フジコー技報−tsukuru No. ᢏ⾡ゎㄝ㻌ṑ࿘⑓ࢆࡈᏑ▱࡛ࡍ࠿㸽㸽Do you know the periodontal disease?

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ࠕ8020ࠖ࡜࠸࠺ゝⴥࢆࡈᏑ▱࡛ࡋࡻ࠺࠿ࠋ80 ṓ࠶ࡿⓑⰍࡢṑ▼࡛ࡍࠋࡲࡓṑⱼࡢୗ࡟࠶ࡿṑ▼ࡣ㸪࡛ṑࢆ 20 ᮏṧࡋࡲࡋࡻ࠺࡜࠸࠺࢟ࣕࢵࢳࢥࣆ࣮࡛

㯮Ⰽࡢṑ▼࡟࡞ࡾࡲࡍࠋࡇࡢṑ▼ࡣṑⱼࡢୖࡢṑ▼ࡍࠋᡃࡀᅜ࡛ࡣ㸪ṧᛕ࡞ࡀࡽ 80 ṓ࡛ 20 ᮏࡣṧࡗ࡚ࡼࡾࡶᅛ࠸࡛ࡍࠋ࠸ࡲࡏࢇࠋᖹᡂ 23 ᖺᗘṑ⛉⑌ᝈᐇែㄪᰝ 1)ࠋࡢࢹ

ࡇࡢࡼ࠺࡞ṑ࿘⑓⳦㸪ṑⱼࡢୗࡢṑ▼࡞࡝࡟ࡼࡗ࣮ࢱ࣮࡛ࡍࡀ㸪80 ṓ࡛ࡣ 13.9 ṑࡋ࠿ṧࡗ࡚࠸ࡲࡏ࡚ṑⱼࡢ⁁ࡀ῝ࡃ࡞ࡾࡲࡍࠋṑⱼࡢ⁁ࡢ῝ࡉࡢࡇ࡜ࢇࠋ20 ᮏṧࡗ࡚࠸ࡿᖺ㱋ࡣ㸪60 ṓᚋ༙࡛ࡍࠋṑࡀࢆṑ࿘࣏ࢣࢵࢺ࡜ゝ࠸ࡲࡍࠋ೺ᗣ࡞ሙྜࡢṑⱼࡢ⁁࡞ࡃ࡞ࡿཎᅉࡣ୺࡟⹸ṑ㸪ṑ࿘⑓࡛ࡍࠋࡘࡲࡾṑࡀࡢ῝ࡉࡣ 3㹫㹫௨ୗ࡛ࡍࠋࡋ࠿ࡋṑ࿘⑓࡟࡞ࡿ࡜ṑᢤࡅࡿࡢࡣ⪁໬࡟ࡼࡿ⮬↛⌧㇟࡛ࡣ࡞࠸࡜࠸࠺ࡇⱼࡢ⁁ࡢ῝ࡉࡣ 4㹫㹫௨ୖ࡟࡞ࡾࡲࡍࠋ࡜࡛ࡍࠋṑ࿘⑓ࡣ᫇㸪ṑᵴ⮋₃࡜࿧ࡤࢀ࡚࠸ࡲࡋࡓࠋṑࢆᨭ࠼ࡿṑⱼࡸ㦵ࡢ⑓Ẽ࡛ࡍࠋṑ࿘⑓⳦ࡢᩘࡀቑ࠼ࡿࡇ࡜࡟ࡼࡗ࡚ᐖࢆ࠾ࡼࡰࡋࡲࡍࠋ⹸ṑࡼࡾࡶእ࠿ࡽ

