Association between dental scaling and metabolic syndrome and lifestyle

TaeYeon Lee; Kyungdo Han; Kyoung-In Yun

doi:10.1371/journal.pone.0297545

Association between dental scaling and metabolic syndrome and lifestyle

PLoS One. 2024 Apr 4;19(4):e0297545. doi: 10.1371/journal.pone.0297545. eCollection 2024.

Authors

TaeYeon Lee¹, Kyungdo Han², Kyoung-In Yun³

Affiliations

¹ Department of Conservative Dentistry, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
² Department of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
³ Department of Oral and Maxillofacial Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Abstract

Purpose: Periodontal disease is a risk factor for diabetes and metabolic syndrome, and non-surgical periodontal treatment has been shown to help maintain stable blood sugar in diabetic patients. Determining the level of preventive scaling in patients with metabolic syndrome will help manage the disease. The purpose of this study was to investigate the extent to which people with metabolic syndrome or bad lifestyle performed scaling and the association between preventive scaling and metabolic syndrome or lifestyle in a large population.

Methods: This study was conducted on adults aged 20 years or older from January 2014 to December 2017 in the National Health Insurance System (NHIS) database. Among 558,067 people who underwent health checkups, 555,929 people were included. A total of 543,791 people were investigated for preventive scaling. Metabolic syndrome components were abdominal obesity, lower high density lipoprotein cholesterol (HDL)-C, high triglycerides, high blood pressure and hyperglycemia. Unhealthy lifestyle score was calculated by assigning 1 point each for current smokers, drinkers, and no performing regular exercise.

Results: When multiple logistic regression analysis was performed after adjusting for age, sex, income, body mass index (BMI), smoking, drinking and regular exercise, the Odds ratios (OR) and 95% confidence intervals (CI) of the group with 5 metabolic syndrome components were 0.741 (0.710, 0.773) (p<0.0001). After adjustment for age, sex, income, BMI, smoking, drinking, regular exercise, diabetes, hypertension and dyslipidemia, the OR (95% CI) of the group with unhealthy lifestyle score = 3 was 0.612 (0.586, 0.640) (p<0.0001).

Conclusions: The more metabolic syndrome components, and the higher unhealthy lifestyle score, the less scaling was performed.

Copyright: © 2024 Lee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

MeSH terms

Adult
Body Mass Index
Cholesterol, HDL
Dental Scaling
Diabetes Mellitus* / epidemiology
Humans
Hypertension* / complications
Life Style
Metabolic Syndrome*
Risk Factors

Substances

Cholesterol, HDL

Grants and funding

This research was supported by grant of the Institute of Clinical Medicine Research in the Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea(Grant Number: YSI22H007). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.