TY - JOUR
T1 - Relationship of toothbrushing to metabolic syndrome in middle-aged adults
AU - Tanaka, Akihiko
AU - Takeuchi, Kenji
AU - Furuta, Michiko
AU - Takeshita, Toru
AU - Suma, Shino
AU - Shinagawa, Takashi
AU - Shimazaki, Yoshihiro
AU - Yamashita, Yoshihisa
N1 - Funding Information:
This study was supported by Grant-in-Aid for Young Scientists (B) (17K17375 and 26861832) from the Ministry of Education, Science, Sports, and Culture of Japan, Tokyo, Japan Ministry of Education, Culture, Sports, Science and Technology of Japan.
Publisher Copyright:
© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2018/5
Y1 - 2018/5
N2 - Aim: To examine the effect of toothbrushing on the development of metabolic syndrome (MetS), including assessment of periodontal status, in middle-aged adults. Methods: This 5-year follow-up retrospective study was performed in 3,722 participants (2,897 males and 825 females) aged 35–64 years who underwent both medical check-ups and dental examinations. Metabolic components included obesity, elevated triglycerides, blood pressure, fasting glucose and reduced high-density lipoprotein. Toothbrushing frequency was assessed using a questionnaire. Periodontal disease was defined as having at least one site with a pocket depth of ≥4 mm. Logistic regression analysis was performed to evaluate the relationship between toothbrushing frequency at the baseline examination and the development of MetS (≥3 components). Results: During follow-up, 11.1% of participants developed MetS. After adjusting for potential confounders including periodontal disease, participants with more frequent daily toothbrushing tended to have significantly lower odds of developing MetS (p for trend =.01). The risk of development of MetS was significantly lower in participants brushing teeth ≥3 times/day than in those brushing teeth ≤1 time/day (odds ratio = 0.64, 95% confidence interval = 0.45–0.92). Conclusions: Frequent daily toothbrushing was associated with lower risk of development of MetS.
AB - Aim: To examine the effect of toothbrushing on the development of metabolic syndrome (MetS), including assessment of periodontal status, in middle-aged adults. Methods: This 5-year follow-up retrospective study was performed in 3,722 participants (2,897 males and 825 females) aged 35–64 years who underwent both medical check-ups and dental examinations. Metabolic components included obesity, elevated triglycerides, blood pressure, fasting glucose and reduced high-density lipoprotein. Toothbrushing frequency was assessed using a questionnaire. Periodontal disease was defined as having at least one site with a pocket depth of ≥4 mm. Logistic regression analysis was performed to evaluate the relationship between toothbrushing frequency at the baseline examination and the development of MetS (≥3 components). Results: During follow-up, 11.1% of participants developed MetS. After adjusting for potential confounders including periodontal disease, participants with more frequent daily toothbrushing tended to have significantly lower odds of developing MetS (p for trend =.01). The risk of development of MetS was significantly lower in participants brushing teeth ≥3 times/day than in those brushing teeth ≤1 time/day (odds ratio = 0.64, 95% confidence interval = 0.45–0.92). Conclusions: Frequent daily toothbrushing was associated with lower risk of development of MetS.
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U2 - 10.1111/jcpe.12876
DO - 10.1111/jcpe.12876
M3 - Article
C2 - 29421856
AN - SCOPUS:85046710497
SN - 0303-6979
VL - 45
SP - 538
EP - 547
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
IS - 5
ER -