Preventative dental practices and cardiometabolic health in adolescents.

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-10-24 DOI:10.3290/j.qi.b5586051

Kristal Wong, Srighana Nadella, Mel Mupparapu, Christine Sethna

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Abstract

Objective: The aim of this study was to identify the relationship between preventative dental practices and cardiometabolic health in adolescents.

Method and materials: Analysis included children aged 13 to 17 years enrolled in the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2018 who completed an Oral Health Examination and Questionnaire. Deferred dental care was defined as not having a dental visit in the past year. Financial barriers to seeking dental care (vs no financial barriers) were assessed among those with deferred dental care in the past year. Primary cardiometabolic outcomes included obesity, elevated blood pressure, and hypertensive blood pressure. Secondary outcomes included dyslipidemia, glucose intolerance, uric acid, glomerular hyperfiltration, and albuminuria. Regression models adjusted for age, sex, race/ethnicity, household income, food insecurity, health insurance status, household education, and body mass index z-score examined associations using complex survey design procedures.

Results: Of 2,861 adolescents, 17.6% (SE 0.9%) did not receive dental care in the past year and 20.2% (SE 1.9%) had a financial barrier to accessing dental care. In adjusted regression models, adolescents with deferred dental care had higher odds of dyslipidemia (odds ratio [OR]= 1.51, 95% CI 1.07 to 2.11, P = .020). Having a financial barrier was associated with lower odds of dyslipidemia (OR = 0.35, 95% CI 0.14 to 0.89, P = .03). Financial barriers were associated with lower non-high-density lipoprotein cholesterol (b = -7.95, 95% CI -14.87 to -1.05, P = .03) and higher high-density lipoprotein cholesterol (b = 3.06, 95% CI 0.37 to 5.75, P = .03) in adjusted models. Deferred dental care and financial barriers were not associated with any other cardiometabolic parameters.

Conclusion: In this nationally representative cohort of adolescents, there was an association between lack of preventative dental care and the cardiometabolic health marker of dyslipidemia. However, financial barriers to dental care were surprisingly associated with higher high-density lipoprotein cholesterol levels and lower odds of dyslipidemia.

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预防性牙科治疗与青少年的心脏代谢健康。

研究目的本研究旨在确定预防性牙科保健方法与青少年心脏代谢健康之间的关系：分析对象包括2011-2018年期间参加美国国家健康与营养调查（NHANES）并完成口腔健康检查和问卷调查的13-17岁儿童。推迟牙科保健被定义为在过去一年中未进行牙科就诊。对过去一年推迟牙科保健的人群中寻求牙科保健的经济障碍（与无经济障碍相比）进行了评估。主要的心脏代谢结果包括肥胖、血压升高和高血压。次要结果包括血脂异常、葡萄糖不耐受、尿酸、肾小球高滤过率和白蛋白尿。利用复杂的调查设计程序，对年龄、性别、种族、家庭收入、食品不安全状况、医疗保险状况、家庭教育和体重指数 z 值进行调整后的回归模型检验了相关性：在2861名青少年中，17.6%（SE 0.9%）的青少年在过去一年中没有接受过牙科治疗，20.2%（SE 1.9%）的青少年在接受牙科治疗时存在经济障碍。在调整回归模型中，推迟接受牙科治疗的青少年出现血脂异常的几率更高（OR= 1.51，95% CI 1.07，2.11 p = 0.020）。有经济障碍的青少年患血脂异常的几率较低（OR=0.35，95% CI 0.14，0.89 p = 0.03）。在调整模型中，经济障碍与较低的非高密度脂蛋白（b=-7.95，95% CI -14.87，-1.05 p=0.03）和较高的高密度脂蛋白（b=3.06，95% CI 0.37，5.75 p=0.03）相关。推迟牙科保健和经济障碍与任何其他心脏代谢参数无关：在这个具有全国代表性的青少年队列中，缺乏预防性牙科保健与血脂异常这一心脏代谢健康指标之间存在关联。然而，令人惊讶的是，牙科保健的经济障碍与较高的高密度脂蛋白水平和较低的血脂异常几率有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quintessence international 医学-牙科与口腔外科

CiteScore

3.30

自引率

5.30%

发文量

审稿时长

1 months

期刊介绍： QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.