ṑ࿘⑓࡟࡞ࡿ࡜࡝ࡢࡼ࠺࡞἞⒪ࢆ⾜࠺࠿࡟ࡘ࠸࡚ㄝ᫂ࡋࡲࡍࠋ᭱ึ࡟ṑⱼࡢ᳨ᰝ㸪ࣞࣥࢺࢤࣥ㸪ṑࡢởࢀࡢ≧ែࡢࢳ࢙ࢵࢡ㸪࠾ཱྀࡢ୰ࡢ෗┿᧜ᙳࢆ⾜࠸ࡲࡍࠋぢ࡚ࡶኚ໬ࡀࢃ࠿ࡾ࡟ࡃࡃ㸪࠿࡞ࡾ㐍⾜ࡍࡿࡲ࡛③➨୍ẁ㝵࡛ࡣ㸪ṑࣈࣛࢩ࡜ṑⱼࡢୖࡢṑ▼ࢆྲྀࡾࡲ࡞࠸ࡇ࡜ࡀከ࠸࡛ࡍࠋṑ࿘⑓ࡀ㐍ࡴ୺࡞ཎᅉࡣṑࡲࡍࠋࡇࡢ᫬⾜࠺ṑࣈࣛࢩࡀ㔜せ࡛ࡍࠋ㏻ᖖࡣ㸪ṑᇈ㸪ṑ▼ࡀࡘ࠸࡚࠸ࡿࡇ࡜࡛ࡍࠋṑ࡜ṑⱼࡢቃ┠ࡢᇈࢆᰁࡵฟࡍᾮࢆ⏝࠸࡚࡝ࡢࡃࡽ࠸ṑᇈࡀṧࡗ࡚⁁ࡀ῝ࡃ࡞ࡿ࡯࡝㸪ṑ࿘⑓⳦ࡣάືࡋࡸࡍࡃ࡞ࡾࡲ࠸ࡿ࠿ࡢࢳ࢙ࢵࢡࢆࡋࡲࡍࠋࡇࡢ᫬㸪ṑࢆ㢋ࡗ࡮ࡓࡍࠋࡲࡓႚ↮㸪⢾ᒀ⑓࡞࡝࡟ࡼࡾ⣽⳦࡟ᑐࡍࡿ᢬ᢠഃ㸪⿬ഃ㸪ṑࡢᶓࡢ 2 ࡘࡢ㠃ࡢ 4 ࡘࡢ㠃࡟ศࡅ࡚ࢳ

