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目的探讨中老年人肥胖与牙周炎的相关性。方法选取2016年3—5月新疆医科大学第一附属医院健康管理中心的中老年体检者为研究对象,对该人群进行问卷调查,进行身高和体重测定,并行口腔及血脂检查,记录牙石指数(CI)、探针出血(BOP)、牙周袋探诊深度(PD)、临床附着丧失(CAL)、体重指数(BMI)及血脂四项水平。结果正常、超重及肥胖3组人群中,肥胖组与正常组相比甘油三酯(TG)、血清低密度脂蛋白胆固醇(LDLC)明显升高,血清高密度脂蛋白胆固醇(HDL-C)明显降低,差异有统计学意义(P<0.05);BMI是牙周炎的危险因素(OR>1,P<0.05),但两者间不存在相关性(P>0.05)。中年人BMI与CI、BOP及CAL呈正相关(P<0.05),老年人BMI与PD、CAL无相关性(P>0.05)。结论肥胖是中老年人群牙周炎的一个危险因素,但两者相关性尚不能确定。
Objective To explore the correlation between obesity and periodontitis in middle-aged and elderly people. Methods From March to May 2016, the middle-aged and elderly people’s health examination center of the First Affiliated Hospital of Xinjiang Medical University was selected as the research object. The population was surveyed for height and weight determination, and oral and blood lipids were examined. The tarsal index CI, BOP, PD probing, CAL, BMI and blood lipid levels were measured. Results In the normal, overweight and obese groups, triglyceride (TG), serum low density lipoprotein cholesterol (LDLC), and serum high density lipoprotein cholesterol (HDL-C) were significantly higher in the obesity group than in the normal group (P <0.05). BMI was the risk factor for periodontitis (OR> 1, P <0.05), but there was no correlation between them (P> 0.05). Middle-aged BMI was positively correlated with CI, BOP and CAL (P <0.05), but no correlation between BMI and PD and CAL (P> 0.05). Conclusion Obesity is a risk factor for periodontitis in middle-aged and elderly people, but the correlation between the two is not yet known.