The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012

Abstract Background The purpose of this study was to investigate the relationship between hormone replacement therapy (HRT) and periodontal disease in postmenopausal women using data from the 4th and 5th Korea National Health and Nutrition Examination Survey (KNHANES). Methods The study included dat...

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Main Authors: Yunhee Lee, Inah Kim, Jaechul Song, Kyung-Gyun Hwang, Boyoul Choi, Seung-Sik Hwang
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-019-0839-9
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author Yunhee Lee
Inah Kim
Jaechul Song
Kyung-Gyun Hwang
Boyoul Choi
Seung-Sik Hwang
author_facet Yunhee Lee
Inah Kim
Jaechul Song
Kyung-Gyun Hwang
Boyoul Choi
Seung-Sik Hwang
author_sort Yunhee Lee
collection DOAJ
description Abstract Background The purpose of this study was to investigate the relationship between hormone replacement therapy (HRT) and periodontal disease in postmenopausal women using data from the 4th and 5th Korea National Health and Nutrition Examination Survey (KNHANES). Methods The study included data from 5,482 postmenopausal women aged 45–74 years in the 2007–2012 KNHANES. The use of female HRT for at least one month was reclassified as HRT+/HRT-. The Community Periodontal Index of Treatment Needs (CPITN) was used to assess periodontal status. Propensity score matching (PSM) was used to control selection bias, and factors affecting education, family income, and age of menopause were used as covariates in PSM. A chi-square test was used to confirm the bivariate relationship between the variables. Binary logistic regression analysis was used to adjust for confounders (age, education, family income, body mass index, age of menopause, alcohol, smoking, dental clinic visits in the past one year, use of oral care products and frequency of tooth brushing per day). Results After adjusting for all covariates, HRT was associated with periodontal disease (OR: 0.79; 95% CI: 0.66–0.94). In particular, the relationship between HRT and periodontal disease was more evident in those with menopause under 45 years of age disease (OR: 0.55; 95% CI: 0.35–0.87). Conclusions The results of this study supported that it is important that hormone therapy be actively considered in the policy towards postmenopausal women. Especially, health programs such as hormone replacement therapy, non-smoking, and use of oral care products are needed for women who undergo premature menopause.
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spelling doaj.art-7f5bc288ac234a6b98b682b2174e5d9e2022-12-21T17:25:24ZengBMCBMC Oral Health1472-68312019-07-011911810.1186/s12903-019-0839-9The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012Yunhee Lee0Inah Kim1Jaechul Song2Kyung-Gyun Hwang3Boyoul Choi4Seung-Sik Hwang5Department of Dental Hygiene, Seoyeong UniversityDepartment of Occupational and Environment Medicine, College of Medicine, Hanyang UniversityDepartment of Occupational and Environment Medicine, College of Medicine, Hanyang UniversityDepartment of Dentistry/Oral and Maxillofacial Surgery, College of Medicine, Hanyang UniversityDepartment of Preventive Medicine, College of Medicine, Hanyang UniversityDepartment of Public Health Sciences, Graduate School of Public Health, Seoul National UniversityAbstract Background The purpose of this study was to investigate the relationship between hormone replacement therapy (HRT) and periodontal disease in postmenopausal women using data from the 4th and 5th Korea National Health and Nutrition Examination Survey (KNHANES). Methods The study included data from 5,482 postmenopausal women aged 45–74 years in the 2007–2012 KNHANES. The use of female HRT for at least one month was reclassified as HRT+/HRT-. The Community Periodontal Index of Treatment Needs (CPITN) was used to assess periodontal status. Propensity score matching (PSM) was used to control selection bias, and factors affecting education, family income, and age of menopause were used as covariates in PSM. A chi-square test was used to confirm the bivariate relationship between the variables. Binary logistic regression analysis was used to adjust for confounders (age, education, family income, body mass index, age of menopause, alcohol, smoking, dental clinic visits in the past one year, use of oral care products and frequency of tooth brushing per day). Results After adjusting for all covariates, HRT was associated with periodontal disease (OR: 0.79; 95% CI: 0.66–0.94). In particular, the relationship between HRT and periodontal disease was more evident in those with menopause under 45 years of age disease (OR: 0.55; 95% CI: 0.35–0.87). Conclusions The results of this study supported that it is important that hormone therapy be actively considered in the policy towards postmenopausal women. Especially, health programs such as hormone replacement therapy, non-smoking, and use of oral care products are needed for women who undergo premature menopause.http://link.springer.com/article/10.1186/s12903-019-0839-9Hormone replacement therapyMenopausePeriodontal disease
spellingShingle Yunhee Lee
Inah Kim
Jaechul Song
Kyung-Gyun Hwang
Boyoul Choi
Seung-Sik Hwang
The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012
BMC Oral Health
Hormone replacement therapy
Menopause
Periodontal disease
title The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012
title_full The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012
title_fullStr The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012
title_full_unstemmed The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012
title_short The relationship between hormone replacement therapy and periodontal disease in postmenopausal women: a cross-sectional study the Korea National Health and Nutrition Examination Survey from 2007 to 2012
title_sort relationship between hormone replacement therapy and periodontal disease in postmenopausal women a cross sectional study the korea national health and nutrition examination survey from 2007 to 2012
topic Hormone replacement therapy
Menopause
Periodontal disease
url http://link.springer.com/article/10.1186/s12903-019-0839-9
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