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Oral health behaviors and metabolic syndrome: the 2008–2010 Korean National Health and Nutrition Examination Survey

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Abstract

Objectives

This study examined whether oral health behaviors are associated with metabolic syndrome (MetS) in Korean adults involved in the 2008–2010 Korea National Health and Nutrition Examination Survey (KNHANES).

Materials and methods

A total of 18,742 subjects (8,034 men and 10,708 women) were included. MetS was defined according to the criteria of the American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement for Asians. Oral health behavior was assessed using a questionnaire included in the KNHANES.

Results

Subjects with MetS brushed their teeth less frequently and used fewer secondary oral products than subjects without MetS (p < 0.01). As frequency of toothbrushing and number of secondary oral products increased, body mass index, waist circumference, diastolic blood pressure, fasting plasma glucose, triglyceride, and white blood cell count decreased, but high-density lipoprotein–cholesterol increased (all p for trend <0.01). In the multivariable logistic regression models, as frequency of toothbrushing increased, the odds ratios (ORs) for MetS, abdominal obesity, and hyperglycemia are more than one after adjusting for age, gender, education, income, alcohol and tobacco use, physical activity, and the components of MetS. The ORs for MetS, abdominal obesity, and high blood pressure were more than one in subjects who do not use dental floss after adjusting for all covariates.

Conclusion

MetS is associated with infrequent daily toothbrushing and disuse of dental floss in South Korean.

Clinical relevance

Dentists may recommend evaluation for MetS in the patients with infrequent daily toothbrushing and disuse of dental floss.

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Acknowledgments

The authors wish to thank the Korea University Medical Center (Myung-Ho Hong, Seon-Mi Kim, Seung-Hwan Lee, and Yoon Seon Choi) and Jung-Geun Kim who inspired the concept of the study. We also wish to thank the participants of this study for their dedication.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Family Medicine, Korea University College of Medicine, 126-1, 5Ka, Anam-Dong, Seongbuk-Gu, Seoul, South Korea

    Yang-Hyun Kim, Do-Hoon Kim, Kyung Sook Lim, Byung-Joon Ko, Byung-Duck Han, Ga-Eun Nam & Kyung-Hwan Cho

  2. Department of Medical Statistics, Catholic University College of Medicine, Seoul, South Korea

    Yong-Gyu Park & Kyung Do Han

  3. Department of Family Medicine, Hana Hospital, Chung-Ju, South Korea

    Jung-Hyun Kim

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  1. Yang-Hyun Kim
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Corresponding author

Correspondence to Kyung-Hwan Cho.

Additional information

Yang-Hyun Kim and Do-Hoon Kim contributed to this work equally

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Kim, YH., Kim, DH., Lim, K.S. et al. Oral health behaviors and metabolic syndrome: the 2008–2010 Korean National Health and Nutrition Examination Survey. Clin Oral Invest 18, 1517–1524 (2014). https://doi.org/10.1007/s00784-013-1112-2

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  • DOI: https://doi.org/10.1007/s00784-013-1112-2

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