J Korean Acad Oral Health.  2023 Sep;47(3):106-111. 10.11149/jkaoh.2023.47.3.106.

A study on the relationship between food insecurity and periodontitis in Korean adults: the Korea National Health and Nutrition Examination Survey (KNHANES VII) from 2016-2018

• Kang SJ
• Park JE
• Jang JH

• KMID: 2546505
• DOI: http://doi.org/10.11149/jkaoh.2023.47.3.106

Abstract

Objectives
This study aimed to investigate the association between food insecurity and periodontitis in Korean adults.
Methods
The data used for analysis were obtained from the 7th Korean National Health and Nutrition Examination Survey (2016-2018). Data were analyzed using chi-square test. Additionally, multiple logistic regression analysis was performed to assess the association between food insecurity and periodontitis. Statistical significance level was set at <0.05.
Results
In models corrected for social, economic, medical, and health behavioral factors, logistic regression analysis for food anxiety and periodontitis showed a significant correlation with F4 (odds ratio [OR]: 2.22, 95% confidence interval [CI]: 1.03-4.79).
Conclusions
There was a significant association between food insecurity and periodontitis in Korean adults. These results show that food insecurity is associated with periodontitis, and that food stability is an essential factor in improving or managing periodontitis.

Keyword

Food insecurity; National nutrition survey; Oral health; Periodontitis

Reference

References

1. Shim JS, Oh K, Nam CM. 2008; Association of household food security with dietary intake: based on the third (2005) Korea National Health and Nutrition Examination Survey (KNHANES III). Korean J Nutr. 41:174–183.

2. Kim K, Kim MK, Shin YJ. 2009; Household food insecurity and its characteristics in Korea. Health Soc Welf Rev. 29:268–292. DOI: 10.15709/hswr.2009.29.2.268.

3. Anderson SA. 1990; Core indicators of nutritional state for difficult-to-sample populations. J Nutr. 120:1555–1598. DOI: 10.1093/jn/120.suppl_11.1555. PMID: 2243305.

4. Jones AD. 2017; Food insecurity and mental health status: a global analysis of 149 countries. Am J Prev Med. 53:264–273. DOI: 10.1016/j.amepre.2017.04.008. PMID: 28457747.

5. Hwang SY, Park JE. 2023; A study on the relationship between food security and the number of remaining teeth in Korean adults: The Korea National Health and Nutrition Examination Survey (KNHANES VII), 2016-2018. Int J Environ Res Public Health. 20:2964. DOI: 10.3390/ijerph20042964. PMID: 36833660. PMCID: PMC9957181.

6. Murthy VH. 2016; Food insecurity: A public health issue. Public Health Rep. 131:655–657. DOI: 10.1177/0033354916664154. PMID: 28123203. PMCID: PMC5230819.

7. Kirkpatrick SI, Tarasuk V. 2008; Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. J Nutr. 138:604–612. DOI: 10.1093/jn/138.3.604. PMID: 18287374.

8. Paek KW, Lee SJ, Back JH. 2015; A factor of periodontal disease and dietary patterns in Korean adults using data from Korea National Health and Nutrition Examination Survey V. J Korean Acad Oral Health. 39:280–287. DOI: 10.11149/jkaoh.2015.39.4.280.

9. Tonetti MS, Greenwell H, Kornman KS. 2018; Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 89:S159–172. DOI: 10.1002/JPER.18-0006. PMID: 29926952.

10. Leite FRM, Nascimento GG, Scheutz F, López R. 2018; Effect of smoking on periodontitis: A systematic review and meta-regression. Am J Prev Med. 54:831–841. DOI: 10.1016/j.amepre.2018.02.014. PMID: 29656920.

11. Nazir MA. 2017; Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci. 11:72–80.

12. Ministry of Health and Welfare. 2019 The implement plan of oral policy. [Internet]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=349680. Cited 2023 July 10.

13. Jung SH. 2022; Analysis of inequality trends in dental caries, deep periodontal pockets, and severe tooth loss according to income level of adults using data from the Korea National Health and Nutrition Examination Survey. J Korean Acad Oral Health. 46:85–91. DOI: 10.11149/jkaoh.2022.46.2.85.

14. Enwonwu CO. 1995; Interface of malnutrition and periodontal diseases. Am J Clin Nutr. 61:430S–436S. DOI: 10.1093/ajcn/61.2.430S. PMID: 7530902.

