한국 중고령자의 잔존치아 수와 복합 만성질환과의 연관성 : 국민건강영양조사 5개년도 자료 활용 = Relationship between the Number of Remaining Teeth and Multimorbidity in Korea Older Adults (KNHANES 2014-2018)

다국어 초록 (Multilingual Abstract)

This study analyzed the relationship between the number of remaining teeth and multimorbidity of middle-aged or older subjects in Korea. It was conducted using data from five years (2014-2018) of the National Health and Nutrition Survey. In both men and women, the lower the number of teeth, the higher the proportion of people with multimorbidity. In the results of multivariate linear regression analysis that ajusted sociodemographic variables, it was confirmed that men had a relationship in which multimorbidity decreased as the number of remaining teeth increased. The results of this study indicate that the oral health status of the pre-elderly can act as a potential risk factor for multimorbidity. In the future, it is necessary to discuss the area of oral health management when discussing the multimorbidity management systems.

국문 초록 (Abstract)

본 연구는 한국 중고령자의 잔존치아 개수와 복합만성질환의 연관성에 관하여 분석함으로써, 예비 노인의 구강상태에 따라 만성질환 이환 개수에 영향을 주는지 알아보았다. 국민건강영양조사 5개년도 자료(2014~2018)를 이용하여 수행하였다. 남성과 여성 모두 잔존치아 수를 4분위수로 분류하였을 때 개수가 낮은 그룹일수록 복합만 성질환자의 비율이 높은 것을 알 수 있었다. 인구사회학적 변수를 보정한 다변량 선형 회귀분석 결과에서 남성은 잔존치아 수가 많을수록 만성질환 이환 개수가 감소되는 관계를 확인할 수 있었다. 본 연구결과는 예비노인의 구 강건강상태가 복합만성질환의 잠재적 위험요인으로 작용할 수 있음을 나타내며, 향후 복합만성질환 관리체계에 관 한 제도적 논의에 있어 구강건강 관리 필요성을 시사한다.

참고문헌 (Reference)

1 박태성 ; 김상훈 ; 신명준 ; 이병주, "흡기근 훈련 장비를 활용한 복합 운동이 지역 사회 기반 노인의 신체기능에 미치는 영향" 국제차세대융합기술학회 5 (5): 57-64, 2021

2 K. H. Jeong, "Survey of living conditions and welfare needs of Korean older persons, 2017" Ministry of Health and Welfare 2017

3 Gunnar Holm, "Smoking as an Additional Risk for Tooth Loss" Wiley 65 (65): 996-1001, 1994

4 G. Rutger Persson, "Rheumatoid arthritis and periodontitis – inflammatory and infectious connections. Review of the literature" Informa UK Limited 4 (4): 11829-, 2012

5 Joshua M. Baruth, "Polypharmacy in older adults: the role of the multidisciplinary team" Informa UK Limited 48 (48): 56-62, 2020

6 Sara G. Grossi, "Periodontal Disease and Diabetes Mellitus: A Two-Way Relationship" Wiley 3 (3): 51-61, 1998

7 Jukka H. Meurman, "Oral health, atherosclerosis, and cardiovascular disease" SAGE Publications 15 (15): 403-413, 2004

8 Krishnan Raghavendran, "Nursing home-associated pneumonia, hospital-acquired pneumonia and ventilator-associated pneumonia: the contribution of dental biofilms and periodontal inflammation" Wiley 44 (44): 164-177, 2007

9 Alison J Yarnall, "New horizons in multimorbidity in older adults" Oxford University Press (OUP) 46 (46): 882-888, 2017

10 Marjan van den Akker, "Multimorbidity in General Practice: Prevalence, Incidence, and Determinants of Co-Occurring Chronic and Recurrent Diseases" Elsevier BV 51 (51): 367-375, 1998

11 Horacio Islas-Granillo, "Indicators of oral health in older adults with and without the presence of multimorbidity:A cross-sectional study" Informa UK Limited 14 : 219-224, 2019

12 Patricia Villacampa-Fernández, "Frailty and multimorbidity: Two related yet different concepts" Elsevier BV 95 : 31-35, 2017

13 H. S. Kim, "Establishment of an integrated medical model for elderly patients with multimorbidity" National Evidence-based Healthcare Collaborating Agency 2021

14 Y. Okamoto, "Effects of smoking and drinking habits on the incidence of periodontal disease and tooth loss among Japanese males: a 4-yr longitudinal study" Wiley 41 (41): 560-566, 2006

15 Frank R. Ernst, "Drug-Related Morbidity and Mortality: Updating the Cost-of-Illness Model" Elsevier BV 41 (41): 192-199, 2001

16 P. J. Ford, "Cross-reactivity of GroEL antibodies with human heat shock protein 60 and quantification of pathogens in atherosclerosis" Wiley 20 (20): 296-302, 2005

17 B. Wu, "Cognitive Function and Oral Health Among Community-Dwelling Older Adults" Oxford University Press (OUP) 63 (63): 495-500, 2008

18 George W. Taylor, "Bidirectional Interrelationships Between Diabetes and Periodontal Diseases: An Epidemiologic Perspective" Wiley 6 (6): 99-112, 2001

19 Lise Lund Håheim, "Antibody levels to single bacteria or in combination evaluated against myocardial infarction" Wiley 35 (35): 473-478, 2008

20 KOSIS, "Administrative sttistics for the middle-aged, 2017" KOSIS

21 R. J. Genco, "A proposed model linking inflammation to obesity, diabetes, and periodontal infections" 76 : 2075-2084, 2005