ຊࡀᙅࡲࡾṑ࿘⑓ࢆ㐍⾜ࡉࡏࡲࡍࠋ࢙ࢵࢡࢆࡋࡲࡍࠋ౛࡜ࡋ࡚ṑࡀ 20 ᮏࡢሙྜ㸪ᐃṑᇈࡣ㣗࡭≀ࡢ࠿ࡍ࡜ᛮࢃࢀࡀࡕ࡛ࡍࡀ㸪⣽⳦ࡢࡍࡿ㠃ࡀ 80 㠃࡟࡞ࡾࡲࡍࠋࡑࡢෆ㸪40 㠃࡟ṑᇈࡀሢ࡛ࡍࠋࡇࢀࡀṑ࿘⑓ࡢ※࡛ࡍࠋ㏻ᖖぢ࠼ࡿṑᇈࡣ௜࠸࡚࠸ࢀࡤ 50㸣ࡢṑᇈࡀ௜࠸࡚࠸ࡓࡇ࡜࡟࡞ࡾዲẼᛶ⳦㸦ࡇ࠺ࡁࡏ࠸ࡁࢇ㸧࡜ゝࢃࢀ✵Ẽࢆዲࡴ⳦ࡲࡍࠋ೺ᗣ࡞ṑⱼࢆ⥔ᣢࡍࡿࡓࡵ࡟ࡣ 20㸣௨ୗ 2)࡛ࡍࠋ⹸ṑࡢ⳦ࡀࡇࢀ࡟࠶ࡓࡾࡲࡍࠋࡋ࠿ࡋ㸪ṑⱼ࡟ࡋ࡞ࡃ࡚ࡣ࡞ࡾࡲࡏࢇࠋ኱ኚ࡛ࡍࡀࡇࢀࢆࡋ࡚ࡃࡢ⁁ࡢ୰࡟࠶ࡿṑ࿘⑓⳦ࡣ⊂≉࡞⳦࡛㸪᎘Ẽᛶ⳦ࡔࡉ࠸ࠋࡇࢀࡀ࡛ࡁ࡞ࡅࢀࡤṑ࿘⑓ࡢ἞⒪ࡣ࠺ࡲࡃ㸦ࡅࢇࡁࡏ࠸ࡁࢇ㸧࡜ゝࢃࢀ✵Ẽ࡟ゐࢀࡿ࡜Ṛ࡟ࡲ࠸ࡁࡲࡏࢇࠋࡍࠋ➨஧ẁ㝵࡛㸪ṑ࿘࣏ࢣࢵࢺࡀ 4㹫㹫௨ୖ࡛࠶ࢀࡤ㸪ࡇࡢṑᇈࡀᅛࡲࡗ࡚ṑ▼࡟࡞ࡾࡲࡍࠋṑ▼ࡣ㸪2㯞㓉ࢆࡋ࡚ṑ࿘࣏ࢣࢵࢺෆࡢṑ▼࡞࡝ࢆᑓ⏝ࡢ㐨✀㢮࠶ࡾ㸪ṑ▼࡜ࡼࡃゝࢃࢀ࡚࠸ࡿࡢࡀṑⱼࡢୖ࡟ල࡛ྲྀࡾࡲࡍࠋࡇࡢ᫬ࠕࡀࡾࡀࡾࠖ࡞࡝ࡢ㡢ࡀࡋࡲ16ߔ߇߮ߞߊࠅߒߥ޿ߢߊߛߐ޿‫ߩߘޕ‬ᓟߤࠇߊࠄ޿㑆ߢ⚂ 3 ୚ᱤ߇ᝈ಴ߒ߹ߒߚ㧔࿑ 3, 4㧕‫ޕ‬หᤨߦုᴦߞߚ߆ߩᬌᩏ㧔ᱤ⨍ߩᬌᩏ㧘࡟ࡦ࠻ࠥࡦ㧘ᱤߩᳪ⋥⊛ߦᱤ߇ᶋߊߛߌߢߥߊ᳓ᐔ⊛ߦ߽ᱤ߇⒖േߔࠇߩ⁁ᘒ㧘߅ญߩਛߩ౮⌀㧕ࠍⴕ޿߹ߔ‫ޕ‬ࠆߎߣ߽ࠊ߆ࠅ߹ߒߚ‫ߦ߁ࠃߩߎޕ‬ᱤ⨍ߦἻ∝߇޽╙ਃᲑ㓏ߢ㧘ౣᬌᩏᓟ㧘ᱤ๟ࡐࠤ࠶࠻߇ 