Lower frequency of daily teeth brushing is related to high prevalence of cardiovascular risk factors
Abstract
This study sought to investigate relationships between frequency of daily teeth brushing and prevalences of diabetes mellitus, hypertension and dyslipidemia. Subjects were 54,551 residents of Chiba City, Japan (20,155 men and 34,396 women) who underwent routine health examinations in 2004. Diabetes mellitus was defined as a fasting plasma glucose level > or =126 mg/dl or a non-fasting plasma glucose level > or =200 mg/dl and/or receiving treatment for diabetes. Hypertension was defined as systolic blood pressure (SBP) > or =140 mmHg, diastolic blood pressure (DBP) > or =90 mmHg and/or receiving treatment for hypertension. Dyslipidemia was defined according to the two criteria: high triglyceride and/or low high density lipoprotein cholesterol (TG > or = 150 mg and/or HDL-C < 40 mg/dl), and high total cholesterol (TC > or = 220 mg/dl). According to Pearson's chi-square tests and logistic regression analysis adjusted for age, BMI, smoking habit, alcohol consumption and daily walking time, lower frequency of teeth brushing is related to higher prevalences of diabetes mellitus, hypertension and high TG and/or low HDL-C, in both men and women. Total cholesterol status, however, showed no significant relationship. Maintaining good oral hygiene by regular teeth brushing may prevent type 2 diabetes, hypertension and dyslipidemia.
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Epidemiological studies consistently show that in the general population, good oral hygiene (frequent tooth brushing and mouthwash use) protects against development of hypertension and CVD.
“Conversely, epidemiological studies consistently show that in the general population, good oral hygiene (specifically frequent tooth brushing and mouthwash use) protects against development of hypertension and CVD[431–433].”
From Enterosalivary nitrate metabolism and the microbiome: Intersection of microbial metabolism, nitric oxide and diet in cardiac and pulmonary vascular health (2017) · cites this paper as [431]
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- Authors
- Fujita, M., Ueno, K., & Hata, A.
- Affiliations
- Chiba University (JP)
- Venue
- Experimental Biology and Medicine
- Publisher
- Frontiers Media SA
- Published
- 2009-04
- Volume
- 234
- Issue
- 4
- Pages
- 387-394
- ISSN
- 0071-3384 (ISSN-L)
- 1535-3702
- 1535-3699
- OpenAlex
- W2087564270
- Cited by
- 42
- References
- 31
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 6 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 6 · 2012: 4
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Experimental Biology and Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- oral hygiene, cardiovascular risk factors, diabetes mellitus, hypertension, dyslipidemia, triglycerides, HDL cholesterol, total cholesterol, type 2 diabetes prevention
- MeSH terms
- Adult, Aged, Cardiovascular Diseases, Cross-Sectional Studies, Female, Humans, Japan, Male, Middle Aged, Periodicity, Periodontitis, Risk Factors, Toothbrushing, Prevalence
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