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BMC Oral Health
Published in: BMC Oral Health 1/2021

Open Access 01-12-2021 | Obesity | Research

A cross-sectional study of relationships between periodontal disease and general health: The Hitachi Oral Healthcare Survey

Authors: Shinsuke Kataoka, Mitsuo Kimura, Tsuguno Yamaguchi, Kenji Egashira, Yu Yamamoto, Yasushi Koike, Yuki Ogawa, Chika Fujiharu, Toshiko Namai, Kanako Taguchi, Momoko Takahashi, Asami Kameda, Tomoka Kasen, Asami Hano, Konomi Kubota, Masayuki Sato, Hiroaki Yamaga, Kaori Nohara, Mikiko Shirasawa, Chika Sekine, Maki Fukuda, Arisa Aoki, Yurina Takeuchi, Misaki Mugiyama, Kenta Mori, Keigo Sawada, Yoichiro Kashiwagi, Masahiro Kitamura, Takeshi Hayashi, Tohru Nakagawa, Shinya Murakami

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

This cross-sectional study performed to clarify the relationship between periodontal disease and non-communicable diseases (NCDs), such as obesity, diabetes mellitus, impaired glucose tolerance (IGT), chronic obstructive pulmonary disease (COPD), and atherosclerotic cardiovascular disease (ASCVD) by introducing dental examinations into the annual health examinations conducted by Japanese companies, and to highlights the importance of a medical system that connects dental and medical professionals.

Methods

A total of 1.022 Hitachi Ltd. employees were enrolled in this cross-sectional study. We examined correlations and odds ratios (ORs) between the dental and overall health of employees using stratification and multiple logistic regression analyses based on the periodontal health indicators, general health indicators, and occlusal force.

Results

The adjusted OR of PPD for obesity (OR, 1.42; 95% confidence interval [CI], 1.09–1.84; p = 0.009), IGT (OR, 1.48; 95% CI, 1.00–2.20; p = 0.049), and COPD (OR, 1.38; 95% CI, 1.02–1.88; p = 0.038) significantly differed. The adjusted OR of body mass index (OR, 1.28; 95% CI 1.15–1.42; p < 0.001), haemoglobin A1C (HbA1c) (OR, 4.34; 95% CI, 1.89–9.98; p < 0.001), fasting blood glucose (FBG) levels (OR, 1.08; 95% CI 1.04–1.11; p < 0.001), postbronchodilator forced expiratory volume in one second/forced vital capacity ratio (%FEV1) (OR, 0.95; 95% CI 0.91–1.00; p = 0.031) and smoking (OR, 2.32; 95% CI 1.62–3.33; p < 0.001) for severe periodontal disease also significantly differed. Occlusal force was significantly reduced in employees aged 50–59 years compared to those aged 40–49 years. Both PPD, HbA1c, FBG levels were significantly associated with occlusal force among employees with moderate/severe periodontitis. PPD was significantly associated with occlusal force among employees with and moderate COPD, and ASCVD. %FEV1 was significantly associated with occlusal force among employees with IGT.

Conclusions

This cross-sectional study revealed mutual relationships among periodontal disease, NCDs, and occlusal force on Japanese corporate workers. We demonstrated that a comprehensive, regional healthcare system centred on annual integrated dental and physical health examinations in the workplace will benefit employees and positively impact corporate health insurance.
Appendix
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Metadata
Title
A cross-sectional study of relationships between periodontal disease and general health: The Hitachi Oral Healthcare Survey
Authors
Shinsuke Kataoka
Mitsuo Kimura
Tsuguno Yamaguchi
Kenji Egashira
Yu Yamamoto
Yasushi Koike
Yuki Ogawa
Chika Fujiharu
Toshiko Namai
Kanako Taguchi
Momoko Takahashi
Asami Kameda
Tomoka Kasen
Asami Hano
Konomi Kubota
Masayuki Sato
Hiroaki Yamaga
Kaori Nohara
Mikiko Shirasawa
Chika Sekine
Maki Fukuda
Arisa Aoki
Yurina Takeuchi
Misaki Mugiyama
Kenta Mori
Keigo Sawada
Yoichiro Kashiwagi
Masahiro Kitamura
Takeshi Hayashi
Tohru Nakagawa
Shinya Murakami
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-021-01990-6

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