Youn, Ha-Young
(Department of Preventive Dentistry, School of Dentistry, Kyungpook National University)
,
Shin, Hae-Eun
(Department of Preventive Dentistry, School of Dentistry, Kyungpook National University)
,
Cho, Min-Jeong
(Department of Preventive Dentistry, School of Dentistry, Kyungpook National University)
Background: Sleep disorder is a precursor to depression, which is one of the psychological factors associated with periodontal disease that, in turn, affects general and periodontal health. This study aimed to investigate the relationship between sleep duration, depression, and periodontitis in olde...
Background: Sleep disorder is a precursor to depression, which is one of the psychological factors associated with periodontal disease that, in turn, affects general and periodontal health. This study aimed to investigate the relationship between sleep duration, depression, and periodontitis in older people aged over 65 years. Methods: A total of 2,002 older adults aged 65 years or older were included in the study. Their general and health aspects, including smoking, drinking, diabetes, hypertension, and depression, were investigated. Periodontitis was examined using the Community Periodontal Index (CPI). Data were analyzed through a complex sampling design method. Frequency and crossover analyses were conducted to investigate the relationship between depression and periodontitis. To investigate the effect of depression on periodontitis, a logistic regression analysis was performed. Results: Regarding depression and participants' general characteristics, statistically significant differences were found in sex, economic activity, smoking habit, and CPI (p<0.05). In the presence of depression, the odds ratio for periodontitis was 1.84, and the adjusted odds ratio for age, sex, economic activity, residence type, household income, education level, smoking habit, drinking, hypertension, and diabetes was 1.72, representing a significant difference (p<0.05). Conclusion: This study examined the relationship between depression and periodontitis in older persons and confirmed a significant correlation. As the population of older adults increases, we should pay attention to their mental and oral health as well as systemic diseases. Various programs for the health promotion of older persons need to be implemented to improve the quality of life of older people.
Background: Sleep disorder is a precursor to depression, which is one of the psychological factors associated with periodontal disease that, in turn, affects general and periodontal health. This study aimed to investigate the relationship between sleep duration, depression, and periodontitis in older people aged over 65 years. Methods: A total of 2,002 older adults aged 65 years or older were included in the study. Their general and health aspects, including smoking, drinking, diabetes, hypertension, and depression, were investigated. Periodontitis was examined using the Community Periodontal Index (CPI). Data were analyzed through a complex sampling design method. Frequency and crossover analyses were conducted to investigate the relationship between depression and periodontitis. To investigate the effect of depression on periodontitis, a logistic regression analysis was performed. Results: Regarding depression and participants' general characteristics, statistically significant differences were found in sex, economic activity, smoking habit, and CPI (p<0.05). In the presence of depression, the odds ratio for periodontitis was 1.84, and the adjusted odds ratio for age, sex, economic activity, residence type, household income, education level, smoking habit, drinking, hypertension, and diabetes was 1.72, representing a significant difference (p<0.05). Conclusion: This study examined the relationship between depression and periodontitis in older persons and confirmed a significant correlation. As the population of older adults increases, we should pay attention to their mental and oral health as well as systemic diseases. Various programs for the health promotion of older persons need to be implemented to improve the quality of life of older people.
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문제 정의
This study was designed to investigate the correlation between sleep duration, depression, and periodontitis in older persons aged 65 years or older in Korea. Studies that have explored the relation between sleep duration or depression and oral health in older adults on a large-scale in Korea are limited.
제안 방법
Nonetheless, this study was meaningful because it examined older person aged 65 years and older using data from the National Health and Nutrition Survey, which has a large sample size. Another limitation of this study was that the oral examination was conducted using CPI. Although it is good for examining large populations, researchers have suggested that the clinical attachment loss, along with the depth of periodontal pockets, should be used for more accurate diagnoses of periodontitis in future.
Complex sample analysis was performed, and frequency and cross analysis were carried out for the general characteristics of the oral health status. Sleep duration and depression according to general characteristics were cross-analyzed, and a logistic regression analysis was performed to investigate the effect of depression on CPI. SPSS 25.
The data were analyzed by reflecting complex weighted sample design. Logistic regression.
This study was conducted using the second and third raw data of 2015 and 2016 from the sixth National Health and Nutrition Survey data collected through health questionnaires and clinical reports. The data were analyzed by calculating the variance estimator, address numbers of the survey areas, and weight of the questionnaire; subsequently, a plan file was produced.
대상 데이터
The total number of initial subjects was 14,930. Among them, 3,134 participants were aged 65 years or older; of them, 1,132 participants, who did not respond to the oral health examination and questionnaire, were excluded. The final number of participants was 2,002.
The data were analyzed by calculating the variance estimator, address numbers of the survey areas, and weight of the questionnaire; subsequently, a plan file was produced. The total number of initial subjects was 14,930. Among them, 3,134 participants were aged 65 years or older; of them, 1,132 participants, who did not respond to the oral health examination and questionnaire, were excluded.
성능/효과
The risk ratio of periodontitis was 1.84 times higher among those who had depression, and after adjusting for age, sex, economic activity, type of housing, household income, education level, smoking habit, drinking, high blood pressure, and diabetes, the risk ratio was 1.72 times (1.06∼2.79) higher, compared with those who did not have depression, to a statistically significant degree (p<0.05).
There were significant differences in the three categories of sleep duration (less than six hours, six to eight hours, and nine hours or more) by age, sex, type of living, education level, smoking and drinking habit, and CPI (p<0.05). Those who had depression showed statistically significant differences in the following general characteristics: sex, economic activity, smoking habit, and periodontal infection according to CPI (p<0.
후속연구
Studies that have explored the relation between sleep duration or depression and oral health in older adults on a large-scale in Korea are limited. Therefore, we hope that this study will help promote oral health in older persons with depression or sleep disorders.
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