15. Neiva RF, Steigenga J, Al-Shammari KF, Wang HL. 2003; Effects of specific nutrients on periodontal disease onset, progression and treatment. J Clin Periodontol. 30:579–589. DOI: 10.1034/j.1600-051X.2003.00354.x. PMID: 12834494.

16. Lim KO, Woo SH, Kwak JS. 2011; Impact of eating behavior on dietary habits and subjective oral health evaluation. J Korean Soc Dent Hyg. 11:441–451.

17. World Health Organization(WHO). 2006 definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: report of a WHO/IDF consultation. [Internet]. Available from: https://apps.who.int/iris/handle/10665/43588?search-result=true&query=Definition+and+diagnosis+of+diabetes+mellitus&scope=&rpp=10&sort_by=score&order=desc. Cited 2023 March 13.

18. Schoenborn CA, Adams PF, Peregoy JA. 2013; Health behaviors of adults: United States, 2008-2010. Vital Health Stat. 10:1–184. DOI: 10.1037/e378902004-001.

19. Park SW, Kim BG, Kim JW, Park JW, Kim JI. 2018; A cross-sectional study on the pulmonary function of residents in two urban areas with different PM 10 concentrations: Data from the fourth Korea national health and nutrition examination survey (KNHANES) 2007-2009. Ann Occup Environ Med. 30:47. DOI: 10.1186/s40557-018-0258-4. PMID: 30026954. PMCID: PMC6048902. PMID: 79ff9ae22b6b4d648bfc1bc7718d2de6.

20. Kim SO, Bae EM, Lee YN, Son JS. 2021; Association between consumption of sugar-sweetened beverages and risk of cardiovas cular disease in Korean men: Analysis based on the Korea national health and nutrition examination survey 2014-2016. Korean J Fam Med. 42:212–218. DOI: 10.4082/kjfm.20.0114. PMID: 34038989. PMCID: PMC8164932.

21. Anderson SE. 1990; Core indicators of nutritional status for difficult to sample population. J Nutr. 120:1559–1599. DOI: 10.1093/jn/120.suppl_11.1555. PMID: 2243305.

22. Frogillo EA, Rauschenbach BS, Olson CM, Kendell A, Colome-nares AG. 1997; Questionnaire-based measures are valid for the identification of rural households with hunger and food insecurity. J Nutr. 127:699–705. DOI: 10.1093/jn/127.5.699. PMID: 9164989.

23. Knedall A, Olson CM, Frongillo EA. 1996; Relationship of hunger and food security to food availability and consumption. J Am Diet Assoc. 96:1019–1024. DOI: 10.1016/S0002-8223(96)00271-4. PMID: 8841164.

24. Yang YJ. 2015; Socio-demographic characteristics, Nutrient intakes and mental health status of older Korean adults depending on household food security: based on the 2008-2010 Korea National Health and Nutrition Examination Survey. Korean J Community Nutr. 20:30–40. DOI: 10.5720/kjcn.2015.20.1.30.

25. Muirhead V, Quiñonez C, Figueiredo R, Locker D. 2009; Oral health disparities and food insecurity in working poor Canadians. Community Dent Oral Epidemiol. 37:294–304. DOI: 10.1111/j.1600-0528.2009.00479.x. PMID: 19515196.

26. Marcos A, Nova E, Montero A. 2003; Changes in the immune system are conditioned by nutrition. Eur J Clin Nutr. 57:S66–S69. DOI: 10.1038/sj.ejcn.1601819. PMID: 12947457.

27. Seligman HK, Jacobs EA, Lopez A, Tschann J, Fernandez A. 2012; Food insecurity and glycemic control among low-income patients with type 2 diabetes. Diabetes Care. 35:233–238. DOI: 10.2337/dc11-1627. PMID: 22210570. PMCID: PMC3263865.

28. Vedovato GM, Surkan PJ, Jones-smith J, Steeves EA, Han EK, Trude AC, Kharmats AY, Gittelsohn J. 2016; Food insecurity, overweight and obesity among low-income African-American families in Baltimore City: associations with food-related perceptions. Public Health Nutr. 19:1405–1416. DOI: 10.1017/S1368980015002888. PMID: 26441159. PMCID: PMC4823174.