美国成年人糖尿病状况,血糖控制和未经治疗的根之间的关联
Libo He1, Lingfang Shi1, Jia Hao Zhu1
1Department of Stomatology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China.
International dental journal
|August 2, 2024
概括
控制不良的糖尿病,即高HbA1c水平,显著增加了美国成年人未经治疗的根的风险. 对于牙健康结果,血糖控制比自我报告的糖尿病更为关键.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病是一种普遍的慢性疾病,影响数百万.
- 通过HbA1c测量的血糖控制对于管理糖尿病并发症至关重要.
- 根 кариес是一个重要的牙科问题,特别是在老年人和患有慢性疾病的人群中.
研究的目的:
- 调查美国成年人自我报告的糖尿病,血糖控制 (HbA1c) 和未经治疗的根之间的关联.
- 确定糖尿病状况和血糖控制水平对发展根的风险的影响.
- 探索血糖控制与自我报告的糖尿病在根病方面的相对重要性.
主要方法:
- 来自2015-2018年国家健康和营养检查调查 (NHANES) 数据的分析.
- 包括7490名30岁及以上的美国成年人.
- 权重后勤回归模型用于评估糖尿病,HbA1c水平 (6.5-9%) 和未经治疗的根之间的关联,并对共变量进行调整.
主要成果:
- 较高的HbA1c水平与未经治疗的根的风险增加显著相关 (OR:1.11,95% CI:1.01-1.22,p <.05).
- 在调整HbA1c和其他因素后,单独自我报告的糖尿病与未经治疗的根没有显著的联系.
- 血糖控制不佳的糖尿病患者 (HbA1c ≥8%) 患有未经治疗的根的几率更高.
结论:
- 控制不良的糖尿病,以高HbA1c为特征,与美国成年人未经治疗的根的风险更高有关.
- 血糖控制是根腐烂风险的更重要的决定因素,而不仅仅是糖尿病诊断.
- 对于低于最佳的血糖控制的人来说,建议定期进行口腔查,以预防牙科并发症.
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