Association between poor oral health and diabetes among Indian adult population: potential for integration with NCDs.

Autor: Rawal I; Centre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India. ishita@ccdcindia.org., Ghosh S; Immunization Technical Support Unit (ITSU-MoHFW), B-28 Qutub Institutional Area (first floor), New Delhi, India., Hameed SS; Centre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India., Shivashankar R; Centre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India., Ajay VS; Centre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India., Patel SA; Hubert Department of Global Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, USA., Goodman M; Emory University Rollins School of Public Health, 1518 Clifton Road, NE CNR 3021, Atlanta, GA, USA., Ali MK; Hubert Department of Global Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, USA., Narayan KMV; Hubert Department of Global Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA, USA., Tandon N; Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, Ansari Nagar (East), New Delhi, 110029, India., Prabhakaran D; Centre for Chronic Disease Control, C-1/52, 2nd Floor, Safdarjung Development Area, New Delhi, 110016, India.; Public Health Foundation of India, Plot No. 47, Sector 44, Gurgaon, 122002, India.; Department of Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2019 Aug 20; Vol. 19 (1), pp. 191. Date of Electronic Publication: 2019 Aug 20.
DOI: 10.1186/s12903-019-0884-4
Abstrakt: Background: Studies in high-income countries have reported associations between oral health and diabetes. There is however a lack of evidence on this association from low and middle-income countries, especially India. The current study aimed to assess the prevalence of common oral diseases and their association with diabetes.
Methods: This cross-sectional study was nested within the second Cardiometabolic Risk Reduction in South Asia Surveillance Study. A subset of study participants residing in Delhi were administered the World Health Organization's Oral Health Assessment Questionnaire and underwent oral examination for caries experience and periodontal health assessment using standard indices. Diabetes status was ascertained by fasting blood glucose, glycosylated hemoglobin values or self-reported medication use. Information was captured on co-variates of interest. The association between oral health and diabetes was investigated using Multivariable Zero-Inflated Poisson (ZIP) regression analysis.
Results: Out of 2045 participants, 47% were women and the mean age of study participants was 42.17 (12.8) years. The age-standardised prevalence (95% confidence interval) estimates were 78.9% (75.6-81.7) for dental caries, 35.9% (32.3-39.6) for periodontitis. Nearly 85% participants suffered from at least one oral disease. Compared to diabetes-free counterparts, participants with diabetes had more severe caries experience [Mean Count Ratio (MCR) = 1.07 (1.03-1.12)] and attachment loss [MCR = 1.10 (1.04-1.17)]. Also, the adjusted prevalence of periodontitis was significantly higher among participants with diabetes [42.3%(40.0-45.0)] compared to those without diabetes [31.3%(30.3-32.2)].
Conclusion: We found that eight out of ten participants in urban Delhi suffered from some form of oral disease and participants with diabetes had worse oral health. This highlights the need for public health strategies to integrate oral health within the existing Non-Communicable Disease control programs.
Databáze: MEDLINE
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