Gender differences in the association between metabolic syndrome and periodontal disease: The Hisayama Study

Michiko Furuta, Yoshihiro Shimazaki, Toru Takeshita, Yukie Shibata, Sumio Akifusa, Nobuoki Eshima, Yutaka Kiyohara, Toshiharu Ninomiya, Yoichiro Hirakawa, Naoko Mukai, Masaharu Nagata, Yoshihisa Yamashita

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Abstract

Aims Periodontal disease and metabolic syndrome (MS) are more prevalent in males than in females. However, whether there is a gender difference in the association between these health conditions has not yet been investigated. This study examined the gender difference in this association, considering the definition of periodontal disease. Materials and Methods We recruited 1040 males and 1330 females, aged ≥40 years, with at least ten teeth from subjects of the 2007 Hisayama health examination. We performed a logistic regression analysis with various definitions of periodontal disease the dependent variable and MS as the independent variable. Following the analysis, the data were reanalysed with the structural equations model. Results The logistic regression analysis suggested a stronger association between periodontal disease and MS in females than that in males when periodontal disease was more severely defined. When we constructed the structural equations model in each gender, the model showed a good fit to the data of females, suggesting the association between periodontal disease and MS in females, but not in males. Conclusions Gender differences seem to exist in the association between periodontal disease and MS; MS might show a stronger association with periodontal disease in females than in males.

Original languageEnglish
Pages (from-to)743-752
Number of pages10
JournalJournal of Clinical Periodontology
Volume40
Issue number8
DOIs
Publication statusPublished - Aug 1 2013

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Metabolic Diseases
Periodontal Diseases
Structural Models
Logistic Models
Regression Analysis
Health
Tooth

All Science Journal Classification (ASJC) codes

  • Periodontics

Cite this

Gender differences in the association between metabolic syndrome and periodontal disease : The Hisayama Study. / Furuta, Michiko; Shimazaki, Yoshihiro; Takeshita, Toru; Shibata, Yukie; Akifusa, Sumio; Eshima, Nobuoki; Kiyohara, Yutaka; Ninomiya, Toshiharu; Hirakawa, Yoichiro; Mukai, Naoko; Nagata, Masaharu; Yamashita, Yoshihisa.

In: Journal of Clinical Periodontology, Vol. 40, No. 8, 01.08.2013, p. 743-752.

Research output: Contribution to journalArticle

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AU - Akifusa, Sumio

AU - Eshima, Nobuoki

AU - Kiyohara, Yutaka

AU - Ninomiya, Toshiharu

AU - Hirakawa, Yoichiro

AU - Mukai, Naoko

AU - Nagata, Masaharu

AU - Yamashita, Yoshihisa

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N2 - Aims Periodontal disease and metabolic syndrome (MS) are more prevalent in males than in females. However, whether there is a gender difference in the association between these health conditions has not yet been investigated. This study examined the gender difference in this association, considering the definition of periodontal disease. Materials and Methods We recruited 1040 males and 1330 females, aged ≥40 years, with at least ten teeth from subjects of the 2007 Hisayama health examination. We performed a logistic regression analysis with various definitions of periodontal disease the dependent variable and MS as the independent variable. Following the analysis, the data were reanalysed with the structural equations model. Results The logistic regression analysis suggested a stronger association between periodontal disease and MS in females than that in males when periodontal disease was more severely defined. When we constructed the structural equations model in each gender, the model showed a good fit to the data of females, suggesting the association between periodontal disease and MS in females, but not in males. Conclusions Gender differences seem to exist in the association between periodontal disease and MS; MS might show a stronger association with periodontal disease in females than in males.

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