Association of oral care with periodontitis and glycemic control among US adults with diabetes
Abstract Background Studies indicate that treating periodontitis may benefit glycemic control among people with diabetes. It is unclear whether oral self-care such as flossing may reduce risk for periodontitis and improve glycemic control among people with diabetes. The purpose of this study was to...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-023-03580-0 |
| _version_ | 1797451247449538560 |
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| author | Yuqing Zhang Suzanne G. Leveille Sarah M. Camhi Ling Shi |
| author_facet | Yuqing Zhang Suzanne G. Leveille Sarah M. Camhi Ling Shi |
| author_sort | Yuqing Zhang |
| collection | DOAJ |
| description | Abstract Background Studies indicate that treating periodontitis may benefit glycemic control among people with diabetes. It is unclear whether oral self-care such as flossing may reduce risk for periodontitis and improve glycemic control among people with diabetes. The purpose of this study was to examine associations between oral care, specifically, flossing and preventive dental care, with periodontitis and glycemic control, among US dentate adults with diabetes. Methods We analyzed data from the National Health and Nutrition Examination Survey 2011–2014 for 892 participants aged 30 years and older with diabetes who completed the periodontal examination and lab test for hemoglobin A1c (HbA1c). Sampling weights were applied. Multivariable logistic regression and multivariable linear modeling were performed to examine the associations of flossing and preventive dental services on periodontal health and HbA1c levels, respectively, controlling for sociodemographic characteristics, health behaviors, and other risk factors. Results Among U.S. dentate adults with diabetes, 52.1% of flossers and 72.1% of non-flossers had periodontitis (p < 0.001). Flossers were 39% less likely to have periodontitis (Adj. OR 0.61, 95% CI 0.43–0.88) compared to non-flossers. Flossers had an average HbA1c reading 0.30% (95% CI 0.02%—0.58%) lower than non-flossers, adjusted for covariates (p = 0.037). Preventive dental visits were associated with reduced risk for periodontitis (Adj. OR 0.54, 95%CI, 0.38–0.75) but not glycemic control. Conclusion Flossing was associated with periodontal health and glycemic control among US adults with diabetes. Although further research is needed, the findings support that oral self-care may be particularly beneficial for adults with diabetes. |
| first_indexed | 2024-03-09T14:50:59Z |
| format | Article |
| id | doaj.art-18d71a19a5534d929057663861183331 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-09T14:50:59Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-18d71a19a5534d9290576638611833312023-11-26T14:25:29ZengBMCBMC Oral Health1472-68312023-11-012311910.1186/s12903-023-03580-0Association of oral care with periodontitis and glycemic control among US adults with diabetesYuqing Zhang0Suzanne G. Leveille1Sarah M. Camhi2Ling Shi3Robert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts BostonRobert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts BostonRobert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts BostonRobert and Donna Manning College of Nursing and Health Sciences, University of Massachusetts BostonAbstract Background Studies indicate that treating periodontitis may benefit glycemic control among people with diabetes. It is unclear whether oral self-care such as flossing may reduce risk for periodontitis and improve glycemic control among people with diabetes. The purpose of this study was to examine associations between oral care, specifically, flossing and preventive dental care, with periodontitis and glycemic control, among US dentate adults with diabetes. Methods We analyzed data from the National Health and Nutrition Examination Survey 2011–2014 for 892 participants aged 30 years and older with diabetes who completed the periodontal examination and lab test for hemoglobin A1c (HbA1c). Sampling weights were applied. Multivariable logistic regression and multivariable linear modeling were performed to examine the associations of flossing and preventive dental services on periodontal health and HbA1c levels, respectively, controlling for sociodemographic characteristics, health behaviors, and other risk factors. Results Among U.S. dentate adults with diabetes, 52.1% of flossers and 72.1% of non-flossers had periodontitis (p < 0.001). Flossers were 39% less likely to have periodontitis (Adj. OR 0.61, 95% CI 0.43–0.88) compared to non-flossers. Flossers had an average HbA1c reading 0.30% (95% CI 0.02%—0.58%) lower than non-flossers, adjusted for covariates (p = 0.037). Preventive dental visits were associated with reduced risk for periodontitis (Adj. OR 0.54, 95%CI, 0.38–0.75) but not glycemic control. Conclusion Flossing was associated with periodontal health and glycemic control among US adults with diabetes. Although further research is needed, the findings support that oral self-care may be particularly beneficial for adults with diabetes.https://doi.org/10.1186/s12903-023-03580-0Diabetes mellitusOral healthPrimary preventionBlood glucosePopulation health |
| spellingShingle | Yuqing Zhang Suzanne G. Leveille Sarah M. Camhi Ling Shi Association of oral care with periodontitis and glycemic control among US adults with diabetes BMC Oral Health Diabetes mellitus Oral health Primary prevention Blood glucose Population health |
| title | Association of oral care with periodontitis and glycemic control among US adults with diabetes |
| title_full | Association of oral care with periodontitis and glycemic control among US adults with diabetes |
| title_fullStr | Association of oral care with periodontitis and glycemic control among US adults with diabetes |
| title_full_unstemmed | Association of oral care with periodontitis and glycemic control among US adults with diabetes |
| title_short | Association of oral care with periodontitis and glycemic control among US adults with diabetes |
| title_sort | association of oral care with periodontitis and glycemic control among us adults with diabetes |
| topic | Diabetes mellitus Oral health Primary prevention Blood glucose Population health |
| url | https://doi.org/10.1186/s12903-023-03580-0 |
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