HbA1cの椅子付近値と歯周炎との関連
Mark Ide1, Giuseppe Mainas1, Neha Kansagra1
1Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom, SE1 9RT.
Journal of dentistry
|February 14, 2026
まとめ
ある研究では,歯科患者のほぼ3分の1が,HbA1cの値が高くて診断されていないことが判明し,これは糖尿病前症候群または糖尿病を示唆している. これは,歯科の設定を強調します.
科学分野:
- 口腔衛生と全身疾患について
- エンドクリノロジー エンドクリノロジー
- 公衆衛生は公衆衛生である.
背景:
- 糖尿病と前糖尿病の世界的な増加は,早期発見を必要とします.
- 歯周病は,潜在的に全身的な関連を持つ一般的な口腔疾患です.
- 非伝統的な環境での高血糖症のスクリーニングは,早期診断を改善することができます.
研究 の 目的:
- 椅子側でのHbA1c測定と歯周炎との関連性を調査する.
- 歯科クリニックにおける糖尿病スクリーニングのためのチェアサイドHbA1cテストの有用性を評価する.
- 診断されていない高血糖症の患者を,二次医療歯科施設で特定するために.
主な方法:
- 口腔,歯科,頭蓋骨顔面バイオバンクの911人の患者の横断研究.
- 自己報告された医療/歯科歴の収集と椅子付近のHbA1c測定.
- HbA1cレベルと歯周病の臨床データとの関連分析.
主要な成果:
- 患者の82.7%が歯周炎 (I-IV段階) を有していた.
- 自己報告した糖尿病者を除くと,28.7%が糖尿病前症候群で,7.3%が糖尿病範囲のHbA1cであった.
- HbA1cレベルは,歯周炎との境界関連 (p=0.054) と,年齢とBMIとの有意な関連を示した.
結論:
- 歯医者への訪問は,診断されていない高血糖症の早期発見に重要な機会を提供します.
- 歯科でのチェアサイドHbA1c検査は,さらなる糖尿病評価を必要とする個人を特定することができます.
- 2次歯科治療の患者の有意な割合は,未診断の前糖尿病または糖尿病を有する.
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