Type 2 diabetes and its characteristics are associated with poor oral health: findings from 60,590 senior women from the E3N study

BMC Oral Health

Douae El Fatouhi¹  Marie-Christine Boutron-Ruault¹  Nasser Laouali¹  Guy Fagherazzi²  Beverley Balkau³  Gloria Aguayo⁴  Fabrice Bonnet⁵ 

[1] Center for Research in Epidemiology and Population Health (CESP), Inserm (Institut National de la Santé Et de la Recherche Médicale) U1018, Generations and Health, Gustave Roussy Institute, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France;Faculté de Médecine, UPS-UVSQ-Paris-Saclay University, 94270, Le Kremlin-Bicêtre Cedex, France;Center for Research in Epidemiology and Population Health (CESP), Inserm (Institut National de la Santé Et de la Recherche Médicale) U1018, Generations and Health, Gustave Roussy Institute, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France;Faculté de Médecine, UPS-UVSQ-Paris-Saclay University, 94270, Le Kremlin-Bicêtre Cedex, France;Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, 1A-B, rue Thomas Edison, 1445, Strassen, Luxembourg;Center for Research in Epidemiology and Population Health (CESP), Inserm (Institut National de la Santé et de la Recherche Médicale) U1018, Clinical Epidemiology, 16 Avenue Paul Vaillant Couturier, 94807, Villejuif, France;Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, 1A-B, rue Thomas Edison, 1445, Strassen, Luxembourg;Department of Endocrinology, Diabetology and Nutrition, CHU Rennes, Université de Rennes 1, Rennes, France;

关键词: Periodontitis;    Gingivitis;    Treatments;    Aged;    Female;    Type 2 diabetes mellitus;    Epidemiology;   

DOI  :  10.1186/s12903-021-01679-w

来源: Springer

【 摘 要 】

BackgroundType 2 diabetes (T2D) has been identified as a risk factor for poor oral health, however, a limited number of oral health and T2D characteristics have been studied so far. We sought to assess T2D status, age at diagnosis, duration since diagnosis and treatment in relation to a variety of oral diseases.MethodsCross-sectional data were analyzed from the E3N (Etude Epidémiologique auprès de femmes de l'Education Nationale) cohort study which enrolled 60,590 women. Participants self-reported oral health status, and T2D cases were identified using diabetes-specific questionnaires and drug reimbursement insurance databases. Multivariable-adjusted ORs and 95% CIs were estimated using logistic regression models.ResultsThe mean age (SD) of the women was 70 years (7.2), and 4.7% (n = 2857) had T2D. Compared to women without T2D, women with T2D were more likely to report a poor perceived oral health (OR 1.37 [95% CI 1.18, 1.60]), wearing dental prostheses (1.26 [1.14, 1.39]) and having problems of biting and chewing food (1.19 [1.07, 1.33]). In addition, for women with T2D the age at diagnosis (inversely) and the duration (positively) were associated with the likelihood to report poor oral health.ConclusionsFor women with T2D, duration and age at diagnosis are associated with wearing prostheses, problems of biting and chewing, periodontitis and gingivitis.

【 授权许可】

CC BY