Oral health status and risk of incident diabetes: A prospective cohort study of 213,389 individuals aged 45 and over
Authors' conclusion
Simple measures of oral health were associated with risk of developing diabetes, demonstrating the potential importance of oral health screening for diabetes prevention.
Study context
- Population
- Men and women aged ≥45 years without diabetes at baseline, 45 and Up Study, Australia
- Participants
- 213,389 men
- Exposure
- Oral health measures and incident diabetes
- Outcome
- Incident diabetes (self-report, medical and pharmaceutical claims, hospitalisation data)
- Follow-up
- Up until 2019
Methodological detailslinked administrative health records, multivariable Cox proportional hazards models
- Linked administrative health records
- Multivariable Cox proportional hazards models
Main finding
As reported in the abstract
Incident diabetes
Adjusted hazard ratio (95% CI)
10-19 teethvs ≥20 teeth
1.12(1.08–1.17)
1-9 teethvs ≥20 teeth
1.20(1.14–1.26)
No teethvs ≥20 teeth
1.15(1.09–1.21)
Fair teeth and gumsvs Excellent/very good teeth and gums
1.07(1.03–1.12)
Poor teeth and gumsvs Excellent/very good teeth and gums
1.13(1.07–1.20)
- Participants who developed diabetes during 2,232,215 person-years of follow-up
- 20,487 (9.6%)
Observational data: associations, not effects.
Original publication
Oral health status and risk of incident diabetes: A prospective cohort study of 213,389 individuals aged 45 and over. Diabetes Res Clin Pract. Published 14 July 2023. doi:10.
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