Association between Self-Reported Chewing Status and Glycemic Control in Japanese Adults

Komei Iwai, Tetsuji Azuma, Takatoshi Yonenaga, Daisuke Ekuni, Kazutoshi Watanabe, Akihiro Obora, Fumiko Deguchi, Takao Kojima, Manabu Morita and Takaaki Tomofuji
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Komei Iwai: Department of Community Oral Health, School of Dentistry, Asahi University, 1851 Hozumi, Mizuho, Gifu 501-0296, Japan
Tetsuji Azuma: Department of Community Oral Health, School of Dentistry, Asahi University, 1851 Hozumi, Mizuho, Gifu 501-0296, Japan
Takatoshi Yonenaga: Department of Community Oral Health, School of Dentistry, Asahi University, 1851 Hozumi, Mizuho, Gifu 501-0296, Japan
Daisuke Ekuni: Department of Preventive Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan
Kazutoshi Watanabe: Medical Check-Up Center, Asahi University Hospital, 3-23 Hashimoto-cho, Gifu 500-8523, Japan
Akihiro Obora: Medical Check-Up Center, Asahi University Hospital, 3-23 Hashimoto-cho, Gifu 500-8523, Japan
Fumiko Deguchi: Medical Check-Up Center, Asahi University Hospital, 3-23 Hashimoto-cho, Gifu 500-8523, Japan
Takao Kojima: Medical Check-Up Center, Asahi University Hospital, 3-23 Hashimoto-cho, Gifu 500-8523, Japan
Manabu Morita: Department of Preventive Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan
Takaaki Tomofuji: Department of Community Oral Health, School of Dentistry, Asahi University, 1851 Hozumi, Mizuho, Gifu 501-0296, Japan

IJERPH, 2021, vol. 18, issue 18, 1-9

Abstract: This cross-sectional study investigated the relationship between self-reported chewing status and glycemic control in 30,938 Japanese adults who participated in health checkups. Chewing status was evaluated using a self-reported questionnaire. We defined high hemoglobin A1c (HbA1c) levels as a HbA1c level ?6.5%; 692 (2.2%) respondents met this criterion. After adjusting for gender, age, smoking status, exercise habits, body mass index and eating speed, high HbA1c levels was found to be associated with male gender (odds ratio (OR), 1.568; 95% confidence interval (CI), 1.310 to 1.878; p < 0.001), older age (OR, 1.077; 95% CI, 1.068 to 1.087; p < 0.001), higher body mass index (OR, 1.246; 95% CI, 1.225 to 1.268; p < 0.001), current smoker status (OR, 1.566; 95% CI, 1.303 to 1.882; p < 0.001) and chewing difficulty (OR, 1.302; 95% CI, 1.065 to 1.591; p < 0.05). In conclusion, self-reported chewing difficulty was associated with high HbA1c levels in Japanese adults.

Keywords: mastication; glycated hemoglobin A; epidemiology; cross-sectional studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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