Number of existing permanent teeth is associated with chronic kidney disease in the elderly Korean population.
- Author:
Hye Sun SHIN
1
Author Information
- Publication Type:Original Article
- Keywords: Renal insufficiency, chronic; Epidemiology; Number of teeth; Periodontitis; Risk factors
- MeSH: Aged*; Alcohol Drinking; Classification; Dentition; Diabetes Mellitus; Diagnosis, Oral; Education; Epidemiology; Female; Humans; Hypercholesterolemia; Hypertension; Kidney Diseases; Logistic Models; Nutrition Surveys; Obesity; Odds Ratio; Periodontitis; Renal Insufficiency, Chronic*; Risk Factors; Smoke; Smoking; Tooth*
- From:The Korean Journal of Internal Medicine 2018;33(6):1150-1159
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: The aim of this study was to assess the association between the number of existing permanent teeth and chronic kidney disease (CKD) in a representative sample of the elderly Korean population. METHODS: A total of 2,519 subjects who participated in the Korean National Health and Nutrition Examination Survey were cross-sectionally examined. The number of existing permanent teeth was evaluated by clinical oral examination. CKD was defined based on definition and classification by Kidney Disease: Improving Global Outcomes (KDIGO) 2012 guidelines. Multivariable logistic regression analyses were performed controlling for age, gender, income, education, tooth-brushing frequency, periodontitis, state of dentition, smoking, alcohol consumption, hypertension, obesity, diabetes mellitus, and hypercholesterolemia. Subgroup analyses by age and gender were also performed. RESULTS: The number of teeth was significantly associated with CKD after controlling for all potential confounders (adjusted odds ratio [AOR], 1.67; 95% confidence interval [CI], 1.04 to 2.70 for lower number of teeth; AOR, 1.59; 95% CI, 1.14 to 2.23 for moderate number of teeth). In the subgroup analyses, the association was highlighted in females aged 75 years over (AOR, 2.55; 95% CI, 1.05 to 6.20 for lower number of teeth; AOR, 1.95; 95% CI, 1.01 to 3.80 for moderate number of teeth). CONCLUSIONS: Our findings suggest that the number of existing permanent teeth may be associated with CKD among Korean elderly.