4㨙㨙એࠆߣᱤ߇⥄↱⥄࿷ߦേߊߣㅀߴߡ޿߹ߔ‫ߪᤨ޿⧯ޕ‬਄ߩ႐วߪᱤ๟∛ߩᚻⴚࠍⴕ޿߹ߔ‫ߪࠇߎޕ‬㧘ᱤ⨍ᱤ߇߹ߞߔߋਗࠎߢ޿ߚߩߦ੹ߪࠟ࠲ࠟ࠲ߥᱤਗࠍ೸޿ߢἻ∝ᕈߩ⚵❱㧘ᱤ⨍ߩਅߩᱤ⍹ߥߤࠍ⋥ធ߮㧘ᦨㄭིߺߠࠄ޿ߣᗵߓࠆߩߪߎߩᓇ㗀ߩ৻ߟߢ⷗ߥ߇ࠄ㒰෰ߔࠆಣ⟎ߢߔ‫ޕ‬ㄭᐕᱤࠍᡰ߃ࠆ㛽ࠍౣߔ‫ߚ߹ޕ‬ᱤ๟∛ߢི߻ߣ∩޿ේ࿃ߪ㧘ᱤ๟∛ߩἻ∝↢ߔࠆᚻⴚᣇᴺ߽޽ࠅ߹ߔ‫ߒ߆ߒޕ‬㧘ߎߩᣇᴺߪုߦࠃߞߡ਄ߩᱤߣਅߩᱤ߇േ߈㧘਄ߩᱤߣਅߩᱤ߇⋥⊛ߦ㛽߇ๆ෼ߒߚ႐วߢߒ߆ㆡᔕߢߪ޽ࠅ߹ߖᒝߊ޽ߚࠆࠃ߁ߦߥࠆߚ߼ߢߔ‫ߒ߆ߒޕ‬ᱤߩ∩ߺߩࠎ‫ޕ‬ᱤ๟∛ߩᚻⴚࠍߔࠆ೨ឭߣߒߡ㧘߅ญߩᳪࠇ߇ේ࿃ߪߎࠇ߫߆ࠅߢߪߥߊ⯻ᱤ㧘ᱤߩ␹⚻ߩ∩ߺ㧘20㧑એਅߢߥ޿ߣᚻⴚߩㆡᔕߢߪ޽ࠅ߹ߖࠎ‫߅ޕ‬ญᱤߩᩮߞߎ߇಴ߡ಄ߚ޿߽ߩߢߒߺࠆ⍮ⷡㆊᢅߥ߇ᳪࠇߚ߹߹ߢߪవ⒟߅⹤ߒߚߣ߅ࠅᱤ⨍߇߹ߚߤ߇޽ࠅ߹ߔ‫߼ߚߩߎޕ‬ᱤߩ∩ߺߩේ࿃ߦ㑐ߒߡߪᖡߊߥࠆ߆ࠄߢߔ‫ޕ‬ᚻⴚ߇⚳ࠊࠅ߹ߒߚࠄౣᐲᱤ⨍ᱤක⠪ߐࠎߢࠃߊ⷗ߡ߽ࠄߞߡߊߛߐ޿‫ޕ‬ߩᬌᩏࠍⴕ޿߹ߔ‫ߩߘޕ‬ᓟ㧘Ꮕߒᱤ㧘౉ࠇᱤߥߤߩᦨ⚳⊛ߥ߽ߩࠍ౉ࠇߡ޿߈߹ߔ‫ޕ‬࿑ 1 ᱤ๟∛ߢߥ޿ᱤߩታ㛎㐿ᆎ೨ߩ ญ⣧ౝ౮⌀㧔0 ㅳ㧕 ࿑ ᱤ๟∛߇⿠߈ࠆ೨ߩญ⣧ౝ౮⌀
 

