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Updated: Jun 8, 2025

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Association between toothbrushing behavior and cardiometabolic multimorbidity among middle aged and older adults in
Dan Guo1,2, Yanshang Wang3,2, Yanan Zhao4
1Department of Scientific Research and Teaching, China Aerospace Science & Industry Corporation 731 Hospital, Beijing, 100074, China.
Objectives:
To evaluate the association between toothbrushing behavior and cardiometabolic multimorbidity (CMM) among middle-aged and older adults.
Methods:
Data from the Beijing Health Service Survey were used to estimate the association between toothbrushing behavior and the risk of CMM using multilevel logistic models (N = 18,158).
Results:
There were 554 patients with CMM, with a prevalence of 3.05%. We found a higher risk of CMM for those with toothbrushing once or less (OR = 2.16, 95%CI: 1.80, 2.59) compared with those brushed two or more times per day in the crude model. After adjusting for confounding factors, the association between the two remained significant (OR = 1.68, 95%CI: 1.39, 2.04). The effect size was higher in adults with a higher education level (OR = 2.32) compared to those with a lower education level (OR = 1.39, P forinteraction<0.01).
Conclusions:
Poor toothbrushing practices were associated with CMM among middle-aged and older people. Longitudinal study can be considered to explore the causal association between the two and whether good toothbrushing habits can predict CMM and its progression.
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