イワイ　コウメイ   IWAI KOMEI   岩井　浩明    所属   朝日大学  歯学部 口腔感染医療学講座 社会口腔保健学    朝日大学  大学院 歯学研究科    職種   講師
言語種別	英語
発行・発表の年月	2021/09
形態種別	研究論文（学術雑誌）
査読	査読あり
標題	Association between self-reported chewing status and glycemic control in Japanese adults
執筆形態	共著
掲載誌名	International Journal of Environmental Research and Public Health
掲載区分	国外
巻・号・頁	18(18),pp.9548
担当区分	筆頭著者
著者・共著者	◎Komei Iwai, Tetsuji Azuma, Takatoshi Yonenaga, Daisuke Ekuni, Kazutoshi Watanabe, Akihiro Obora, Fumiko Deguchi, Takao Kojima, Manabu Morita, Takaaki Tomofuji
概要	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.