࿑ 2 ᱤ๟∛ߢߥ޿ᱤߩታ㛎⚳ੌᤨߩ࿑ ᱤ๟∛߇⿠߈ߚᓟߩญ⣧ౝ౮⌀㧔ㅳ㧕ญ⣧ౝ౮⌀㧔12 ㅳ㧕ᱤ๟∛ߣోりߩ㑐ଥߦߟ޿ߡ߅⹤ࠍߒ߹ߔ‫ᦨޕ‬ㄭᦨㄭིߺߠࠄ޿㧘⧯޿ᤨߪ✊㤀ߥᱤਗ߮ߛߞߚߩ

ߩ⎇ⓥߦࠃࠅᱤ๟∛߇⢈ḩ 4)㧘♧ዩ∛ 5)㧘ࡔ࠲ࡏ࡝ߦ੹ߪࠟ࠲ࠟ࠲ߥᱤਗ߮ߦߥߞߚ㧘ᒝߊི߻ߣᱤ߇

࠶ࠢࠪࡦ࠼ࡠ࡯ࡓ 6)㧘ૐ૕㊀ఽ࡮಴↥ 7)㧘ᔃ⤳ⴊ▤∩޿ߥߤߣᗵߓߚߎߣߪߥ߆ߞߚߢߒࠂ߁߆‫ࠇߎޕ‬∔ᖚ 8,9)ߥߤߦᓇ㗀ߒߡ޿ࠆߣ᣿ࠄ߆ߦߥߞߡ޿߹

߽ᱤ๟∛ߦࠃࠆᓇ㗀߆߽ߒࠇ߹ߖࠎ‫ޕ‬ᱤ⨍ߩἻ∝߇ߔ‫ߪࡓ࠭࠾ࠞࡔߩ∝⊒ޕ‬ቢోߦ⸃᣿ߪߐࠇߡ޿߹ߖᱤࠍᝈ಴ߐߖࠆ߆ࠄߢߔ‫᧛ޕ‬ጟࠄ 3)ߪ㧘ᱤ๟∛ߢߥࠎ߇㧘ᱤ๟∛⩶߇ⴊ▤ߦ౉ࠅ㧘ోりߩⴊ▤ߦ࿁ࠅ㧘޿ᱤߣᱤ๟∛ߢ޽ࠆᱤࠍᲧセߒ߹ߒߚ‫ޕ‬ᱤ๟∛ߢߥᱤ๟∛⩶߇ᔃ⤳ߥߤߩ⤳ེߦ೔㆐ߒᓇ㗀ࠍ߅ࠃ߷޿ᱤߪ㧘12 ㅳ㑆ߢ 0.4 চ߶ߤᱤ߇ᝈ಴ߒ߹ߒߚ㧔࿑ߔߣ⠨߃ࠄࠇߡ޿߹ߔ‫ߦ߁ࠃߩߎޕ‬ᱤࡉ࡜ࠪ߇ਇච

1, 2㧕‫ߒ߆ߒޕ‬㧘ᱤ๟∛ߢ޽ࠆᱤߪ㧘12 ㅳ㑆ߢ 1.3

ಽߢ޽ࠆߣᱤ๟∛⩶߇Ⴧ߃㧘ߘߎ߆ࠄᔃ╭᪪Ⴇߥߤচ߶ߤᱤ߇ᝈ಴ߒ߹ߒߚ‫ޕ‬ᱤ๟∛߇⿠߈ࠆߣ 12 ㅳߩ᭽‫∔ߥޘ‬ᖚߦᓇ㗀ߒ߹ߔ‫ߦ․ޕ‬ᓇ㗀߇޽ࠆߩߪ♧17フジコー技報−tsukuru No. ዩ∛ߢ޽ࠆߣ⠨߃ࠄࠇߡ޿߹ߔ‫♧ޕ‬ዩ∛ߩว૬∝ߣࠍߔࠆߣ㧘ᱤ⨍ߩἻ∝߇ήߊߥࠅᱤ⨍߇ㅌ❗ߒ߹ߔ‫ޕ‬ߒߡ⿷ߩߒ߮ࠇ㧘ᄬ᣿ߥߤ߇᦭ฬߢߔ߇㧘ᱤ๟∛ߪᱤߣᱤߩ㓗㑆߇ᄢ߈ߊߥࠆߥߤߩ㆑๺ᗵ߇಴ࠆߣ♧ዩ∛ߩ╙౐ߩว૬∝ߣ⸒ࠊࠇߡ޿߹ߔ‫♧ޕ‬ዩ∛ᴦᕁ޿߹ߔ߇㧘ᱤ⨍ߦߣߞߡߪ⦟޿ߎߣߢߔ‫ߚ߹ޕ‬㧘≮ߢ∛㒮ߦⴕߞߚᤨߦⴊᶧᬌᩏࠍⴕ߁ߎߣ߇޽ࠆᱤߩേំ߽ᷫዋߒ߹ߔ‫ߺིߦࠄߐޕ‬วࠊߖߢߔ߇㧘ߣᕁ޿߹ߔ‫♧ⴊߡߒߣ࡯ࠞ࡯ࡑࠆ⸻ߦᤨߩߎޕ‬୯߇ᱤ๟∛ߦࠃߞߡིߺวࠊߖ߇߅߆ߒߊߥࠅ߹ߔ߇㧘᦭ฬߢߔ߇㧘ᱤ⑼ක߇৻⇟ߩᜰᮡߣߒߡ⸻ࠆߩ߇

