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.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
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.
참고문헌 (32)
Chatterji, S., Byles, J., Cutler, D., Seeman, T., Verdes, E..
Health, functioning, and disability in older adults-present status and future implications.
The Lancet,
vol.385,
no.9967,
563-575.
Jang, S.-N., Cho, S.-I., Chang, J., Boo, K., Shin, H.-G., Lee, H., Berkman, L. F..
Employment Status and Depressive Symptoms in Koreans: Results From a Baseline Survey of the Korean Longitudinal Study of Aging.
The journals of gerontology. Series B, Psychological sciences and social sciences,
vol.64,
no.5,
677-683.
Driscoll, Henry C., Serody, Linda, Patrick, Susan, Maurer, Jennifer, Bensasi, Salem, Houck, Patricia R., Mazumdar, Sati, Nofzinger, Eric A., Bell, Bethany, Nebes, Robert D., Miller, Mark D., Reynolds III, Charles F..
Sleeping Well, Aging Well: A Descriptive and Cross-Sectional Study of Sleep in “Successful Agers” 75 and Older.
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry,
vol.16,
no.1,
74-82.
van der Ploeg, Eva S., O'Connor, Daniel W..
Methodological challenges in studies of bright light therapy to treat sleep disorders in nursing home residents with dementia.
Psychiatry and clinical neurosciences,
vol.68,
no.11,
777-784.
Cappuccio, Francesco P., D'Elia, Lanfranco, Strazzullo, Pasquale, Miller, Michelle A..
Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies.
Sleep : Journal of sleep and sleep disorders research,
vol.33,
no.5,
585-592.
GALLICCHIO, LISA, KALESAN, BINDU.
Sleep duration and mortality: a systematic review and meta-analysis.
Journal of sleep research,
vol.18,
no.2,
148-158.
Kong YM, Han GS: Relationships between obesity types and periodontitis according to characteristics of subjects. J Dent Hyg Sci 12: 279-286, 2012. https://doi.org/10.17135/jdhs.2012.12.3.279
Hardeland R: Melatonin in aging and disease -multiple consequences of reduced secretion, options and limits of treatment. Aging Dis 3: 194-225, 2012.
Hermans, Heidi, Evenhuis, Heleen M..
Factors associated with depression and anxiety in older adults with intellectual disabilities: results of the healthy ageing and intellectual disabilities study.
International journal of geriatric psychiatry,
vol.28,
no.7,
691-699.
Ministry of Health and Welfare:Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Korea Health Statistics, 2017.
10.1136/jech.54.2.123
Kurlowicz, Lenore H..
Nursing standard of practice protocol: Depression in elderly patients : In spite of its prevalence, associated negative outcomes, and good treatment response, depression in older adults is underrecognized, misdiagnosed, and undertreated.
Geriatric nursing,
vol.18,
no.5,
192-200.
Sundararajan, Shiyamali, Muthukumar, Santhanakrishnan, Rao, Suresh Ranga.
Relationship between depression and chronic periodontitis.
Journal of indian society of periodontology,
vol.19,
no.3,
294-296.
Johannsen, A., Rydmark, I., Söder, B., Åsberg, M..
Gingival inflammation, increased periodontal pocket depth and elevated interleukin-6 in gingival crevicular fluid of depressed women on long-term sick leave.
Journal of periodontal research,
vol.42,
no.6,
546-552.
Irwin, M., Patterson, T., Smith, T.L., Caldwell, C., Brown, S.A., Gillin, J.C., Grant, I..
Reduction of immune function in life stress and depression.
Biological psychiatry,
vol.27,
no.1,
22-30.
Jeon SN, Song H: The relationship between EQ-5D and optimal sleep duration among community dwelling elderly. Korean Public Health Res 43: 13-22, 2017.
Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J: Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J 32: 281-291, 1982.
Grover, Vishakha, Malhotra, Ranjan, Kaur, Harleen.
Exploring association between sleep deprivation and chronic periodontitis: A pilot study.
Journal of indian society of periodontology,
vol.19,
no.3,
304-307.
Lee, Eun-Jung, Kang, Sung-Goo, Shin, Jin-Hee, Hwang, Yu-Na, Ryu, Ki-Son, Song, Sang-Wook.
Relationship between Sleep Quality and Metabolic Syndrome and Infl ammatory Markers in Middle-aged Men in Korea.
Korean journal of family medicine : KJFM,
vol.30,
no.5,
344-.
Acar, M, Türkcan, İ, Özdaş, T, Bal, C, Cingi, C.
Obstructive sleep apnoea syndrome does not negatively affect oral and dental health.
The journal of laryngology and otology,
vol.129,
no.1,
68-72.
van den Berg, Julia F., Luijendijk, Hendrika J., Tulen, Joke H. M., Hofman, Albert, Neven, Arie Knuistingh, Tiemeier, Henning.
Sleep in Depression and Anxiety Disorders : A Population-Based Study of Elderly Persons.
The Journal of clinical psychiatry,
vol.70,
no.8,
1105-1113.
Rosania, Amy E., Low, Kathryn G., McCormick, Cheryl M., Rosania, David A..
Stress, Depression, Cortisol, and Periodontal Disease.
Journal of periodontology,
vol.80,
no.2,
260-266.
AI-Helper
※ AI-Helper는 부적절한 답변을 할 수 있습니다.