用日本索赔数据库对部分牙损失模式及其与心血管健康的关联进行集群分析
Takashi Miyano1, Taro Kusama2, Manami Hoshi-Harada3
1Department of Medical and Robotic Engineering Design, Tokyo University of Science, Tokyo, Japan; Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan.
特定的牙损失模式,特别是牙损失,与较差的心血管健康 (CVH) 有关. 保持牙对于更好的CVH至关重要,建议将牙科护理与心血管预防策略相结合.
科学领域:
- 心血管健康 心血管健康
- 牙健康 牙健康
- 公共卫生 公共卫生
背景情况:
- 糟糕的口腔健康,包括牙脱落,越来越多地与更高的心血管疾病 (CVD) 风险有关.
- 部分牙损失的具体模式及其对心血管健康 (CVH) 的影响尚不清楚.
研究的目的:
- 为了识别部分牙损失的不同模式.
- 评估这些牙损失模式和CVH在日本大人口中的关联.
主要方法:
- 使用医疗保险索赔数据 (2016-2019) 的回顾性队列研究.
- 根据美国心脏协会指导方针 (行为和生物指标) 计算CVH得分.
- 使用k-中位数集群用于牙损失模式和固定效应模型进行关联分析.
主要成果:
- 确定了六种不同的部分牙损失模式,其中损失显著.
- 与所有牙相比,部分牙丢失的个体的CVH得分明显较低.
- 牙损失显示CVH得分的最大降低 (β = -0.28).
结论:
- 特定的部分牙损失模式,特别是损失,与较差的CVH有关.
- 研究结果突出了保持关闭对于心血管健康的重要性.
- 强调需要综合牙科和心血管预防战略.
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