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BMC Oral Health

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Open Access 01-12-2021 | Halitosis | Research

Association between sleep habits and symptoms of oral disease in adolescents: the 2017 Korea Youth Risk Behavior Web-based Survey

Authors: Eun-Sil Choi, Hyun-Sun Jeon, So-Jung Mun

Published in: BMC Oral Health | Issue 1/2021

Abstract

Background

This cross-sectional study aimed to examine the relationship between sleep habits and oral disease symptoms in adolescents.

Methods

Among 62,276 adolescents who participated in the 13th Korea Youth Risk Behavior Web-based Survey (2017), we selected a total of 54,766 adolescents (age, 12–18 years; male, 49.9%) for the final analysis, after excluding those who did not report their sleep duration. The 13th Korea Youth Risk Behavior Web-based Survey data were obtained from a stratified, multistage, clustered sample. Independent variables included general characteristics, oral health behavior, sleep types, sleep duration, and sleep quality; dependent variables comprised oral disease symptoms. Sleep was categorized according to bedtime astype A (bedtime < 1 a.m.) and type B (bedtime ≥ 1 a.m.). Data were analyzed using logistic regression analysis. Statistical significance was set at p < 0.05.

Results

After adjusting for all covariates, adolescents with type A sleep had a higher risk of toothache on chewing (OR = 1.08, 95% CI 1.02–1.15) than adolescents with type B. Adolescents who slept for 6 h or less each night had a higher risk of pain in the tongue and buccal mucosa (OR = 1.35, 95% CI 1.18–1.54), gingival pain, and bleeding (OR = 1.31, 95% CI 1.19–1.45) than those who slept for more than 8 h. Adolescents with low quality of sleep had a higher risk of toothache or throbbing (OR = 1.70, 95% CI 1.60–1.81), toothache on chewing (OR = 1.73, 95% CI 1.65–1.82), and halitosis (OR = 1.51, 95% CI 1.41–1.59) than those with high quality of sleep.

Conclusions

Our findings indicate that some oral symptoms are related to sleep duration and quality. It is essential to inculcate good sleeping habits in adolescents by emphasizing the effects of inadequate sleep duration and quality.

Aldabal L, Bahammam AS. Metabolic, endocrine, and immune consequences of sleep deprivation. Open Respir Med J. 2011;5:31–43. https://doi.org/10.2174/1874306401105010031.CrossRefPubMedPubMedCentral

Wiener RC. Relationship of routine inadequate sleep duration and periodontitis in a nationally representative sample. Sleep Disord. 2016. https://doi.org/10.1155/2016/9158195.CrossRefPubMedPubMedCentral

Larcher S, Benhamou PY, Pepin JL, Borel AL. Sleep habits and diabetes. Diabetes Metab. 2015;41(4):263–71. https://doi.org/10.1016/j.diabet.2014.12.004.CrossRefPubMed

National Sleep Foundation. Teens and sleep. https://www.sleepfoundation.org/articles/teens-and-sleep. Accessed 10 March 2019.

Statistics Korea. Survey on child and adolescent human rights: average sleep time. http://kosis.kr/statHtml/statHtml.do?orgId=402&tblId=DT_ES2017_031&conn_path=I2. Accessed 10 March 2019.

Choi KI. An effect of sleeping time on school adaptation of youths: mediated by depression and ability of self-protection. Forum Youth Cult. 2012;30:126–66.

Brown FC, Buboltz WC Jr, Soper B. Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med. 2002;28(1):33–8. https://doi.org/10.1080/08964280209596396.CrossRefPubMed

Dahl RE, Lewin DS. Pathways to adolescent health sleep regulation and behavior. J Adolesc Health. 2002;31(6 Suppl):175–84. https://doi.org/10.1016/s1054-139x(02)00506-2.CrossRefPubMed

Shochat T, Cohen-Zion M, Tzischinsky O. Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev. 2014;18(1):75–87. https://doi.org/10.1016/j.smrv.2013.03.005.CrossRefPubMed

10.

Malone SK. Early to bed, early to rise?: An exploration of adolescent sleep hygiene practices. J Sch Nurs. 2011;27(5):348–54. https://doi.org/10.1177/1059840511410434.CrossRefPubMed

11.

You MA, Kang NG, Lee HJ. Relationships between sleep habits, daytime sleepiness and problem behaviors among adolescents. J Digit Converg. 2017;15(5):305–15. https://doi.org/10.14400/JDC.2017.15.5.305.CrossRef

12.

Lee SH. Relationship of sleep duration to periodontal disease in youth. J Digit Converg. 2017;15(9):311–9. https://doi.org/10.14400/JDC.2017.15.9.311.CrossRef

13.

