Kauno rajono gyventojų gyvensenos sąsajos su burnos higienos būkle bei kraujotakos sistemos ligomis
Papievienė, Giedrė |
Recenzentas / Reviewer |
Lifestyle medicine ASSOCIATION OF LIFESTYLE IN KAUNAS DISTRICT POPULATION WITH ORAL HYGIENE STATUS AND CIRCULATORY SYSTEM DISEASES Giedrė Papievienė Scientific supervisor Dr.Lolita Šileikienė, MD, PhD Lithuanian University of Health Sciences, Faculty of Public Health, Department of Preventive Medicine. Kaunas; 2022, p. 79. Aim of the work: to investigate the lifestyle peculiarities of Kaunas district residents, to assess their circulatory system diseases and to determine the correlations with the oral hygiene status. Tasks of the work: 1) to assess the lifestyle characteristics of the subjects: diet, smoking, alcohol consumption, physical activity, sleep, oral care habits, stress; 2) to investigate and determine the oral hygiene status of the study participants; 3) to assess the health status of the subjects and the circulatory system diseases they have been diagnosed with; 4) to determine the relationship between the subjects' lifestyle characteristics, oral hygiene status and circulatory diseases. Methodology. The study was carried out in Kaunas district personal health care institutions (PHCIs) between May and October 2023. Adult patients (n = 172) aged 18-98 years completed an anonymous questionnaire consisting of 32 questions on diet, lifestyle (smoking, alcohol consumption), physical activity, sleep, oral care habits, stress and their diagnosed circulatory system diseases. Oral hygiene was assessed using the Silness-Loe Oral Hygiene Index (PLI) and the Periodontal Health Index (CPITN). For each respondent, the number of decayed (K), filled (P) and erupted (I) teeth was summed to give an individual KPI. The chi-square (χ2) test and paired Z-tests with Benferoni correction were used for statistical analysis of the data. Results. The majority of the surveyed population of Kaunas district assessed their health as good, but almost one third (29.7%) had been diagnosed with various diseases, almost one third (27.9%) had developed high blood pressure in the last 12 months, and one fifth (20.9%) had choresterol levels. The older the age and the higher the BMI of the subjects, the worse the health indicators. Harmful habits were not prevalent among the population of Kaunas district, with one fifth of the subjects not consuming strong alcoholic beverages at all, only one fifth of the subjects were current smokers, and men were more likely to smoke.
Physical activity was insufficien
Lifestyle medicine ASSOCIATION OF LIFESTYLE IN KAUNAS DISTRICT POPULATION WITH ORAL HYGIENE STATUS AND CIRCULATORY SYSTEM DISEASES Giedrė Papievienė Scientific supervisor Dr.Lolita Šileikienė, MD, PhD Lithuanian University of Health Sciences, Faculty of Public Health, Department of Preventive Medicine. Kaunas; 2022, p. 79. Aim of the work: to investigate the lifestyle peculiarities of Kaunas district residents, to assess their circulatory system diseases and to determine the correlations with the oral hygiene status. Tasks of the work: 1) to assess the lifestyle characteristics of the subjects: diet, smoking, alcohol consumption, physical activity, sleep, oral care habits, stress; 2) to investigate and determine the oral hygiene status of the study participants; 3) to assess the health status of the subjects and the circulatory system diseases they have been diagnosed with; 4) to determine the relationship between the subjects' lifestyle characteristics, oral hygiene status and circulatory diseases. Methodology. The study was carried out in Kaunas district personal health care institutions (PHCIs) between May and October 2023. Adult patients (n = 172) aged 18-98 years completed an anonymous questionnaire consisting of 32 questions on diet, lifestyle (smoking, alcohol consumption), physical activity, sleep, oral care habits, stress and their diagnosed circulatory system diseases. Oral hygiene was assessed using the Silness-Loe Oral Hygiene Index (PLI) and the Periodontal Health Index (CPITN). For each respondent, the number of decayed (K), filled (P) and erupted (I) teeth was summed to give an individual KPI. The chi-square (χ2) test and paired Z-tests with Benferoni correction were used for statistical analysis of the data. Results. The majority of the surveyed population of Kaunas district assessed their health as good, but almost one third (29.7%) had been diagnosed with various diseases, almost one third (27.9%) had developed high blood pressure in the last 12 months, and one fifth (20.9%) had choresterol levels. The older the age and the higher the BMI of the subjects, the worse the health indicators. Harmful habits were not prevalent among the population of Kaunas district, with one fifth of the subjects not consuming strong alcoholic beverages at all, only one fifth of the subjects were current smokers, and men were more likely to smoke.
Physical activity was insufficient, with little exercise, a lot of sitting and high levels of stress among the subjects. Oral hygiene habits were inadequate, with only 44.7% of the subjects brushing their teeth more than once a day, and only 33.1% of the subjects had professional oral hygiene at least once a year. As a result of the lack of good oral hygiene, the majority of the subjects (85.0%) experienced tooth bleeding when brushing. The prevalence of dental caries was not high among the population of Kaunas district, but almost one third (27.3%) had poor oral hygiene, and half (48.8%) of the subjects needed dental treatment. Worse dental health indicators were associated with worse lifestyle and health indicators, while stress levels showed no correlation with oral health indicators. Conclusions. Although a higher proportion of subjects rated their health as good, the prevalence of vascular disease, poor diet, inadequate physical activity, high levels of stress, and particularly negative lifestyle and health indicators were prevalent among subjects aged 61 years and over and with a higher BMI. Only one fifth of the subjects had good oral hygiene, while poor BH was found in men and in subjects over 61 years of age. Based on the BH indices found, the highest CIPTN index code was used to categorise the patients into treatment need groups, and only a small proportion of subjects (9.1%) did not need dental treatment. The more prevalent the caries, the worse the oral index (Silness-Loe) value, the worse the health status. All BH indices assessed had strong associations with elevated blood pressure. The worse the BH indicators, the higher the subjects' blood pressure.