烟草烟雾暴露与牙周炎和血糖状况之间的共同关联
Xiaoguo Hua1,2, Jiong Li3, Rui Hu4
1Office of Medical Insurance Management, The Second Affiliated Hospital, Anhui Medical University, Hefei, China.
Frontiers in endocrinology
|April 22, 2025
概括
暴露于烟草烟雾和牙周炎一起增加糖尿病和糖尿病前期的风险. 戒烟可以帮助管理患有牙周炎的人的血糖状况.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 口腔健康 口腔健康
背景情况:
- 暴露于烟草烟雾 (TSE) 和牙周炎独立地与血糖状况有关.
- 关于TSE和牙周炎对血糖控制的联合影响的研究有限.
研究的目的:
- 调查TSE,牙周炎和美国成年人的血糖状况之间的联合和个人关联.
- 确定TSE和牙周炎对糖尿病前期和糖尿病 (DM) 的相对贡献.
主要方法:
- 使用了来自国家健康和营养检查调查 (NHANES,2009-2014) 的数据.
- 采用加权后勤回归模型,对混因素进行调整.
- 使用几率比率 (OR) 和95%置信区间 (95%CI) 评估了TSE,牙周炎和糖尿病前期/糖尿病前期之间的联合和相互关联.
主要成果:
- 两种TSE和牙周炎都与糖尿病前期独立相关;牙周炎与糖尿病前期有积极的关联.
- 在DM,糖尿病前期和牙周炎和TSE的联合作用之间发现了显著的关联.
- 牙周炎增加了主动和被动吸烟者糖尿病前期和糖尿病前期的风险,中度至重度牙周炎和TSE患者的风险更高.
结论:
- 经过TSE和牙周炎协同作用,增加患DM或糖尿病前期的风险.
- 戒烟可以减轻牙周炎对血糖控制的负面影响.
- 避免暴露于烟草烟雾和戒烟对于管理中度至重度牙周炎患者的血糖状况至关重要.
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