Kim BS, Heo JY, Ok SM, Kim KH, Jeong SH, Ko MY, et al. Cyber leisure activities and physical activities in adolescents with temporomandibular disorder. J Oral Med Pain. 2013;38(2):187–201. https://doi.org/10.14476/JOMP.2013.38.2.187.CrossRef

14.

Ministry of Health and Welfare of Korea, Centers for Disease Control and Prevention, Ministry of Education. The 13th Korea Youth Risk Behavior Web-based Survey Statistics. Sejong, Korea: MHWK; 2017.

15.

Seirawan H, Faust S, Mulligan R. The impact of oral health on the academic performance of disadvantaged children. Am J Public Health. 2012;102(9):1729–34. https://doi.org/10.2105/AJPH.2011.300478.CrossRefPubMedPubMedCentral

16.

Tuchtenhagen S, Bresolin CR, Tomazoni F, da Rosa GN, Del Fabro JP, Mendes FM, et al. The influence of normative and subjective oral health status on schoolchildren’s happiness. BMC Oral Health. 2015;15:15. https://doi.org/10.1186/1472-6831-15-15.CrossRefPubMedPubMedCentral

17.

Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med. 2011;12(2):110–8. https://doi.org/10.1016/j.sleep.2010.11.008.CrossRefPubMed

18.

Habukawa C, Nagamitsu S, Koyanagi K, Nishikii Y, Yanagimoto Y, Seiji Y, et al. Late bedtime reflects QTA30 anxiety symptoms in adolescents in a school checkup. Pediatr Int. 2020. https://doi.org/10.1111/ped.14554.CrossRefPubMed

19.

Alqaderi H, Tavares M, Al-Mulla F, Al-Ozairi E, Coodson JM. Late bedtime and dental caries incidence in Kuwaiti children: a longitudinal multilevel analysis. Community Dent Oral Epidemiol. 2020;48(3):181–7. https://doi.org/10.1111/cdoe.12523.CrossRefPubMed

20.

Korea Centers for Disease Control and Prevention. Raw data guidelines of the 13th Korea Youth Risk Behavior Web-based Survey 2017. Osong: KCDC; 2017.

21.

Korea Centers for Disease Control and Prevention. Raw data of the 13th Korea Youth Risk Behavior Web-based Survey 2017. http://www.kdca.go.kr/yhs/. Accessed 20 February 2021.

22.

Merikanto I. Late bedtimes weaken school performance and predispose adolescents to health hazards. Sleep Med. 2013;14(11):1105–11. https://doi.org/10.1016/j.sleep.2013.06.009.CrossRefPubMed

23.

Kim YS, Kim SH, An HG. Predictive study on factors affecting sleep hours in Korean adolescents: based on 2012 adolescent health behavior survey statistics online. JKDAS. 2015;17(6):3337–55.

24.

Asaka Y, Sekine M, Yamada M, Tatsuse T, Sano M. Association of short sleep duration and long media use with caries in school children. Pediatr Int. 2020;62:214–20. https://doi.org/10.1111/ped.14075. CrossRefPubMed

25.

Park SY. Convergence relationship of BMI, sleep time and experience of oral disease in adolescents. J Korea Converg Soc. 2020;11(10):387–92. https://doi.org/10.15207/JKCS.2020.11.10.387.CrossRef

26.

Lee WJ, Choi BY, Hwang KG. The effect of gender between the oral symptoms experience and health behavior factors. J Korean Soc Dent Hyg. 2018;18(1):125–38. https://doi.org/10.13065/jksdh.2018.18.01.125.CrossRef

27.

Woo HS, Shim YS. Correlation between high school students’ experience of visiting the dental clinic and oral symptoms. J Korean Contents Assoc. 2014;14(3):259–68. https://doi.org/10.5392/JKCA.2014.14.03.259.CrossRef

28.

Rhie S, Chae KY. Effects of school time on sleep duration and sleepiness in adolescents. PLoS ONE. 2018;13(9):e0203318. https://doi.org/10.1371/journal.pone.0203318.CrossRefPubMedPubMedCentral

29.

Wheaton AG, Chapman DP, Croft JB. School start times, sleep, behavioral, health, and academic outcomes: a review of the literature. J Sch Health. 2016;86(5):363–81. https://doi.org/10.1111/josh.12388.CrossRefPubMedPubMedCentral

30.

Alfonsi V, Scarpelli S, D’Atri A, Stella G, De Gennaro L. Later school start time: the impact of sleep on academic performance and health in the adolescent population. Int J Environ Res Public Health. 2020;17(7):2574. https://doi.org/10.3390/ijerph17072574.CrossRefPubMedCentral

31.

