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KMID : 1039620230130010038
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Korean Journal of Family Practice
2023 Volume.13 No. 1 p.38 ~ p.46
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Risk Assessment of Periodontitis according to Metabolic Score for Insulin Resistance in Korean Population: Korea National Health and Nutrition Examination Survey VI (2013?2015)
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Kim In-Hwan
Lee Yea-Chan
Kwon Yu-Jin
Lee Yong-Jae
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Abstract
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Background: Studies have reported an association between periodontitis, a chronic inflammatory disease of the periodontal tissues, and insulinresistance. The Metabolic Score for Insulin Resistance (METS-IR) index was recently developed to assess insulin resistance. This study aimed toinvestigate the association between periodontitis and insulin resistance according to the METS-IR index.
Methods: A total of 10,807 participants from the 6th National Health and Nutrition Examination Survey (2013?2015) were included in this study. Wedefined periodontitis as the community periodontal index score of 3 or higher in at least one site. Multiple logistic regression analyses wereconducted to calculate odds ratios (OR) and 95% confidence intervals (CI) for periodontitis according to METS-IR index quartiles.
Results: Compared to the lowest quartile (Q1), the OR (95% CI) for periodontitis were 1.61 (1.37?1.90) in the second quartile (Q2), 2.37 (2.03?2.77) in thethird quartile (Q3), and 2.89 (2.45?3.41) in the highest quartile (Q4) of the unadjusted model. After the adjustment for confounders, compared to Q1,the OR (95% CI) for periodontitis was 1.15 (0.93?1.42) in Q2, 1.30 (1.04?1.62) in Q3, and 1.39 (1.09?1.77) in Q4.
Conclusion: Our study found that METS-IR index had a significant positive association with the prevalence of periodontitis.
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KEYWORD
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Periodontitis, Community Periodontal Index, Chronic Inflammation, Insulin Resistance, Metabolic Score for Insulin Resistance
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