasting glucose levels: A nationwide cohort study.
title_sort oral health and longitudinal changes in fasting glucose levels: a nationwide cohort study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/c3d6eb9cd1bd40e78e9f78c7ed7adf34
work_keys_str_mv AT taejinsong oralhealthandlongitudinalchangesinfastingglucoselevelsanationwidecohortstudy
AT yoonkyungchang oralhealthandlongitudinalchangesinfastingglucoselevelsanationwidecohortstudy
AT jiminjeon oralhealthandlongitudinalchangesinfastingglucoselevelsanationwidecohortstudy
AT jinkwonkim oralhealthandlongitudinalchangesinfastingglucoselevelsanationwidecohortstudy
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