Association between toothbrushing habits and hypertension in the general population by AyanoTezuka1, Takuro Kubozono1SatoshiYamaguchi1, YuichiAkasaki1,Keitaro Nishi3, Maya Nakamura3, Ta instant download
Periodontitis has been linked to cardiovascular disease (CVD), suggesting that oral care may play a role in CVD prevention. In contrast, hypertension has been linked to oral health; however, its association with toothbrushing habits is unclear. Therefore, this study aimed to investigate the relationship between toothbrushing habits and hypertension. A total of 941 participants (361 men, mean age: 67±11 years) from a 2019 community-based study conducted in Tarumizu City were included. Hypertension was defined as systolic BP≥140 mmHg, diastolic BP≥90 mmHg, or use of antihypertensive medications. Toothbrushing habits were assessed using a questionnaire, and oral health was evaluated by dentists. The mean BP was 132±17/78±11 mmHg, with a hypertension prevalence of 56%. Participants reported toothbrushing rates of 33% upon waking, 8% before breakfast, 69% after breakfast, 48% after lunch, 4% before dinner, 42% after dinner, and 51% before sleeping. In the univariable analysis, both the timing of toothbrushing (after breakfast, after lunch, or before sleeping) and brushing frequency (≥3 times/day) were significantly associated with a lower prevalence of hypertension. Multivariable analysis revealed a significant association between toothbrushing after breakfast and hypertension. In conclusion, toothbrushing after breakfast was independently associated with a reduced risk of hypertension.Keywords Blood pressure, Hypertension, Toothbrushing habits, Oral status
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