TY - JOUR
T1 - Association between self-reported chewing status and glycemic control in japanese adults
AU - Iwai, Komei
AU - Azuma, Tetsuji
AU - Yonenaga, Takatoshi
AU - Ekuni, Daisuke
AU - Watanabe, Kazutoshi
AU - Obora, Akihiro
AU - Deguchi, Fumiko
AU - Kojima, Takao
AU - Morita, Manabu
AU - Tomofuji, Takaaki
N1 - Funding Information:
This study was self-funded by the authors and their institution. We are grateful to Asahi University Hospital and Junpukai Health Maintenance Center for providing us with the health checkup data.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/9
Y1 - 2021/9
N2 - 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.
AB - 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.
KW - Cross-sectional studies
KW - Epidemiology
KW - Glycated hemoglobin A
KW - Mastication
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U2 - 10.3390/ijerph18189548
DO - 10.3390/ijerph18189548
M3 - Article
C2 - 34574470
AN - SCOPUS:85114612220
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 18
M1 - 9548
ER -