Oral Health Status of Korean Students and Associated Fasting Plasma Glucose in Overweight/Obese Individuals

다국어 초록 (Multilingual Abstract)

This study aimed to evaluate the current oral health status of Korean children and adolescents and investigate the correlation between fasting plasma glucose levels and oral health in individuals with overweight and obesity. A total of 121,682 participants were selected from the Survey of School Health Examination data provided by the Ministry of Education over the last 5 years to assess recent oral health status and related factors. Among them, 18,105 students with overweight or obesity who had their fasting plasma glucose levels measured were assessed for blood glucose-related analysis. Based on fasting blood glucose levels, the participants were categorized into normal, impaired fasting glucose, and diabetes groups. The associations of these groups with dental caries, oral hygiene, and periodontal diseases were investigated.
There were significant associations between demographic factors, health-related behaviors, and blood glucose levels with oral health. Increased fasting blood glucose levels were associated with poor oral health. These results suggest that glycemic management is important in enhancing the oral health of overweight and obese children and adolescents.

참고문헌 (Reference)

1 Streisand R, "Young children with type 1 diabetes : challenges, research, and future directions" 14 : 520-, 2014

2 Kao KT, "Type 2 diabetes mellitus in children and adolescents" 45 : 401-406, 2016

3 Lascar N, "Type 2 diabetes in adolescents and young adults" 6 : 69-80, 2018

4 Daher M, "Trends and amounts of consumption of low-calorie sweeteners : A cross-sectional study" 48 : 427-433, 2022

5 Lamster IB, "The relationship between oral health and diabetes mellitus" 139 (139): S19-S24, 2008

6 Mohseni Homagarani Y, "The effect of diabetes mellitus on oral health-related quality of life : A systematic review and meta-analysis study" 11 : 1112008-, 2023

7 김아현 ; 한선영 ; 김형규 ; 권호근 ; 김백일, "The characteristics of high caries risk group for 12-year old children in Korea" 34 : 302-309, 2010

8 T S, "Prevalence, severity and associated factors of dental caries in 3-6year old children" 7 : 1789-1792, 2013

9 Wang Y, "Prevalence of dental caries in children and adolescents with type 1 diabetes : a systematic review and meta-analysis" 19 : 213-, 2019

10 Triebl Z, "Poor glycemic control impairs oral health in children with type 1 diabetes mellitus-a systematic review and meta-analysis" 24 : 748-, 2024

11 Zainal Abidin Z, "Periodontal health status of children and adolescents with diabetes mellitus : a systematic review and meta-analysis" 66 (66): S15-S26, 2021

12 Kocher T, "Periodontal complications of hyperglycemia/diabetes mellitus : Epidemiologic complexity and clinical challenge" 78 : 59-97, 2018

13 Güngör NK, "Overweight and obesity in children and adolescents" 6 : 129-143, 2014

14 Elheeny AAH, "Oral health status and impact on the oral health-related quality of life of Egyptian children and early adolescents with type-1 diabetes : a case-control study" 24 : 4033-4042, 2020

15 Panagiotou E, "Oral health of overweight and obese children and adolescents : a comparative study with a multivariate analysis of risk indicators" 22 : 861-868, 2021

16 Song TJ, "Oral health and longitudinal changes in fasting glucose levels : A nationwide cohort study" 16 : E0253769-, 2021

17 Jebeile H, "Obesity in children and adolescents : epidemiology, causes, assessment, and management" 10 : 351-365, 2022

18 Bimstein E, "Obesity in children : a challenge that pediatric dentistry should not ignore-review of the literature" 34 : 103-106, 2009

19 Arroyo-Johnson C, "Obesity Epidemiology Worldwide" 45 : 571-579, 2016

20 Blüher M, "Obesity : global epidemiology and pathogenesis" 15 : 288-298, 2019

21 Gallagher AM, "Low-calorie sweeteners in the human diet: scientific evidence, recommendations, challenges and future needs. A symposium report from the FENS 2019 conference" 10 : E7-, 2021

22 Libman I, "ISPAD Clinical Practice Consensus Guidelines 2022 : Definition, epidemiology, and classification of diabetes in children and adolescents" 23 : 1160-1174, 2022

23 Zhao P, "Hyperglycaemia-associated macrophage pyroptosis accelerates periodontal inflamm-aging" 48 : 1379-1392, 2021

24 Schmidt AM, "Highlighting Diabetes Mellitus : The Epidemic Continues" 38 : E1-E8, 2018

25 Silveira MG, "Excess Weight and Dental Caries throughout Childhood and Adolescence : Systematic Review of Longitudinal Studies" 15 : 691-698, 2022

26 Kinane DF, "Etiopathogenesis of periodontitis in children and adolescents" 26 : 54-91, 2001

27 Maahs DM, "Epidemiology of type 1 diabetes" 39 : 481-497, 2010

28 Papakonstantinou E, "Effects of Diet, Lifestyle, Chrononutrition and Alternative Dietary Interventions on Postprandial Glycemia and Insulin Resistance" 14 : 823-, 2022

29 American Diabetes Association, "Diagnosis and classification of diabetes mellitus" 34 (34): S62-S69, 2011

30 Ship JA, "Diabetes and oral health : an overview" 134 (134): S4-S10, 2003

31 Mandura RA, "Diabetes Mellitus and Dental Health in Children : A Review of Literature" 14 : 719-725, 2021

32 Zemaitiene M, "Dental caries risk indicators in early childhood and their association with caries polarization in adolescence : a cross-sectional study" 17 : 2-, 2016

33 Pachoński M, "Dental caries and periodontal status in children with type 1 diabetes mellitus" 26 : 39-44, 2020

34 Rafatjou R, "Dental Health Status and Hygiene in Children and Adolescents with Type 1 Diabetes Mellitus" 16 : 122-126, 2016

35 Bashirian S, "Association of caries experience and dental plaque with sociodemographic characteristics in elementary school-aged children : a cross-sectional study" 18 : 7-, 2018

36 Beheshti M, "Association of Diabetes and Dental Caries Among U.S. Adolescents in the NHANES Dataset" 43 : 123-128, 2021

37 Martens L, "Association between overweight/obesity and periodontal disease in children and adolescents : a systematic review and meta-analysis" 18 : 69-82, 2017

38 Halder S, "Association between Obesity and Oral Health Status in Schoolchildren : A Survey in Five Districts of West Bengal, India" 11 : 233-237, 2018

39 Boustedt K, "A prospective study of perinatal and metabolic risk factors for early childhood caries" 109 : 2356-2361, 2020

40 정수민 ; 정진형 ; 양예슬 ; 김원석 ; 조인영 ; 이유빈 ; 박계영 ; 남가은 ; 한경도 ; 대한비만학회 비만 팩트시트 Taskforce Team, "2023 Obesity Fact Sheet : Prevalence of Obesity and Abdominal Obesity in Adults, Adolescents, and Children in Korea from 2012to 2021" 33 : 27-35, 2024