Association Between Oral Health and Gastric Cancer in Korean Adults

Objectives Poor oral hygiene is known to be associated with gastric cancer, but this remains controversial. In this study, we investigated the association between oral health and gastric cancer in Korean adults using data from the Korea National Health and Nutrition Examination Survey. Methods We an...

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Main Authors: Sang Hoon Lee, Hyunseok Cho, Sung Chul Park, Sang Hoon Kim, Seung Young Kim, Han Jo Jeon, Sang Pyo Lee, Younghee Choe, the Metabolism, Obesity, and Nutrition Research Group of the Korean College of Helicobacter and Upper Gastrointestinal Research
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2024-12-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
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Online Access:http://helicojournal.org/upload/pdf/kjhugr-2024-0045.pdf
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author Sang Hoon Lee
Hyunseok Cho
Sung Chul Park
Sang Hoon Kim
Seung Young Kim
Han Jo Jeon
Sang Pyo Lee
Younghee Choe
the Metabolism, Obesity, and Nutrition Research Group of the Korean College of Helicobacter and Upper Gastrointestinal Research
author_facet Sang Hoon Lee
Hyunseok Cho
Sung Chul Park
Sang Hoon Kim
Seung Young Kim
Han Jo Jeon
Sang Pyo Lee
Younghee Choe
the Metabolism, Obesity, and Nutrition Research Group of the Korean College of Helicobacter and Upper Gastrointestinal Research
author_sort Sang Hoon Lee
collection DOAJ
description Objectives Poor oral hygiene is known to be associated with gastric cancer, but this remains controversial. In this study, we investigated the association between oral health and gastric cancer in Korean adults using data from the Korea National Health and Nutrition Examination Survey. Methods We analyzed data of 79501 patients with gastric cancer and 41856805 individuals without gastric cancer (control group) using the 7th and 8th Korea National Health and Nutrition Examination Survey (2016–2019) records. Layer and colony variables and weights were used for the complex sample design. We performed logistic regression analysis of complex samples to analyze factors that affect gastric cancer development. Results Patients with gastric cancer were older and had a higher prevalence of hypertension, hyperlipidemia, and diabetes and a higher rate of current smoking and alcohol consumption than individuals without gastric cancer (p<0.001). Regarding oral health-related factors, the prevalence of very uncomfortable chewing difficulty was significantly higher in patients with gastric cancer (14.4% vs. 3.6%, p<0.001). On multivariate analysis of factors associated with gastric cancer, chewing difficulty showed the highest odds ratio (5.351, 95% confidence interval 2.128–8.982). Patients with very uncomfortable chewing difficulty had high rates of previous dental nerve treatment, gum disease treatment, tooth extraction or intraoral surgery, and prosthetic repair (p<0.001). Conclusions Oral health-related chewing difficulties were associated with gastric cancer, which may be attributable to poor oral hygiene and degradation of oral microbiota. Patients at risk of gastric cancer warrant timely medical interventions to address their oral health and chewing difficulties.
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spelling doaj-art-de9615c64482425a9d2325d8e5390c052025-08-20T03:57:59ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312024-12-0124434635210.7704/kjhugr.2024.0045846Association Between Oral Health and Gastric Cancer in Korean AdultsSang Hoon Lee0Hyunseok Cho1Sung Chul Park2Sang Hoon Kim3Seung Young Kim4Han Jo Jeon5Sang Pyo Lee6Younghee Choe7the Metabolism, Obesity, and Nutrition Research Group of the Korean College of Helicobacter and Upper Gastrointestinal Research Department of Internal Medicine, Kangwon National University College of Medicine, Chuncheon, Korea Department of Pediatrics, Kangwon National University College of Medicine, Chuncheon, Korea Department of Internal Medicine, Kangwon National University College of Medicine, Chuncheon, Korea Department of Internal Medicine, Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Korea Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaObjectives Poor oral hygiene is known to be associated with gastric cancer, but this remains controversial. In this study, we investigated the association between oral health and gastric cancer in Korean adults using data from the Korea National Health and Nutrition Examination Survey. Methods We analyzed data of 79501 patients with gastric cancer and 41856805 individuals without gastric cancer (control group) using the 7th and 8th Korea National Health and Nutrition Examination Survey (2016–2019) records. Layer and colony variables and weights were used for the complex sample design. We performed logistic regression analysis of complex samples to analyze factors that affect gastric cancer development. Results Patients with gastric cancer were older and had a higher prevalence of hypertension, hyperlipidemia, and diabetes and a higher rate of current smoking and alcohol consumption than individuals without gastric cancer (p<0.001). Regarding oral health-related factors, the prevalence of very uncomfortable chewing difficulty was significantly higher in patients with gastric cancer (14.4% vs. 3.6%, p<0.001). On multivariate analysis of factors associated with gastric cancer, chewing difficulty showed the highest odds ratio (5.351, 95% confidence interval 2.128–8.982). Patients with very uncomfortable chewing difficulty had high rates of previous dental nerve treatment, gum disease treatment, tooth extraction or intraoral surgery, and prosthetic repair (p<0.001). Conclusions Oral health-related chewing difficulties were associated with gastric cancer, which may be attributable to poor oral hygiene and degradation of oral microbiota. Patients at risk of gastric cancer warrant timely medical interventions to address their oral health and chewing difficulties.http://helicojournal.org/upload/pdf/kjhugr-2024-0045.pdforal healthchewing difficultygastric cancerkorea national health and nutrition examination survey
spellingShingle Sang Hoon Lee
Hyunseok Cho
Sung Chul Park
Sang Hoon Kim
Seung Young Kim
Han Jo Jeon
Sang Pyo Lee
Younghee Choe
the Metabolism, Obesity, and Nutrition Research Group of the Korean College of Helicobacter and Upper Gastrointestinal Research
Association Between Oral Health and Gastric Cancer in Korean Adults
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
oral health
chewing difficulty
gastric cancer
korea national health and nutrition examination survey
title Association Between Oral Health and Gastric Cancer in Korean Adults
title_full Association Between Oral Health and Gastric Cancer in Korean Adults
title_fullStr Association Between Oral Health and Gastric Cancer in Korean Adults
title_full_unstemmed Association Between Oral Health and Gastric Cancer in Korean Adults
title_short Association Between Oral Health and Gastric Cancer in Korean Adults
title_sort association between oral health and gastric cancer in korean adults
topic oral health
chewing difficulty
gastric cancer
korea national health and nutrition examination survey
url http://helicojournal.org/upload/pdf/kjhugr-2024-0045.pdf
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