Volume 11, Issue 2 (6-2015)                   J Health Syst Res 2015, 11(2): 371-381 | Back to browse issues page

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Saneei T, Esmaillzadeh A, Hassanzadeh A, Saneei P, Savabi O, Adibi P. The association between tooth loss and risk of irritable bowel syndrome in Iranian adults. J Health Syst Res 2015; 11 (2) :371-381
URL: http://hsr.mui.ac.ir/article-1-773-en.html
1- Assistant Professor, Department of Operative Dentistry, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
2- Associate Professor, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, University of Medical Sciences, Isfahan, Iran
3- MD, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
4- Ph.D. Candidate in Nutrition, Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, University of Medical Sciences, Isfahan, Iran
5- Associate Professor, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
6- Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract:   (1304 Views)
Background: Although the relationship between number of teeth and gastric disturbances has been recognized, limited data are available linking tooth loss and irritable bowel syndrome (IBS). This study aimed to investigate the relation between dental status and IBS among Iranian adults.Methods: In a cross-sectional study on 4012 Iranian adults, dental status was evaluated using a self-administered questionnaire. Participants were categorized into three main groups: those with full dentition, individual who had lost 1-5 teeth and those who had lost more than 5 teeth. IBS and its subtypes were defined using Rome III criteria.Findings: After adjusting for different confounding variables, those who had lost 1-5 teeth had 1.33 times greater odds for IBS than fully dentate subjects. After controlling for different confounders, individuals who had lost 1-5 teeth had 37% greater chance to have constipation-predominant IBS than those with full dentition (Odds ratio: 1.37, 95% confidence interval: 1.01-1.86). Neither in crude nor in adjusted models was any significant association between dental status and other subtypes of IBS. In addition, we did not find any association between losing more than 5 teeth and IBS.Conclusion: We found that losing 1-5 teeth was significantly associated with increased risk of IBS, particularly the constipation-predominant subtype. This association was seen in men, but not in women. There should be further studies to confirm these findings.Key Words: Irritable bowel syndrome, functional gastrointestinal disorders, tooth loss, masticatory function.
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Type of Study: Research | Subject: education health and promotion
Received: 2020/07/16 | Accepted: 2015/06/15 | Published: 2015/06/15

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