J Korean Acad Oral Health.  2019 Jun;43(2):56-62. 10.11149/jkaoh.2019.43.2.56.

Menopause experience and the relationship between metabolic syndrome components and periodontitis

• Kim YH
• Lee JH

• KMID: 2456838
• DOI: http://doi.org/10.11149/jkaoh.2019.43.2.56

Abstract

OBJECTIVES
The purpose of this study was to investigate the correlation of periodontitis with metabolic syndromes and menopause status.
METHODS
The 2013 Korea National Health and Nutrition Examination Survey data of 645 postmenopausal and 663 premenopausal women were analyzed using the Pearson's chi-squared test and multiple regression analysis with the Statistical Package for the Social Sciences (PASW statistics) software version 21.0. Metabolic syndromes and community periodontal index (CPI) were analyzed.
RESULTS
CPI 3, CPI 4 (P<0.001), and the prevalence of periodontal disease were significantly higher in the postmenopausal group (P<0.001). Periodontal disease was significantly higher (P<0.001) in postmenopausal women not using dental floss (2.69 times), hypertensive postmenopausal women (1.60 times), and premenopausal women with high blood glucose levels (1.67 times). In the multiple logistic regression analysis, after adjusting for age, smoking habit, and alcohol consumption, significant risk factors for periodontal disease were the lack of dental floss use (odds ratio [OR]: 1.83; 95% confidence interval [CI]: 1.26-2.67), menopause (OR: 1.71; 95% CI: 1.22-2.41), and number of metabolic syndromes (when 1 or 2, OR: 2.22 and 95% CI: 1.50-3.29; when 3 or more, OR: 2.22 and 95% CI: 1.58-3.13).
CONCLUSIONS
In summary, menopause status is associated with periodontal disease. Therefore, oral health programs for middle-aged women with menopause and metabolic syndromes should be conducted to improve their oral health-related quality of life.

Keyword

Menopause status; Metabolic syndrome; Oral health-related quality of life; Periodontal disease

MeSH Terms

Alcohol Drinking
Blood Glucose
Dental Devices, Home Care
Female
Humans
Korea
Logistic Models
Menopause*
Nutrition Surveys
Oral Health
Periodontal Diseases
Periodontal Index
Periodontitis*
Prevalence
Quality of Life
Risk Factors
Smoke
Smoking
Social Sciences
Blood Glucose
Smoke

Reference

1. Yeun EJ. A study on the health promoting lifestyle practices of middle-aged women in Korea. Korean J Health Educ Promot. 2000; 17:41–59.

2. Cha SH. Prevention and treatment of gynecological diseases for women. Seoul: Galim Publication;2003. p. 1–312.

3. Kim AK. Coping pattern of menopause in middle aged woman. J Korean Acad Fundam Nurs. 2010; 17:35–44.

4. Ivarsson T, Spetz AC, Hammar M. Physical exercise and vasomotor symptoms in postmenopausal women. Maturitas. 1998; 29:139–146.

5. Luborsky JL, Meyer P, Sowers MF, Gold EB, Santoro N. Premature menopause in a multi-ethnic population study of the menopause transition. Hum Reprod. 2003; 18:199–206.

6. Gordon T, Kannel WB, Hjortland MC, McNamara PM. Menopause and coronary heart disease. The framingham study. Ann Intern Med. 1978; 89:157–161.

7. Preuss HG. Nutrition and diseases of women: cardiovascular disorders. J Am Coll Nutr. 1993; 12:417–425.

8. Shin HM, Jee SH, Kim JH, Kim MR. The influence on cardiovascular mortality of the metabolic syndrome in Korean postmenopausal women. J Korean Soc Menopause. 2012; 18:6–14.

9. Kim MH, Kim MK, Choi BY, Shin YJ. Prevalence of the metabolic syndrome and its association with cardiovascular diseases in Korea. J Korean Med Sci. 2004; 19:195–201.

10. Kim HD, Paik DM, Kho DH, Paik DI. Influence of cardiovascular related disease on periodontitis. J Korean Acad Oral Health. 2006; 30:46–55.

11. Morita T, Ogawa Y, Takada K, Nishinoue N, Sasaki Y, Motohashi M, et al. Association between periodontal disease and metabolic syndrome. J Public Health Dent. 2009; 69:248–253.

12. Kushiyama M, Shimazaki Y, Yamashita Y. Relationship between metabolic syndrome and periodontal disease in Japanese adults. J Periodontol. 2009; 80:1610–1615.

13. Park SJ. The association of metabolic syndrome and periodontitis. based on data of Korean national health and nutrition survey. [master's thesis]. Seoul: Chungang University;2011. [Korean].

14. Kim MJ. Periodontal status of postmenopausal Korean women. [master's thesis]. Busan: Pusan National University;2010. [Korean].

15. Lee KS, Kim CS. Association between bone mineral density and remaining teeth in postmenopausal women. J Korean Soc Dent Hyg. 2014; 14:319–326.

16. Seong JA. The experience of women with premature menopause. [Doctor's dissertation]. Seoul: Ewha Womans University;2017. [Korean].

17. Singer D, Hunter M. The experience of premature menopause: a thematic discourse analysis. J Reprod Infant Psychol. 1999; 17:63–81.

18. Rivera CM, Grossardt BR, Rhodes DJ, Brown RD Jr, Roger VL, Melton LJ 3rd, et al. Increased cardiovascular mortality after early bilateral oophorectomy. Menopause. 2009; 16:15–23.

19. Saito T, Shimazaki Y, Kiyohara Y, Kato I, Kubo M, Iida M, et al. Relationship between obesity, glucose tolerance, and periodontal disease in Japanese women: the Hisayama study. J Periodontal Res. 2005; 40:346–353.

20. Barmes D. CPITN - a WHO initiative. Int Dent J. 1994; 44:5 Suppl 1. 523–525.

21. Expert panel on detection, evaluation, and trearment of high blood cholesterol in adults. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult treatment panel III). JAMA. 2001; 285:2486–2497.

22. Park HS. Effects of soybean foods intake on menopausal symptoms, serum hormones, serum lipids, and bone metabolism in middleaged women [Doctor's dissertation]. Seoul: Ewha Womans University;2003. [Korean].

23. Bae KE. Instrument development for adaptation of women in the menopause period [Doctor's dissertation]. Seoul: Ewha Womans University;2006. [Korean].

24. Schubert CM, Rogers NL, Remsberg KE, Sun SS, Chumlea WC, Demerath EW, et al. Lipids, lipoproteins, lifestyle, adiposity and fatfree mass during middle age: the fels longitudinal study. Int J Obes (Lond). 2006; 30:251–260.

25. Kim SY, Jang HG. Influence of metabolic on periodontal disease in Korean adults. J Korean Soc Dent Hyg. 2015; 15:399–410.

26. Woo DH, You HY, Kim MJ, Kim HN, Kim JB, Jeong SH. Risk indicators of periodontal disease in Korean adults. J Korean Acad Oral Health. 2013; 37:95–102.

27. Han DH, Lim SY, Sun BC, Paek D, Kim HD. The association of metabolic syndrome with periodontal disease is confounded by age and smoking in a Korean population: the Shiwha-Banwol Environmental Health Study. J Clin Periodontol. 2010; 37:609–616.

28. Baek HJ, Choi YH, Lee SG, Song KB, Kwon HJ. The association of metabolic syndrome and periodontitis in Korean adult population. J Korean Acad Oral Health. 2010; 34:338–345.

29. Khader YS. Factors associated with periodontal diseases in Jordan: principal component and factor analysis approach. J Oral Sci. 2006; 48:77–84.