Menopause experience and the relationship between metabolic syndrome components and periodontitis

Ye Hwang Kim; Jung Hwa Lee

doi:10.11149/jkaoh.2019.43.2.56

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Kim and Lee: Menopause experience and the relationship between metabolic syndrome components and periodontitis

Original Article

Journal of Korean Academy of Oral Health 2019; 43(2): 56-62.

Published online: 28 June 2019

DOI: https://doi.org/10.11149/jkaoh.2019.43.2.56

Menopause experience and the relationship between metabolic syndrome components and periodontitis

Ye Hwang Kim

, Jung Hwa Lee

Department of Dental Hygiene, Dong-Eui University, Busan, Korea.

Corresponding Author: Jung Hwa Lee. Department of Dental Hygiene, Dong-Eui University, 176 Eomgwang-ro, Busanjin-gu, Busan 47340, Korea. Tel: +82-51-890-4239, Fax: +82-51-505-6878, yamako93@deu.ac.kr

Received 29 January 2019 Revised 13 May 2019 Accepted 18 May 2019

Journal of Korean Academy of Oral Health

(open-access):

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

The purpose of this study was to investigate the correlation of periodontitis with metabolic syndromes and menopause status.

Methods

The 2013 Korea National Health and Nutrition Examination Survey data of 645 postmenopausal and 663 premenopausal women were analyzed using the Pearson's chi-squared test and multiple regression analysis with the Statistical Package for the Social Sciences (PASW statistics) software version 21.0. Metabolic syndromes and community periodontal index (CPI) were analyzed.

Results

CPI 3, CPI 4 (P<0.001), and the prevalence of periodontal disease were significantly higher in the postmenopausal group (P<0.001). Periodontal disease was significantly higher (P<0.001) in postmenopausal women not using dental floss (2.69 times), hypertensive postmenopausal women (1.60 times), and premenopausal women with high blood glucose levels (1.67 times). In the multiple logistic regression analysis, after adjusting for age, smoking habit, and alcohol consumption, significant risk factors for periodontal disease were the lack of dental floss use (odds ratio [OR]: 1.83; 95% confidence interval [CI]: 1.26–2.67), menopause (OR: 1.71; 95% CI: 1.22–2.41), and number of metabolic syndromes (when 1 or 2, OR: 2.22 and 95% CI: 1.50–3.29; when 3 or more, OR: 2.22 and 95% CI: 1.58–3.13).

Conclusions

In summary, menopause status is associated with periodontal disease. Therefore, oral health programs for middle-aged women with menopause and metabolic syndromes should be conducted to improve their oral health-related quality of life.

Keywords: Menopause status, Metabolic syndrome, Oral health-related quality of life, Periodontal disease

Figures and Tables

Table 1

Oral health behaviors characteristics of subjects

^*P-value analysed using Chi-squared test.

Table 2

Components of metabolic syndrome according to menopausal status

^*P-value analysed using Chi-squared test.

Table 3

Periodontitis according to oral health behaviors

Calculated from each logistic regression model of the single components with other risk factor.

OR, odds ratio; CI, confidence intervals.

Table 4

Periodontitis according to components of metabolic syndrome

Calculated from each logistic regression model of the single components with other risk factor; Model Including all metabolic syndrome components.

Adjusted OR=adjusted odds ratio taking account for age.

OR, odds ratio; CI, confidence intervals.

Table 5

The relationship between periodontitis and menopause experience and the number of metabolic syndrome factors

OR, odds ratio; CI, confidence intervals.

^*P-value analysed using multiple logistic regression.

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ORCID iDs

Ye Hwang Kim
https://orcid.org/0000-0001-5803-8798

Jung Hwa Lee
https://orcid.org/0000-0002-3416-1289

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