@Article{Han2013, author = "Han, Dong-Hun and Khang, Young-Ho and Jung-Choi, Kyunghee and Lim, Sinye", title = "Association between shift work and periodontal health in a representative sample of an Asian population", journal = "Scandinavian Journal of Work, Environment & Health", year = "2013", month = "Nov", day = "39", number = "6", pages = "559--567", keywords = "Asia; epidemiology; inflammation; Korea; peridontal health; periodontitis; shift work", abstract = "'
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OBJECTIVE ': 'The association of shift work with periodontal disease is not well known. We studied the relationship between shift work and periodontitis in a representative sample of an Asian population.
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METHODS ': 'Participants were 4597 full-time employees from the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV). Shifting patterns were categorized into five shifts: daytime (N=3768), evening (N=121), night (N=59), rotating (N=206), and irregular (N=443). Periodontitis was measured with the Community Periodontal Index (CPI). Confounders included age, gender, income, and education. Mediators were frequency of daily tooth brushing, regular dental check-up, smoking, alcohol consumption, diabetes, obesity, and white blood cell count. Multiple logistic regression analyses were performed to evaluate the relationship.
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RESULTS ': 'The prevalence of periodontitis in the study population was 32.3%. Shift workers had an elevated odds ratio (OR) of periodontitis [OR 1.22, 95% confidence interval (95% CI) 1.01–1.48] after controlling for confounders. The magnitude of the association between shift work and periodontitis attenuated with adjustment of mediators (smoking and a marker of inflammation). In subgroup analyses, the association was significant (OR 1.42, 95% CI 1.03–1.95) among those ≥45 years. Irregular shift among those ≥45 years showed a significant association (OR 1.79, 95% CI 1.15–2.78).
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CONCLUSION ': 'Findings of this cross-sectional study suggest that shift work may be associated with periodontitis. Shift workers aged ≥45 years and irregular shift workers aged ≥45 years were risk groups for periodontitis.
", issn = "0355-3140", doi = "10.5271/sjweh.3370", url = "https://www.sjweh.fi/show_abstract.php?abstract_id=3370", url = "https://doi.org/10.5271/sjweh.3370" }