強い 心,強い 笑顔: 歯 の 喪失 と 心臓 血管 疾患 の 発生 率
Lindsey Montileaux Mabbutt1, Paul Jensen2, Amanda Fretts3
1Missouri Breaks Industries Inc, Eagle Butte, SD, Swinomish Indian Tribal Community Dental Clinic, La Conner, WA, Skagit Valley College Dental Therapy Program, Mount Vernon, WA, USA.
Community dentistry and oral epidemiology
|September 1, 2025
まとめ
エデントリズム (完全な歯の喪失) は,アメリカンインディアン成人の心血管疾患 (CVD) の高リスクと関連しています. この関連は 口腔と心臓の両方の健康を扱う統合された健康戦略の必要性を強調しています
科学分野:
- 公衆衛生
- 流行病学
- 心臓病科
背景:
- 歯の脱落と心血管疾患は 共通の危険因子と疾患経路を持っています
- アメリカインディアン集団における歯の喪失とCVDの関連性に関する研究は限られている.
研究 の 目的:
- エデントル症の流行を調査する
- この集団におけるエデントリズムと心血管疾患の発生率との関連を調べる.
主な方法:
- 1997~1999年のベースラインから2019年のフォローアップまでのデータによる長期コホート研究 (Strong Heart Study).
- 歯周病は自然歯がないと定義され,モニタリングを通じて追跡されたCVDイベント.
- 関連性を評価するために使用されたコックスの比例的危険性回帰モデルで,共変数を調整した.
主要な成果:
- 1982年の参加者の29%は,発症時に歯がありませんでした.
- 歯のない被験者では,調整後のCVD発症リスク比率が36%増加した (HR: 1. 36, 95% CI: 1. 15~1. 60).
- この関連性は,糖尿病や高血圧などの共通の危険因子によって部分的に説明されました.
結論:
- アメリカインディアンの口腔疾患と 心血管疾患の 高い負担が確認されています
- エデントリズムとCVDの発生率との間に顕著な正の関連性がある.
- アメリカ先住民の口腔と心血管の健康のための統合的介入の必要性を強調する.
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