刷牙次数对中国成人肥胖及慢性病的影响——基于两次国家卫生服务调查研究  

The Impact of Tooth Brushing Frequency on Obesity and Chronic Disease in Chinese Adults-Results from Two National Health Service Surveys

作　　者：刘文华[1] 贺玉琴 徐沙贝 吴莹莹 汪明欢[2] LIU Wenhua;HE Yuqing;WU Yingying(Clinical Research Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China;不详)

机构地区：[1]华中科技大学同济医学院附属同济医院临床研究中心,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院神经科,湖北武汉430030 [3]华中科技大学同济医学院附属同济医院肿瘤科,湖北武汉430030

出　　处：《中国社会医学杂志》2021年第5期511-515,共5页Chinese Journal of Social Medicine

基　　金：科技部重大新药创制国家科技重大专项(2017ZX09304022)。

摘　　要：目的研究刷牙次数对中国成人肥胖和慢性病的影响。方法通过2013年和2018年两次国家卫生服务调查(National Health Service Survey,NHSS),两次横断面调查均采用多阶段分层整群随机抽样以获得全国代表性样本。采用多元Logistic回归分析刷牙次数对超重肥胖和慢性病的影响。结果2013年及2018年调查中,分别有219609人,205777人纳入研究对象。在2013年,不刷牙的人数占总调查人数的3.64%,而在2018年,不刷牙的人数增长到4.67%(P<0.001)。与每天刷牙不到2次的人群相比,每天规律刷牙2次或2次以上的人超重肥胖的风险降低12%(OR=0.88,95%CI0.87~0.90),患慢病的风险降低10%(OR=0.90,95%CI0.89~0.92)。结论刷牙次数与中国人群超重肥胖及慢病风险密切相关,对我国口腔卫生健康教育的开展与慢病的防治有重要指导意义。Objective To study the effect of tooth brushing frequency on obesity and chronic diseases in Chinese adults.Methods Two cross-sectional National Health Service Surveys(NHSS)in 2013 and 2018 used multi-stage stratified cluster random sampling to obtain a national representative sample.Multivariate logistic regression was used to analyze the risk of tooth brushing frequency on the chronic diseases and overweight and obesity.Results There were 219609 individuals in the 2013 and 205777 in 2018 included in our analysis.In 2013,the number of people who did not brush their teeth accounted for 3.64%of the total surveyed population,and in 2018,the number of people who did not brush their teeth increased to 4.67%(P<0.001).Compared with those who brushed their teeth less than twice a day,people who brushed their teeth 2 or more times regularly a day had a 12%lower risk of overweight and obesity(OR=0.88,95%CI:0.87-0.90),and a 10%lower risk of chronic diseases(OR=0.90,95%CI:0.89-0.92).Conclusion The frequency of tooth brushing is closely related to the risk of overweight and obesity as well as the risk of chronic diseases in Chinese population.These findings shed light on the development of oral health education in prevention and treatment of chronic diseases in China.

关 键 词：刷牙 超重肥胖 慢性病 口腔卫生 国家卫生服务调查 

分 类 号：R322.41[医药卫生—人体解剖和组织胚胎学] R193[医药卫生—基础医学]