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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2021
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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) |
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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. |
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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 |
_version_ |
1718375088635510784 |