ᴦ≮ߦࠃߞߡིߺวࠊߖ߇ᡷༀߒߡ޿߈߹ߔ‫ޕ‬ᱤ๟

HbA1c㧔߽߳ߋࠈ߮ࠎ߃޿ࠊࠎߒ࡯㧕ߢߔ‫ߪࠇߎޕ‬∛ߩᴦ≮ࠍⴕ߁ߣི߻ജ߇ߤࠇߊࠄ޿ᄌࠊࠆ߆ࠍ

৻߆᦬㑆ߦߤߩߋࠄ޿♧ዩ∛߇቟ቯߒߡ޿ࠆ߆ࠍ’㊁ࠄ 14)߇ႎ๔ߒߡ޿߹ߔ‫⚿ߩߘޕ‬ᨐ㧘ᱤ๟∛ᴦ≮ߺࠆᜰᮡߢߔ‫߇ࠇߎޕ‬቟ቯ㧘HbA1c ߇㧣એਅߢߥ೨ߩི߻ജ߇ 481㧺ߢߒߚ‫ޕ‬ᱤ๟∛ߩᴦ≮ࠍⴕ߁ߣ޿ߣᱤࠍᛮߊ㧘ᱤ๟∛ߩᚻⴚߣ޿ߞߚಣ⟎߇ߢ߈߹ི߻ജ߇ 606㧺ߦჇടߒ߹ߒߚ‫ޕ‬ߖࠎ‫♧ޕ‬ዩ∛ߩ⮎ࠍ㘶߻ߎߣߪ߽ߜࠈࠎߢߔ߇㧘ᱤߎߩࠃ߁ߦᱤ๟∛ߩᴦ≮ߦ߅޿ߡ߽᭽‫ߥޘ‬ᓇ㗀๟∛ߩᴦ≮㧘ᱤࡉ࡜ࠪߣᱤ⨍ߩ਄ߣਅߩᱤ⍹ࠍขࠆߔࠆߎߣ߇޽ࠅ߹ߔ‫ࠞ࡝ࡔࠕޕ‬ᱤ⑼කᏧળߪ‫ޟ‬flossᴦ≮ࠍⴕ߁ߣ HbA1c ߇ਅ߇ߞߚߣߩႎ๔ 10)߽޽ࠅ

or die‫ޠ‬㧦ࡈࡠࠬࠍߒ߹ߔ߆ᱫߦ߹ߔ߆ߣᒝὓߥࡔ࠶

߹ߔ‫♧ߦ߁ࠃߩߎޕ‬ዩ∛ߣᱤ๟∛ߪኒធߥ㑐ଥߢ޽࠮࡯ࠫࠍ಴ߒ߹ߒߚ‫ࠍࠇߎޕ‬ାߓ߹ߔ߆㧫ฃߌ౉ࠇࠆߣ⸒߃߹ߔ‫ޕ‬߹ߔ߆㧫

వ⒟߆ࠄᱤ๟∛⩶ߩ߅⹤ࠍߒߡ޿߹ߔ߇㧘ᱤ߇ߥᦨᓟߦ㧘ᱤ๟∛ኻ╷ߦ↪޿ࠆᱤࡉ࡜ࠪߩ઀ᣇ߇޽޿ੱߪᱤ๟∛⩶߇ߥ޿ߣ⠨߃ߡ޿޿ߣᕁ޿߹ߔ߆‫ޕ‬ࠆߩ߆ߣࠃߊ⡞߆ࠇ߹ߔ‫ޕ‬ᱤࡉ࡜ࠪߩᣇᴺߪ᭽‫޽ޘ‬╵߃ߪ㧺㨛ߢߔ‫ࠇ౉✚ޕ‬ᱤࠍ৻ᐕએ਄޿ࠇߡ޿ࠆੱࠅ߹ߔ߇㧘੹࿁ߪࡃࠬᴺߣ޿߁ᣇᴺࠍㅀߴߐߖߡ㗂ߩⴊᶧࠍណขߔࠆߣᱤ๟∛⩶߇ሽ࿷ߒߚߣߩႎ๔߈߹ߔ㧔࿑ 5㧕‫ߩߎޕ‬ᣇᴺߪᱤ๟∛ߩᴦ≮ߦ߅޿ߡ11㧕߇޽ࠅ߹ߔ‫ߦ߁ࠃߩߎޕ‬ᱤ߇ߥ޿ੱߢ߽ᱤ๟∛ਥߦⴕߞߡ޿ࠆᣇᴺߢߔ‫ࠬࡃޕ‬ᴺߪ㧘ᱤࡉ࡜ࠪߩᲫ

