Association between sleep and severe periodontitis in a nationally representative adult U.S. population

ABSTRACT

Background

Poor sleep behavior appears to have adverse effects on health by metabolic disruption and immunity suppression. Sleep disturbance is strongly associated with diabetes, cardiovascular diseases, and some cancers. This study aimed to evaluate the association between sleep duration and periodontal disease in a national U.S. population study in a National Health and Nutrition Examination Survey (NHANES).

Methods

The data were collected from individuals aged ≥30 and older, and included 3,624 individuals in the United States, participants in NHANES 2013 to 2014. A weighted multivariable logistic regression modeling quantified the association between sleep and severe periodontal disease. We tested for diabetes as an effect modifier, adjusting for potential confounders such as smoking status, sex, age, education level and dental visit.

Results

Individuals who sleep more than 7 hours/night with no trouble sleeping are 40% less likely to have severe periodontal disease (OR = 0.6, P<0.05), adjusting for age, sex, smoking status, FPL, education level, and dental visit. Additionally, diabetes was a significant positive effect modifier of the relation between sleep and severe periodontal disease (OR = 4.8, P<0.05).

Conclusion

: Findings of this cross‐sectional representative study of an adult U.S. population revealed a statistically significant association between sleep duration and severe periodontitis. In this study, individuals who slept more than 7 hours/night were less likely to exhibit severe periodontal disease. It also seems that this relationship was stronger among diabetic individuals compared to non‐diabetic individuals.

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https://aap.onlinelibrary.wiley.com/doi/abs/10.1002/JPER.19-0105?af=R