成人における甘味食品摂取と口腔内状況との関連  [in Japanese] RELATIONSHIP BETWEEN INTAKE OF SWEET DRINKS AND CANDIES AND ORAL HEALTH STATUS IN THE ADULT POPULATION  [in Japanese]

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Author(s)

    • 井出 玲子 IDE Reiko
    • 産業医科大学産業生態科学研究所臨床疫学教室 Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
    • 溝上 哲也 MIZOUE Tetsuya
    • 産業医科大学産業生態科学研究所臨床疫学教室 Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
    • 吉村 健清 YOSHIMURA Takesumi
    • 産業医科大学産業生態科学研究所臨床疫学教室 Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health

Abstract

<b>目的</b> 年齢と歯科保健行動の影響を考慮して,成人における甘味食品(甘味飲料,あめ・ガム)の摂取と口腔内状況の関連の有無を検討した。<br/><b>方法</b> 対象は,職場での歯科健診受診者である。7,713人中5,232人(67.8%)が職域での歯科健診を受診した。このうち,5,034人について解析を行った。職域での歯科健診は,自記式質問紙と歯科医師による口腔内診査からなる。口腔内状況の指標は,CPITN・喪失歯・処置歯・う蝕歯・歯肉出血の自覚症状とした。甘味食品の摂取頻度に関する各口腔内状況のオッズ比を算出するためにロジスティック回帰分析を行った。<br/><b>結果</b> 男性で,甘味飲料の摂取習慣のある者は,喪失歯,処置歯および歯肉出血の高いリスクを示した。「ほとんど飲まない」者と比較して,「毎日飲む」者のオッズ比は,喪失歯で1.4(95%CI:1.2-1.7),処置歯で1.7(95%CI:1.4-2.0),歯肉出血で1.5(95%CI:1.2-1.8)であった。甘味飲料の摂取とこれらの口腔内状況とでは,量—反応関係も認められた。あめ・ガムの摂取に関しては,男女とも,統計学的に有意な有所見のオッズ比を示したものはなかった。<br/><b>結論</b> 今回の結果より,甘味飲料の摂取と口腔内状況との間に,特に男性で,その他の歯科保健行動とは独立した関連が示された。

<b>Purpose</b> The purpose of the study was to examine the relationship between intake of sweets (sweet drinks/candies of chewing gum) and oral health status, while adjusting for age and other dental health behavior.<br/><b>Methods</b> The data used were based on a cross-sectional study regarding dental checkup of a worksite. Of a total of 7,713 workers, 5,232(67.8%) participated in the dental checkup. From this population, data for only 5,034 were analyzed. The dental checkup included a self-reported questionnaire and oral examination by a dentist. The oral health status variables were the CPITN score, missing teeth/filled teeth/decayed teeth, and self-reported gum bleeding. We used multiple logistic regression to calculate odds ration (OR) and 95% confidence interval (95%CI) for each oral health status according to intake of sweets.<br/><b>Results</b> Among males, subjects who took sweet drinks almost every day, compared to subjects who hardly took, had higher risk of missing teeth (OR=1.4; 95% CI: 1.2-1.7), filled teeth (OR=1.7; 95% CI: 1.4-2.0) and gum bleeding (OR=1.5; 95% CI: 1.2-1.8). Dose response relationships were also observed between intake of sweet drinks and these variables. No significant association was recognized between intake of candies of chewing gum and oral health status.<br/><b>Conclusions</b> The results indicated that intake of sweet drinks is a daterminant of oral health status, independent of dental health behavior, particularly among males.

Journal

  • Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH)

    Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH) 49(4), 324-331, 2002-04-15

    Japanese Society of Public Health

References:  21

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008647281
  • NII NACSIS-CAT ID (NCID)
    AN00189323
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    05461766
  • NDL Article ID
    6158139
  • NDL Source Classification
    ZS17(科学技術--医学--衛生学・公衆衛生)
  • NDL Call No.
    Z19-216
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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