肥胖与牙周炎相关性的调查研究  

Correlation between Obesity and Periodontitis in Officeholders

作　　者：王岩[1] 雷成家[1] 李中琴[1] 尚姝环[1] 董维理[1] 覃文[1] 李化[1] 张海平[1] 李成章[1] 

机构地区：[1]武汉大学口腔医学院牙周黏膜科,湖北武汉430079

出　　处：《口腔医学研究》2006年第5期552-555,共4页Journal of Oral Science Research

基　　金：湖北省干部保健专项基金

摘　　要：目的：通过对武汉市公务员人群调查，探讨肥胖因素与牙周炎的相关关系。方法：于2004年10～12月，以工作单位为抽样框对武汉市公务员进行随机整群抽样，进行牙周状况检查，以肥胖指数作为衡量肥胖的参数。其中符合纳入标准458人，中青年年龄段（30～59岁）288人，老年年龄段（60岁以上）170人。通过X^2检验及Logistie多因素回归分析对数据进行分析。结果：中青年年龄段人群中超重（OR=1．840，CI为1．040～3．254）、肥胖（OR=2．972，CI为1．155～7．415）为牙周炎患病的危险因素，老年年龄段人群中超重、肥胖与牙周炎在统计学上呈负相关；整个人群中超重、肥胖与牙周炎患病的相关性无统计学意义。结论：超重、肥胖可能为牙周炎患病的危险因素，对牙周炎患病的影响主要在中青年阶段。Objective： The purpose of this study is to assess the relationship between obesity and periodontitis by investigating the obesity and periodontal conditions of officeholders in Wuhan city. Methods： From November to December 2004, the cross - sectional survey on obesity and periodontal conditions was carried out to 493 officeholders in Wuhan city with random cluster sampling method as working - unit, 458 of which were finally studied according to the included rules. All subjects were divided into two groups ： young and middle - aged adults （ 30 years old - 59 years old） and old adults （ more than or equal to 60 years old）. The periodontitis patients were characterized with CAL≥2mm. Obesity was defined bv using body mass index （BMI） , over - weight was defined as a BMI （ kg/m^2 ） between 24 and 28. And obesity was defined as a BMI more than or equal to 28. The data were analyzed by X2 - test, and then relational factors （ P 〈 0.05 ） entered into multi - factors logistic regression analysis. Specialists controlled the qualities of each step in the investigation and the methods of examination were standardized. Results： In X2 - test analysis, BMI was correlated with periodontitis. In multi - factor logistic regression analysis, there was no correlation between over - weight, obesity and periodontitis in all groups ; but over - weight （ OR = 1. 840, CI = 1. 040 - 3. 254） and obesity （ OR = 2. 972, CI = 1.155 - 7.415 ） were risk factors for periodontitis in young and middle - aged adults. Both over - weight and obesity had negative correlation with periodontitis in old adults in statistical level. Conclusion： For young and middle - aged adults, both over - weight and obesity were risk factors for periodontitis.

关 键 词：肥胖 体重指数 牙周炎 

分 类 号：R781.42[医药卫生—口腔医学] R589.2[医药卫生—临床医学]