Association between oral health status and chronic obstructive pulmonary disease in Korean adults

Int Dent J. 2020 Jun;70(3):208-213. doi: 10.1111/idj.12535. Epub 2019 Dec 5.

Abstract

Objectives: This study aimed to elucidate the association between oral health status and chronic obstructive pulmonary disease (COPD) in Korean adults (≥ 40 years old) using a representative national dataset from the 6th Korea National Health and Nutrition Examination Survey (6th KNHANES, 2013-2015).

Methods: Participants aged ≥ 40 years from the 6th KNHANES who had received an oral and pulmonary function tests (N = 7719) were included in this study. The participant characteristics according to COPD were compared using t-test and chi-squared test. Logistic regression analysis was used to estimate the association between oral health status and COPD.

Results: Participants with poor periodontal status exhibited a higher prevalence of COPD. Moreover, patients with COPD had a greater number of missing teeth than those without COPD. The logistic regression model adjusted for demographic, socioeconomic, health- and oral health-related factors showed that the periodontal status was not significantly associated with COPD, while participants with more missing teeth had a significantly increased possibility of having COPD.

Conclusions: This study revealed that loss of teeth in adults aged ≥ 40 years was associated with COPD.

Keywords: Chronic obstructive pulmonary disease; Korea National Health and Nutrition Examination Survey (KNHANES); oral health; periodontal disease; tooth loss.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Health Status
  • Humans
  • Nutrition Surveys*
  • Oral Health
  • Prevalence
  • Pulmonary Disease, Chronic Obstructive*
  • Republic of Korea