Abstract：
OBJECTIVE: This study explored the association between self-reported diabetes mellitus, glycaemic control, measured by glycohaemoglobin (HbA1c) levels, and untreated root caries among U.S. adults, exploring the impact of diabetes status and glycaemic control levels on root caries risk.
METHODS: Analysing data from the National Health and Nutrition Examination Survey (NHANES) 2015 to 2018, we included 7490 participants aged 30 and above. We investigated the association between self-reported diabetes, glycaemic control, and untreated root caries, adjusting for demographic and health-related variables. Weighted logistic regression models estimated untreated root caries odds by diabetes status and HbA1c cutoffs (6.5-9%), adjusting for demographics, health behaviours, BMI, diet, oral health factors.
RESULTS: A significant association was found between higher HbA1c levels and an increased risk of untreated root caries (odds ratio [OR]: 1.11, 95% CI: 1.01-1.22, p < .05). Self-reported diabetes was not significantly linked to untreated root caries after adjusting for HbA1c and other factors. Glycaemic control thresholds (HbA1c ≥8%) among diabetic participants were associated with higher odds of untreated root caries.
CONCLUSIONS: Poorly controlled diabetes appears to be associated with untreated root caries among U.S. adults. This highlights the greater impact of glycaemic control versus self-reported diabetes on dental health and the need for regular oral screenings for patients with poor glycaemic control.
METHODS: Analysing data from the National Health and Nutrition Examination Survey (NHANES) 2015 to 2018, we included 7490 participants aged 30 and above. We investigated the association between self-reported diabetes, glycaemic control, and untreated root caries, adjusting for demographic and health-related variables. Weighted logistic regression models estimated untreated root caries odds by diabetes status and HbA1c cutoffs (6.5-9%), adjusting for demographics, health behaviours, BMI, diet, oral health factors.
RESULTS: A significant association was found between higher HbA1c levels and an increased risk of untreated root caries (odds ratio [OR]: 1.11, 95% CI: 1.01-1.22, p < .05). Self-reported diabetes was not significantly linked to untreated root caries after adjusting for HbA1c and other factors. Glycaemic control thresholds (HbA1c ≥8%) among diabetic participants were associated with higher odds of untreated root caries.
CONCLUSIONS: Poorly controlled diabetes appears to be associated with untreated root caries among U.S. adults. This highlights the greater impact of glycaemic control versus self-reported diabetes on dental health and the need for regular oral screenings for patients with poor glycaemic control.
摘要：
目的：本研究探讨了自我报告的糖尿病，血糖控制，通过糖化血红蛋白（HbA1c）水平测量，美国成年人中未经治疗的根面龋齿，探讨糖尿病状态和血糖控制水平对根龋风险的影响。
方法：分析2015年至2018年国家健康与营养调查（NHANES）的数据，我们包括7490名30岁及以上的参与者。我们调查了自我报告的糖尿病，血糖控制，和未经处理的根面龋齿，调整人口统计学和健康相关变量。加权逻辑回归模型通过糖尿病状态和HbA1c截止值（6.5-9％）估计未经治疗的根龋几率，适应人口统计，健康行为,BMI,饮食，口腔健康因素。
结果：发现较高的HbA1c水平与未经处理的根龋风险增加之间存在显着关联（比值比[OR]：1.11，95％CI：1.01-1.22，p<.05）。在调整HbA1c和其他因素后，自我报告的糖尿病与未经治疗的根癌没有显着联系。糖尿病参与者的血糖控制阈值（HbA1c≥8％）与未经治疗的根面龋的几率较高相关。
结论：在美国成年人中，控制不佳的糖尿病似乎与未经治疗的根部龋齿有关。这突出了血糖控制与自我报告的糖尿病对牙齿健康的更大影响，并且需要对血糖控制不佳的患者进行定期口腔筛查。
方法：分析2015年至2018年国家健康与营养调查（NHANES）的数据，我们包括7490名30岁及以上的参与者。我们调查了自我报告的糖尿病，血糖控制，和未经处理的根面龋齿，调整人口统计学和健康相关变量。加权逻辑回归模型通过糖尿病状态和HbA1c截止值（6.5-9％）估计未经治疗的根龋几率，适应人口统计，健康行为,BMI,饮食，口腔健康因素。
结果：发现较高的HbA1c水平与未经处理的根龋风险增加之间存在显着关联（比值比[OR]：1.11，95％CI：1.01-1.22，p<.05）。在调整HbA1c和其他因素后，自我报告的糖尿病与未经治疗的根癌没有显着联系。糖尿病参与者的血糖控制阈值（HbA1c≥8％）与未经治疗的根面龋的几率较高相关。
结论：在美国成年人中，控制不佳的糖尿病似乎与未经治疗的根部龋齿有关。这突出了血糖控制与自我报告的糖尿病对牙齿健康的更大影响，并且需要对血糖控制不佳的患者进行定期口腔筛查。
