80歳者における個々の歯牙喪失と異常心電図所見の関係 Tooth Loss Associated with Abnormal Electrocardiographic Findings in Octogenarians

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Author(s)

    • 高田 豊 Takata Yutaka
    • 九州歯科大学健康増進学講座総合内科学分野 Division of General Internal Mnedicine, Department of Health Promotion, Kyushu Dental College
    • 安細 敏弘 Ansai Toshihiro
    • 九州歯科大学健康増進学講座保健医療フロンティア科学分野 Division of Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
    • 粟野 秀慈 [他] Awano Shuji
    • 九州歯科大学健康増進学講座保健医療フロンティア科学分野 Division of Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
    • 園木 一男 Sonoki Kazuo
    • 九州歯科大学健康増進学講座総合内科学分野 Division of General Internal Mnedicine, Department of Health Promotion, Kyushu Dental College
    • 秋房 住郎 Akifusa Sumio
    • 九州歯科大学健康増進学講座保健医療フロンティア科学分野 Division of Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
    • 福原 正代 Fukuhara Masayo
    • 九州歯科大学健康増進学講座総合内科学分野 Division of General Internal Mnedicine, Department of Health Promotion, Kyushu Dental College
    • 脇坂 正則 Wakisaka Masanori
    • 九州歯科大学健康増進学講座総合内科学分野 Division of General Internal Mnedicine, Department of Health Promotion, Kyushu Dental College
    • 竹原 直道 Takehara Tadamichi
    • 九州歯科大学健康増進学講座保健医療フロンティア科学分野 Division of Community Oral Health Science, Department of Health Promotion, Kyushu Dental College

Abstract

冠動脈疾患と個々の歯牙喪失の関係について福岡県80歳住民を対象に調査を行った.福岡県内の9市町村区に住む1282名の80歳住民のうち,697名が健診を受けた.健診では歯科健診,十二誘導心電図,問診,採血,血圧測定などを行った.右上顎側の切歯か第一臼歯の喪失,左上顎側の中切歯か犬歯の喪失,左下顎側の第二小臼歯か第一大臼歯の喪失がある住民では,これらの歯牙の喪失がない住民よりも,心電図のST低下かT波異常かこの心電図異常のどちらかの発現頻度が高かった.この関係はロジスティック回帰分析を用いて性差,喫煙,歯磨き,医院通院,血清コレステロール値,血糖値,血圧値,BMIで補正しても同様であった.以上の結果から,80歳高齢者において,これらの部位の歯牙喪失がST低下やT波異常の心電図異常と独立した関係にあり,虚血性心臓病の危険因子となる可能性が示唆された.

Since little is known about regional differences of tooth loss as a predictor of coronary heart disease (CHD), we evaluated the association of abnormal electrocardiographic (ECG) findings with toothloss. Of the 1282 residents, aged 80-year-old, of 9 communities selected in Fukuoka Prefecture, 697 subjects participated in our study. An oral examination determined whether each tooth was present or absent and an assessment of community periodontal index for each tooth was performed. Twelve-lead ECG recording, blood pressure (BP) measurement, and blood sampling was done. Individuals who lost the lateral incisor or 1st molar in the right maxilla, central incisor or cuspid in the left maxilla, or 2nd premolar or 1st molar in the left mandible had a higher prevalence of ST-segment depression, T-wave abnormalities, or the combination than those with a preserved corresponding tooth. This relationship between tooth loss and abnormal ECG findings was significant even after adjustment for gender, smoking, toothbrushing, regular doctor visits, serum cholesterol, serum glucose, systolic BP, diastolic BP, and body mass index, indicating that tooth loss at these specific sites is an independent predictor of an abnormal ECG in an 80-year-old population. Tooth loss in specific areas may be an independent predictor of abnormal ECG findings in an 80-year-old population ; specific tooth loss and periodontal disease may be independent risk factors for CHD.

Journal

  • The Journal of the Kyushu Dental Society

    The Journal of the Kyushu Dental Society 59(4), 153-160, 2005

    KYUSHU DENTAL SOCIETY

Codes

  • NII Article ID (NAID)
    110006420801
  • NII NACSIS-CAT ID (NCID)
    AN00054335
  • Text Lang
    ENG
  • Journal Type
    大学紀要
  • ISSN
    0368-6833
  • NDL Article ID
    7712482
  • NDL Source Classification
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL Call No.
    Z19-169
  • Data Source
    NDL  NII-ELS  J-STAGE 
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