⩶߇ᄙߊ޿ࠆߎߣࠍ⍮ߞߡߊߛߐ޿‫ߒ߆ߒޕ‬ᱤ๟∛వࠍᱤߦኻߒߡ 45 ᐲߦᒰߡ㧘ᱤ๟ࡐࠤ࠶࠻ߦ౉ࠆ

⩶ࠍߥߊߔᴦ≮ᴺ߇ߥ޿ߩ߇⃻⁁ߢߔ‫ޕ‬ࠃ߁ߦߒ߹ߔ‫ޕ‬േ߆ߔᱤߪ㧘1 ߆ࠄ 2 ᧄߢߔ‫ޕ‬ᮮߦㄭᐕᱤ๟∛ߣ↢ᵴ⠌ᘠ∛એᄖߦ㧘ᱤ๟∛ߣ⥠≸ߩዊೞߺߦേ߆ߒシ޿ജߢ߅㗿޿ߒ߹ߔ‫ޕ‬ᜬߜᣇߢߔ㑐ଥߩႎ๔ 12)߇޽ࠅ߹ߔ‫↵ੱ⊕ߩ≸⥠ޕ‬ᕈߣ≸ߢߥ߇㧘㋦╩ᜬߜߢ߅㗿޿ߒ߹ߔ‫ޕ‬೑߈ᚻߣㅒ㧔଀㧘ฝ޿⊕ੱ↵ᕈࠍᲧセߔࠆߣ㧘ᱤࠍᡰ߃ࠆ㛽ߩๆ෼߇೑߈ߢ޽ࠇ߫Ꮐ஥ߩᱤ㧕ߪ߿ࠅᤃ޿ߩߢߔ߇㧘೑߈

1mm Ⴧടߔࠆߏߣߦ⥠≸ߩ࡝ࠬࠢߪ 5.2 ୚Ⴧടߔᚻߩᣇߪ㔍ߒ޿ߢߔߩߢ᳇ࠍઃߌߡߊߛߐ޿‫ޕ‬ࠆߣㅀߴߡ޿߹ߔ‫ߚ߹ޕ‬㧘ࠕࡔ࡝ࠞߩ NHANES ߣᱤ㑆ࡉ࡜ࠪߢߔ߇㧘ᱤࡉ࡜ࠪߩ⵬ഥߢߪ޽ࠅ߹ߖ޿߁ᣣᧄߢ޿߃߫࿖᡽⺞ᩏߦ⋧ᒰߔࠆ߽ߩߢߔ߇㧘ࠎ‫ޕ‬ฬ೨ࠍ⷗ߡ޿ߚߛߌࠇ߫ಽ߆ࠆࠃ߁ߦ㧘ᱤߣᱤ

