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Abstract: SA-PO394

Preventative Dental Practices and Cardiometabolic Health in Adolescents

Session Information

  • Pediatric Nephrology - III
    November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Pediatric Nephrology

  • 1900 Pediatric Nephrology

Authors

  • Wong, Kristal, Cohen Children's Northwell Health Physician Partners Pediatric Nephrology and Kidney Transplant, Queens, New York, United States
  • Nadella, Srighana, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, United States
  • Mupparapu, Mel, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, United States
  • Sethna, Christine B., Cohen Children's Northwell Health Physician Partners Pediatric Nephrology and Kidney Transplant, Queens, New York, United States
Background

Decreased utilization of dental services in adolescence has been linked to cardiometabolic disease in adulthood. The aim was to assess the relationship between preventative dental practices and cardiometabolic health in adolescents.

Methods

Analysis included children aged 13-17 years enrolled in the National Health and Nutrition Examination Survey (NHANES) from 2011-2018 who completed an oral health questionnaire. No dental care was defined as not having a dental visit in the past year. Financial barriers to seeking dental care were assessed among those without dental care. Cardiometabolic outcomes included obesity, elevated blood pressure (BP 120-129/<80 mmHg), hypertensive BP (BP >130/80 mmHg), dyslipidemia (any abnormal lipid level), glucose intolerance (HOMA-IR), uric acid, glomerular hyperfiltration (estimated glomerular filtration rate [eGFR] >140 ml/min/1.72 m2), and microalbuminuria (urine albumin:creatinine >30 mg/mg). Regression models adjusted for age, sex, self-identified race/ethnicity, household income, food insecurity, health insurance, household education, and body mass index (BMI) z-score examined associations using complex survey design procedures.

Results

Of 2,861 adolescents, 17.6% (0.9%) did not receive dental care in the past year and of those, 20.2% (1.9%) had financial barriers to accessing dental care. Adolescents without dental care had higher odds of overweight/obesity and dyslipidemia. Those with financial barriers had higher levels of non-HDL, lower levels of HDL, and higher odds of dyslipidemia (Table 1).

Conclusion

In a nationally representative population of adolescents, lack of preventative dental practices was associated with cardiometabolic health makers of overweight/obesity and dyslipidemia. In addition, financial barriers to health were associated dyslipidemia.

Funding

  • NIDDK Support