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Associations between the number of natural teeth and metabolic syndrome in adults
Author(s) -
Zhu Yong,
Hollis James H.
Publication year - 2015
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12361
Subject(s) - metabolic syndrome , medicine , dentition , national health and nutrition examination survey , body mass index , waist , dentistry , odds ratio , molar , cross sectional study , blood pressure , tooth loss , logistic regression , obesity , physiology , population , oral health , environmental health , pathology
Aim To explore associations between the number of natural teeth and metabolic syndrome in adults. Material and Methods Cross‐sectional data from the National Health and Nutrition Examination Survey 2005–2008 were used. Eligible adults ( n = 5511) were classified into four groups by their number of natural teeth (excluding third molars): full dentition, 21–27 teeth, 1–20 teeth, or edentulous. Metabolic syndrome was defined by diagnostic guidelines from the American Heart Association and National Heart, Lung, and Blood Institute. Associations were analysed by survey logistic regression. Biometric and metabolic parameters in different dentition groups were compared. Results Adjusting for age, gender, race/ethnicity, ratio of family income to poverty, physical activity, smoking, and energy intake, tooth loss was significantly associated with metabolic syndrome ( p = 0.002). Compared to participants with full dentition, the odds were 32% higher in those with 21–27 teeth, 55% higher in those with 1–20 teeth and 79% higher in edentulous participants. The number of natural teeth was inversely associated with body mass index, waist circumference, blood pressure, fasting plasma glucose and insulin concentrations ( p < 0.01 for all); it was positively associated with serum HDL cholesterol concentration ( p = 0.003). Conclusions The number of natural teeth is inversely associated with the presence of metabolic syndrome in adults.