牙齿状况和龋齿在糖尿病相关并发症中的作用:一项基于医院的横断面研究

Q3 Medicine
Sunithi Thearawiboon, Chanapong Rojanaworarit
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引用次数: 0

摘要

本研究探讨了2型糖尿病(T2DM)患者的牙齿状况和龋齿在糖尿病相关并发症中的作用。采用基于医院的横断面设计,收集泰国一家公立医院接受非传染性疾病和口腔健康综合服务的糖尿病患者的数据。糖尿病并发症包括糖尿病眼、足并发症和慢性肾脏疾病(CKD)。将牙齿状况和龋齿的主要自变量分为三大类:有牙无牙、有牙和无牙。通过有向无环图(dag)描述的流行病学模型来评估两者之间的关系。采用具有稳健标准误差的多变量泊松回归,根据dag估计患病率(PR)。438例T2DM患者中,62.8%为女性,平均年龄为63.6岁。大多数患者有齿伴龋(70.1%),无牙者占8.2%。糖尿病足并发症和CKD患病率分别为37.1%和10.1%。6例患者出现眼部并发症。关于CKD结局,单变量和多变量模型估计的有齿龋齿组的PR为0.94-1.12,无牙龋齿组的PR为1.67-2.31,P值均无显著性差异。对于足部并发症的结局,有齿龋齿组的PR估计为1.10-1.12,无牙组的PR估计为1.26-1.37,P值均无显著性差异。虽然没有统计学意义,但PR的大小和方向提示了一种可能的假设,即在T2DM患者中,与牙齿整齐和没有龋齿的患者相比,牙齿整齐可能与CKD和糖尿病足并发症的更高患病率有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of dentate status and dental caries on diabetes-related complications: a hospital-based cross-sectional study.

This study explored the role of dentate status and dental caries on diabetes-related complications among patients with type 2 diabetes mellitus (T2DM). A hospital-based cross-sectional design was applied to collect data on diabetic patients attending integrated services for non-communicable diseases and oral health at a public hospital in Thailand. Diabetic complication outcomes included diabetic eye and foot complications and chronic kidney disease (CKD). The main independent variable of dentate status and dental caries was classified into three categories: dentate and caries-free, dentate with caries, and edentulous. The relationships were evaluated through epidemiological models depicted by directed acyclic graphs (DAGs). Multivariable Poisson regression with robust standard errors was applied to estimate prevalence ratios (PR) according to DAGs. Among 438 patients with T2DM, 62.8% were women, and an average age was 63.6 years. Most patients were dentate with dental caries (70.1%), and 8.2% were edentulous. Prevalence of diabetic foot complications and CKD were 37.1% and 10.1%. Six patients had eye complications. Regarding CKD outcome, PR estimates from univariable and multivariable models were 0.94-1.12 for the dentate with caries group and 1.67-2.31 for the edentulous group, all with non-significant P values. Regarding foot complication outcome, PR estimates were 1.10-1.12 for the dentate with caries group and 1.26-1.37 for the edentulous group, all with non-significant P values. Though not statistically significant, the magnitude and direction of PR suggested a possible hypothesis that, among patients with T2DM, edentulism might be related to a higher prevalence of CKD and diabetic foot complications as compared to being dentate and caries-free.

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来源期刊
Journal of Medicine and Life
Journal of Medicine and Life Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
202
期刊介绍: The Journal of Medicine and Life publishes peer-reviewed articles from various fields of medicine and life sciences, including original research, systematic reviews, special reports, case presentations, major medical breakthroughs and letters to the editor. The Journal focuses on current matters that lie at the intersection of biomedical science and clinical practice and strives to present this information to inform health care delivery and improve patient outcomes. Papers addressing topics such as neuroprotection, neurorehabilitation, neuroplasticity, and neuroregeneration are particularly encouraged, as part of the Journal''s continuous interest in neuroscience research. The Editorial Board of the Journal of Medicine and Life is open to consider manuscripts from all levels of research and areas of biological sciences, including fundamental, experimental or clinical research and matters of public health. As part of our pledge to promote an educational and community-building environment, our issues feature sections designated to informing our readers regarding exciting international congresses, teaching courses and relevant institutional-level events.
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