非酒精性脂肪肝评分与慢性牙周炎之间的关系:回顾性队列研究

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of periodontology Pub Date : 2024-07-07 DOI:10.1002/JPER.24-0171
Kwangmin Joo, Yeo Wool Kang, Sang Yi Moon, Yang Hyun Baek, Minkook Son
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引用次数: 0

摘要

背景:尽管多项研究表明非酒精性脂肪肝与慢性牙周炎之间存在双向关系,但很少有研究报告称非酒精性脂肪肝会导致慢性牙周炎,尤其是在亚洲人群中:本研究以 129,087 人为对象,使用脂肪肝指数(FLI)、肝脏脂肪变性指数(HSI)和弗雷明汉脂肪变性指数(FSI)评估非酒精性脂肪肝得分。慢性牙周炎的发病率被定义为牙科手术的诊断代码。进行了多变量调整后的考克斯比例危险回归分析,并得出了危险比(HR)和 95% 的置信区间(CIs):结果:在平均 7.4 年的随访期间,共发现 9128 例慢性牙周炎病例(7.1%)。非酒精性脂肪肝的各项评分均与慢性牙周炎有关。在FLI评分中,与低FLI组相比,慢性牙周炎发病率的HR和95% CI如下:不确定FLI:1.19(1.12-1.26),高FLI:1.32(1.18-1.47)。在HSI和FSI评分中,慢性牙周炎发病率的HR和95% CI分别为1.13(1.05-1.22)和1.23(1.05-1.31):结论:在韩国人群中,所有非酒精性脂肪肝评分均与慢性牙周炎有关。由于慢性牙周炎会加重肝脏状况,非酒精性脂肪肝患者可能需要定期看牙医。
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Association between nonalcoholic fatty liver disease scores and chronic periodontitis: A retrospective cohort study.

Background: Although several studies have demonstrated a bidirectional relationship between nonalcoholic fatty liver disease (NAFLD) and chronic periodontitis, few studies have reported that NAFLD causes chronic periodontitis, especially in the Asian population.

Methods: This study was conducted on 129,087 individuals, and the NAFLD score was assessed using the Fatty Liver Index (FLI), Hepatic Steatosis Index (HSI), and Framingham Steatosis Index (FSI). The incidence of chronic periodontitis was defined as a diagnostic code with dental procedures. Multi-variable adjusted Cox proportional hazard regression analysis was performed with hazard ratio (HR) and 95% confidence intervals (CIs).

Results: Nine thousand one hundred and twenty-eight chronic periodontitis cases (7.1%) were identified during a mean 7.4 years follow-up period. Each NAFLD score was related to chronic periodontitis. In the FLI score, HR and 95% CIs for the incidence of chronic periodontitis compared with a low FLI group were as follows: indeterminate FLI: 1.19 (1.12-1.26), high FLI: 1.32 (1.18-1.47). In the HSI and FSI scores, HR and 95% CIs for the incidence of chronic periodontitis were 1.13 (1.05-1.22) and 1.23 (1.05-1.31), respectively.

Conclusions: All NAFLD scores were associated with chronic periodontitis in the Korean population. As chronic periodontitis can aggravate the liver status, patients with NAFLD may need regular dental visits.

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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
期刊最新文献
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