ߘߎߢ 60 ᱦએ਄ߩ↵ᅚߢᱤ๟∛ߣ⹺⍮ᯏ⢻ߩ㑐ଥߩ㑆ߩࡉ࡜ࠪߢߔ‫ޕ‬ᱤ㑆ࡉ࡜߽ࠪᱤ๟∛ኻ╷ߦᰳ߆ࠍ⺞ߴߚႎ๔ 13)߇޽ࠅ߹ߔ‫⚿ߩߘޕ‬ᨐ㧘ᱤ๟∛߇㊀ߖߥ޿߽ߩߩ৻ߟߢߔ‫ޕ‬Ფᣣ᥉ㅢߦᱤࡉ࡜ࠪࠍ૶߁ᐲߩੱߪシᐲߩੱߣᲧセߔࠆߣ⸥ᙘജߪ 2.89 ୚㧘ߩߣหߓࠃ߁ߦ૶ߞߡߊߛߐ޿‫޿૶ޕ‬ᣇߢߔ߇㧘ߚ⸘▚ജߪ 1.95 ୚ߘࠇߙࠇૐਅߔࠆߣㅀߴߡ޿߹ߔ‫ޕ‬ߛᱤߩ㑆ߦ౉ࠇߡ㗂ߊߛߌߢߥߊᱤߩ㑆ߩᱤ⨍ߩߎߩࠃ߁ߦᱤ๟∛߇᭽‫ߥޘ‬ᚲߢᓇ㗀ߒߡ޿ࠆߎߣḴߦᴪࠊߒߡ౉ࠇߡߊߛߐ޿‫ޕ‬ᱤߪਣߊߥߞߡ޿߹ࠍኤߒߡ޿ߚߛߌߚߣᕁ޿߹ߔ‫ޕ‬ߔߩߢ㧘ᱤ㑆ࡉ࡜ࠪࠍ߹ߞߔߋ౉ࠇࠆߛߌߢߪ߁߹ᰴߦᱤ๟∛ߩᴦ≮߇߅ญߩਛߦᓇ㗀ߔࠆ߆ࠍ߅ߊ⏴ߌ߹ߖࠎ‫ޕ‬ᳪࠇ߇⪭ߣߖࠆ߆ߪ޿߆ߦᱤߩḴߦ⹤ߒ߹ߔ‫ޕ‬ᱤ๟∛ߩᴦ≮߇⚳ࠊߞߡ߽ᱤ၁߇޽ࠆ㒢ㆡಾߦᴪࠊߖࠆ߆ߦ߆߆ߞߡ߈߹ߔ‫ᤨߩߎޕ‬㗠ߞߵࠅ㧘ౣ⊒ߩน⢻ᕈ߇㜞޿ߩߢචಽߥᱤ⏴߈߇ᔅⷐߢߚ஥ߛߌߢߥߊ㧘ⵣ஥ߩᣇ߽หߓࠃ߁ߦ޿ࠇߡߊߛߔ‫ߚ߹ޕ‬㧘ቯᦼ⊛ߦᱤ၁㧘ᱤ⍹ࠍขࠆߎߣ㧘ࡔࠗࡦߐ޿‫ޕ‬࠹࠽ࡦࠬ߇㊀ⷐߦߥࠅ߹ߔ‫ޕ‬ゞߩࡔࠗࡦ࠹࠽ࡦࠬࠍᱤක⠪ߐࠎߢᱤ๟∛ߩ࠴ࠚ࠶ࠢࠍߒߡߪߤ߁ߢⴕ߁ߎߣߣหߓᗧ๧ߢ޽ࠆߣ⠨߃ߡߊߛߐ޿‫ߦߣޕ‬ߒࠂ߁߆‫ߩߚߥ޽ޕ‬ᱤ⨍ߪᄢਂᄦ㧫ߣ⚿߮߹ߒߡ⚳߆ߊቯᦼ⊛ߥ߅ญߩ▤ℂ߇㊀ⷐߢߔ‫ޕ‬ᱤ๟∛ߩᴦ≮ੌߣߒ߹ߔ‫ޕߚߒ߹޿ߑߏ߁ߣ߇ࠅ޽ޕ‬188) Al-Zahrani MS, Bissada NF, Borawski EA:Obesity and periodontal disease in young,middle aged, and older adults. J Periodontol,74: 610-615, 2003.
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