You MA. Relationships between sleep habits, daytime sleepiness and problem behaviors among adolescents. J Digit Converg. 2017;15(5):305–15. https://doi.org/10.14400/JDC.2017.15.5.305.CrossRef

32.

Wang H, Hu R, Du H, Fiona B, Zhong J, Yu M. The relationship between sleep duration and obesity risk among school students: across—setional study in Zhejiang, China. Nutr Metab. 2018;15:48. https://doi.org/10.1186/s12986-018-0285-8.CrossRef

33.

Lee JJ, Kang JH, Lee SK, Chae KY. Impact of Sleep Duration On Emotional Status In Adolescent. J Korean Child Neurol Soc. 2013;21(3):100–10.

34.

Chiang JJ, Cole SW, Bower JE, Irwin MR, Taylor SE, Arevalo J, et al. Daily interpersonal stress, sleep duration, and gene regulation during late adolescence. Psychoneuroendocrinology. 2019;103:147–55. https://doi.org/10.1016/j.psyneuen.2018.11.026.CrossRefPubMed

35.

Choi DW, Chun SY, Lee SA, Han KT, Park EC. Association between sleep duration and perceived stress: salaried worker in circumstances of highworkload. Int J Environ Res Public Health. 2018;15(4):796. https://doi.org/10.3390/ijerph15040796.CrossRefPubMedCentral

36.

Zhai L, Zhang H, Zhang D. Sleep duration and depression among adults: a meta-analysis of prospective studies. Depress Anxiety. 2015;32(9):664–70. https://doi.org/10.1002/da.22386.CrossRefPubMed

37.

Perez de Heredia F, Garaulet M, Gomez-Martinez S, Diaz LE, Warnberg J, Androutsos O, et al. Self-reported sleep duration, white blood cell counts and cytokine profiles in European adolescents: the HELENA study. Sleep Med. 2014;15(10):1251–8. https://doi.org/10.1016/j.sleep.2014.04.010.CrossRefPubMed

38.

Rai B, Kaur J, Anand SC, Jacobs R. Salivary stress markers, stress, and periodontitis: a pilot study. J Periodontol. 2011;82(2):287–92. https://doi.org/10.1902/jop.2010.100319.CrossRefPubMed

39.

Goyal S, Jajoo S, Nagappa G, Rao G. Estimation of relationship between psychosocial stress and periodontal status using serum cortisol level: a clinico-biochemical study. Indian J Dent Res. 2011;22(1):6–9. https://doi.org/10.4103/0970-9290.79966.CrossRefPubMed

40.

Refulio Z, Rocafuerte M, de la Rosa M, Mendoza G, Chambrone L. Association among stress, salivary cortisol levels, and chronic periodontitis. J Periodontal Implant Sci. 2013;43(2):96–100. https://doi.org/10.5051/jpis.2013.43.2.96.CrossRefPubMedPubMedCentral

41.

Michels N, Sioen I, Huybrechts I, Bammann K, Vanaelst B, De Vriendt T, Iacoviello L, Konstabel K, Ahrens W, De Henauw S. Negative life events, emotions and psychological difficulties as determinants of salivary cortisol in Belgian primary school children. Psychoneuroendocrinology. 2012;37(9):1506–15. https://doi.org/10.1016/j.psyneuen.2012.02.004.CrossRefPubMed

42.

Walsh T, Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database Syst Rev. 2019;3(3):CD007868. https://doi.org/10.1002/14651858.CD007868.pub3.CrossRefPubMed

43.

Cho EB. The use of fluoride for the prevention of dental decay in Korea and Its Recommendation. Korea Health Promotion Institute. 2017. Weekly issue 29. https://www.khealth.or.kr/kps. Accessed 20 Feb 2021.

44.

Statistics Korea. How to use fluoride. https://kosis.kr/statHtml/statHtml.do?orgId=213&tblId=DT_21301_023_01&conn_path=I2. Accessed 20 Feb 2021.

45.

Lee JH, Kim BS. Relationship between the objective oral health status and the subjective oral health awareness of Korean adult. Asia Pac J Multimed Serv Converg Art Humanit Sociol. 2015;5(3):119–30. https://doi.org/10.14257/AJMAHS.2015.06.20.CrossRef

46.

Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974;9(3):208–20.PubMedPubMedCentral

Title: Association between sleep habits and symptoms of oral disease in adolescents: the 2017 Korea Youth Risk Behavior Web-based Survey
Authors: Eun-Sil Choi
Hyun-Sun Jeon
So-Jung Mun
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Halitosis
Halitosis
Published in: BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-021-01575-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association between sleep habits and symptoms of oral disease in adolescents: the 2017 Korea Youth Risk Behavior Web-based Survey

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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