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KMID : 1138720230490010001
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Korean Public Health Research
2023 Volume.49 No. 1 p.1 ~ p.10
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Association between relative handgrip strength and periodontitis : Mediating effect of high sensitivity C-reactive protein
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Choi Eun-Mi
Park Sang-Shin
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Abstract
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Purpose: This study aimed to examine the relationship between relative hand grip strength (RHGS) and periodontitis. The mediation effect of a high-sensitivity C-reactive protein (hs-CRP) on this relationship was also determined.
Methods: This study analyzed the data of 8,008 Korean men and women aged 40 years or older from the Korea National Health and Nutrition Examination Survey 2016-2018. Multivariable logistic regression analysis was performed to examine the relationship between RHGS and periodontitis. Then, we performed a mediation analysis to examine the contributions of hs-CRP on this relationship (p< 0.05).
Results: The participant with low RHGS [odds ratio (OR) = 1.25; 95% confidence interval (CI) = 1.01, 1.53] had higher risks for periodontitis, compared to those with moderate to high RHGS. The participants with moderate to high hs-CRP (OR = 1.35; 95% CI = 1.10, 1.65) had significantly higher risks for periodontitis, compared to with low hs-CRP. The hs-CRP mediated the relationship between low RHGS and periodontitis (OR = 1.01; 95% CI = >1.00, 1.02). The hs-CRP accounted for 11.6% of the relationship between low RHGS and increased periodontitis.
Conclusion: The hs-CRP mediated the relationship between RHGS and periodontitis. Therefore, this study suggests that RHGS and hs-CRP may be a potential risk factor of periodontal health.
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KEYWORD
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C-reactive protein, periodontitis, relative hand grip strength
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