{"title":"Association between dental caries and self-reported COPD prevalence in U.S. adults ages ≥ 60-year: a cross-sectional analysis of NHANES 2015-2020.","authors":"Chengyu Huang, Wentao Lin, Wen Zhou","doi":"10.1080/20002297.2026.2705671","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Evidence on the association between dental caries and chronic obstructive pulmonary disease (COPD) risk in older adults is limited.</p><p><strong>Objective: </strong>This cross-sectional study aimed to explore the associations of coronal and root caries with self-reported COPD prevalence in this population.</p><p><strong>Design: </strong>Data were obtained from the National Health and Nutrition Examination Survey (NHANES) 2015-2020. Coronal caries was measured by the decayed, missing and filled teeth (DMFT) index. Root caries was recorded as presence or absence. Weighted multivariable logistic regression models were applied to assess the associations of coronal caries and root caries with COPD.</p><p><strong>Results: </strong>A total of 3,972 eligible participants were included, with a weighted self-reported COPD prevalence of 13.68%. Per 1-unit increase in DMFT was associated with higher odds of COPD (OR = 1.04, 95%CI: 1.02-1.06, <i>p</i> < 0.001). Participants with root caries had elevated odds (OR = 1.47, 95%CI: 1.02-2.11, <i>p</i> = 0.048).</p><p><strong>Conclusions: </strong>Coronal and root caries are independently associated with higher odds of self-reported COPD in U.S. older adults. However, given the cross-sectional design, causal inference cannot be established, and further prospective research is needed.</p>","PeriodicalId":16598,"journal":{"name":"Journal of Oral Microbiology","volume":"18 1","pages":"2705671"},"PeriodicalIF":6.7000,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13390169/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral Microbiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/20002297.2026.2705671","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MICROBIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Evidence on the association between dental caries and chronic obstructive pulmonary disease (COPD) risk in older adults is limited.
Objective: This cross-sectional study aimed to explore the associations of coronal and root caries with self-reported COPD prevalence in this population.
Design: Data were obtained from the National Health and Nutrition Examination Survey (NHANES) 2015-2020. Coronal caries was measured by the decayed, missing and filled teeth (DMFT) index. Root caries was recorded as presence or absence. Weighted multivariable logistic regression models were applied to assess the associations of coronal caries and root caries with COPD.
Results: A total of 3,972 eligible participants were included, with a weighted self-reported COPD prevalence of 13.68%. Per 1-unit increase in DMFT was associated with higher odds of COPD (OR = 1.04, 95%CI: 1.02-1.06, p < 0.001). Participants with root caries had elevated odds (OR = 1.47, 95%CI: 1.02-2.11, p = 0.048).
Conclusions: Coronal and root caries are independently associated with higher odds of self-reported COPD in U.S. older adults. However, given the cross-sectional design, causal inference cannot be established, and further prospective research is needed.
期刊介绍:
As the first Open Access journal in its field, the Journal of Oral Microbiology aims to be an influential source of knowledge on the aetiological agents behind oral infectious diseases. The journal is an international forum for original research on all aspects of ''oral health''. Articles which seek to understand ''oral health'' through exploration of the pathogenesis, virulence, host-parasite interactions, and immunology of oral infections are of particular interest. However, the journal also welcomes work that addresses the global agenda of oral infectious diseases and articles that present new strategies for treatment and prevention or improvements to existing strategies.
Topics: ''oral health'', microbiome, genomics, host-pathogen interactions, oral infections, aetiologic agents, pathogenesis, molecular microbiology systemic diseases, ecology/environmental microbiology, treatment, diagnostics, epidemiology, basic oral microbiology, and taxonomy/systematics.
Article types: original articles, notes, review articles, mini-reviews and commentaries